Code of Maine Rules › 10 - DEPARTMENT OF HEALTH AND HUMAN SERVICES › 144 - DEPARTMENT OF HEALTH AND HUMAN SERVICES - GENERAL › Chapter 709 - CRITICAL CONGENITAL HEART DEFECTS SCREENING › Section 144-709-3.0 - RESPONSIBILITY FOR CCHD SCREENING FOR INFANTS BORN IN HOSPITALS OR BIRTHING CENTERS IN MAINE

Current through 2024-29, July 17, 2024
3.1 The
				administrator of the hospital or birthing center involved in testing under
				these regulations shall be responsible for assuring that the hospital has a
				protocol for CCHD screening that includes timing and documentation of screening
				results as well as risk-related protocols for follow-up of any abnormal
				screening result (See Section 8 for timing of screening and Section 11 for
				follow-up).
3.2 The administrator
				of the hospital or birthing center shall be responsible for assuring a
				screening test for CCHD is performed for each newborn infant prior to his/her
				discharge from the facility unless parent(s) have a religious objection (see
				Section 8 for timing of the screening, including screening of babies that are
				preterm, sick or suspected/known to have a heart defect and Section 10 for
				parental refusal for religious objection).
3.3 Each administrator of a hospital or
				birthing center shall appoint, and provide to the Maine CDC Birth Defects
				Program, Division of Population Health, Maine Department of Health and Human
				Services, the name of a contact person at the facility, who shall be
				responsible for coordinating the facility's screening activities.
3.4 No infant shall be discharged until
				his/her chart is checked to assure that a CCHD screening has been performed and
				documented including date, time and screening results unless parent(s) have a
				religious objection (see Section 10). The facility employee who assembles the
				discharge papers before the infant leaves the facility shall check that the
				screening test has been performed and that this fact has been recorded in the
				infant's medical record. If an infant has had a previous ECHO or a known CCHD
				diagnosis, this shall be noted in the chart documenting the CCHD screen was not
				required. The fact that the infant has had a CCHD screen shall be included in
				any discharge instructions that are given to the parent(s) or
				guardian(s).
3.5 The contact
				person, as established under section 3.3 above, shall determine the screening
				status of all infants admitted to the hospital. If any infant is identified as
				having been discharged without testing, the contact person shall notify the
				infant's physician or other primary health care provider (within 24 hours) and
				the Maine CDC Birth Defects Program (within 5 working days) of discovering that
				fact. The health care provider shall then take appropriate steps to have the
				infant screened within 5 working day sunless parent(s) have a religious
				objection (see Section 10).
3.6 If
				an infant is transferred to a second facility during the first 48 hours of
				life, the CCHD screening should be performed at the second facility. The first
				facility shall clearly indicate in the papers accompanying the infant that the
				child needs to be screened (see Section 8) unless parent(s) have a religious
				objection (see Section 10) and notify the Maine CDC Birth Defects Program of
				the transfer within 5 working days. This notification can be provided in
				conjunction with notification to the Maine CDC Newborn Blood spot Screening
				Program.
3.7 All screening results
				will be recorded in the individual infant's medical record and provided to the
				infant's healthcare provider.
3.8
				The administrator of the hospital or birthing center shall ensure that at least
				10% of infants' medical records are reviewed within 8 weeks after discharge, to
				assure that screening information, including result, has been
				recorded.
3.9 The administrator of
				the hospital or birthing center shall ensure that all employees are informed of
				their responsibilities with respect to these regulations.