Haw. Code R. § 11-143-5 - Hospital, birth attendant, and physician responsibilities
(a) The newborn's attending physician or
birth attendant and the hospital administrator shall be jointly responsible for
assuring that each infant born or transferred to their care is satisfactorily
tested as specified in section
11-143-4.
(b) Each hospital shall have written policies
and procedures concerning the required testing of newborns for designated
metabolic and other diseases.
(c)
All newborns shall have a newborn screening specimen drawn before discharge
from the hospital, or by three days of age, whichever comes first, and sent to
the designated laboratory, except as provided for in subsection (e).
(d) The newborn shall not be discharged until
the medical record is checked to assure that the newborn screening specimen has
been collected.
(e) For newborns
transferred from one hospital to another, the originating hospital shall assure
that the newborn screening specimen is drawn. If the newborn is too premature
or too sick to have a specimen drawn prior to transfer and a specimen is not
obtained, the originating hospital shall be responsible for clearly documenting
this, notifying the hospital to which the newborn is being transferred that a
specimen has not been obtained, and reporting to the department as described in
subsection (g).
(f) The hospital
shall keep record summaries of infants born or transferred by month of birth,
as to whether the newborn screening tests were done, the tests results, and
actions taken based on test results or missing results. These summaries shall
be compiled monthly and sent to the department not later than thirty days after
the end of the month.
(g) Not later
than forty-eight hours after transfer, discharge, or death, the hospital shall
report to the department, on a form provided by the department:
(1) The name of the newborn;
(2) The parents' or guardians' names,
address, and phone number; and
(3)
The physician's name; for those newborns not tested prior to death, transfer or
discharge from the hospital.
(h) Each hospital shall have available for
distribution to parents and guardians copies of the parent information brochure
provided by the designated laboratory.
(i) Each hospital, physician, and birth
attendant shall ensure compliance with section
11-143-6.
(j) Each physician shall follow the American
Academy of Pediatrics newborn screening recommendations for repeat screening
for infants whose initial specimens are obtained before twenty-four hours of
age.
(k) The physician caring for
the newborn who has a positive newborn screening test shall order confirmatory
tests. The physician may request assistance from the department if the
physician has difficulty contacting the family regarding the positive newborn
screening test result.
(1) Hospital charges
for the newborn screening tests shall be justifiable.
Notes
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