Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 181 - SPECIAL HEALTH PROGRAMS › Chapter 2 - SCREENING OF INFANTS FOR INHERITED AND CONGENITAL INFANT OR CHILDHOOD-ON-SET DISEASES › Section 181-2-005 - PHYSICIAN DUTIES

Current through June 17, 2024
005.01
SPECIMEN COLLECTION.
For all live births, the
  newborn's physician must cause the collection for testing of a newborn
  screening specimen for inherited and congenital infant-or childhood-on-set
  diseases between 24 to 48 hours of age or immediately prior to the newborn's
  discharge, whichever occurs first
005.01(A)
PRIOR TO 24 HOURS OF AGE.
If the initial specimen for
  any infant is collected prior to 24 hours of age, the newborn's physician or
  designee must collect or cause to be collected a repeat screening specimen by 7
  days of age, regardless of prior test results.
005.01(B)
SICK, LOW BIRTH WEIGHT,
  OR PREMATURE INFANTS.
Newborns transferred to neonatal intensive
  care units (NICU) must have a specimen collected prior to transfer, and
  information communicated as required at 181 Nebraska Administrative Code (NAC)
  2-005.01(E)(iii).
  The attending physician at the hospital neonatal intensive care unit (NICU)
  must verify and otherwise ensure a specimen is collected prior to the provision
  of any treatment, excluding respiratory treatment. The specimen may be
  collected prior to 24 hours of age. If the first specimen is collected at less
  than 24 hours of age, or if the newborn was less than 2000 grams at birth, a
  repeat specimen must be collected at 48-72 hours of age. A third specimen must
  be collected at 28 days of life or upon discharge, whichever occurs first, on
  all infants less than 2000 grams at birth, or who had any prior abnormal screen
  result.
005.01(C)
BLOOD
  TRANSFUSION.
If a newborn requires a blood transfusion, even if
  prior to 24 hours of age, the specimen must be collected before the blood
  transfusion.
The specimen should be collected at the time blood is collected for the
	 typing and cross match prior to transfusion unless a dried blood spot specimen
	 was verified to have been collected prior to the typing and cross match. The
	 newborn's physician or designee must collect or cause to be collected a repeat
	 specimen by 48-72 hours of age if the pre-transfusion specimen was collected at
	 less than 24 hours of age, regardless of prior test results.
005.01(D)
NO SPECIMEN
  COLLECTED.
Upon notification by the hospital that a newborn was
  discharged before a screening sample was collected, the newborn's physician or
  designee must collect or cause to be collected a screening specimen within 48
  hours of parental notification.
005.01(E) NEWBORN TRANSFER TO ANOTHER
  HOSPITAL.
005.01(E)(i)
BEFORE 24
  HOURS OF AGE.
The physician at the hospital of birth must collect
  or cause to be collected a blood specimen immediately prior to discharge for
  testing for inherited and congenital infant-or childhood-on-set diseases if the
  newborn is transferred to another hospital, either in- or out-of-state, even if
  this occurs before the infant is 24 hours of age. If the specimen is collected
  at less than 24 hours of age, the physician or designee at the hospital of
  birth must document and inform the receiving physician that a specimen for
  testing for such diseases was collected prior to 24 hours of age and notify the
  receiving physician that another specimen must be collected between 48 and 72
  hours of age.
005.01(E)(ii)
AFTER 24 HOURS OF AGE.
The physician at the hospital
  of birth must collect or cause to be collected a blood specimen for testing for
  inherited and congenital infant-or childhood-on-set diseases from any newborn
  being transferred to another hospital after the newborn is 24 hours of age and
  notify the physician upon transfer that a blood specimen for such diseases has
  been collected. The transferring physician must immediately notify the
  receiving physician if the specimen needs to be repeated, or if confirmatory
  testing is required.
005.01(E)(iii)
TRANSFER FORMS.
All physicians transferring newborns
  to another hospital or the physician's designee at the hospital must notify the
  receiving physician in writing of the following information and fax a copy of
  the written information to the Nebraska Newborn Screening Program (NNSP) within
  24 hours:
(1) Date of transfer;
(2) Person completing form or other written
  notification;
(3) Hospital of
  birth;
(4) Infant's name;
(5) Date and time of birth;
(6) Date and time of specimen
  collection;
(7) Transferring
  physician;
(8) Whether the newborn
  screening specimen was or was not collected at the hospital of birth;
(9) Whether the newborn screening specimen
  was or was not collected prior to 24 hours of age;
(10) Whether the newborn was transfused, and
  if so, whether the specimen was collected prior to transfusion;
(11) The type and time of transfusion if the
  specimen was collected post-transfusion;
(12) If the tests have not been performed and
  an initial specimen needs to be collected;
(13) If the specimen was collected prior to
  24 hours, or following transfusion, and a repeat specimen needs to be
  collected;
(14) Receiving hospital;
  and
(15) Receiving physician, if
  known.
The Transfer Form, approved by the Department, may be used to notify
	 the receiving physician and is included as a convenience for the transferring
	 physician.