Nev. Admin. Code § 442.046 - Abnormal or questionable blood test

1. Upon receiving a blood sample pursuant to section 3, the State Public Health Laboratory perform the laboratory testing necessary to detect the disorders described in the publication adopted by reference in subsection 1 of section 2.
2. If the testing performed pursuant to subsection 1 reveals the existence of a disorder described in the publication adopted by reference in subsection 1 of section 2, the State Public Health Laboratory shall:
(a) Report the positive test to the primary provider of health care for the infant, if any, and to the Nevada Newborn Screening Program at the University of Nevada, Reno, or its successor program. The employee of the Program who receives the report shall:
(1) Recommend any additional confirmatory or diagnostic testing determined by the employee to be necessary; and
(2) Collaborate with the primary provider of health care for the infant, if any, to manage the infant until the positive test is confirmed.
(b) Coordinate with the Nevada Newborn Screening Program at the University of Nevada, Reno, or its successor program, to ensure the performance of the testing recommended pursuant to subparagraph (1) of paragraph (a) and the timely management of the infant.
(c) If the infant has a primary provider of health care, recommend that the primary provider of health care for the infant:
(1) Notify the parent or guardian of the infant of the requirements of subsection 4 and any follow-up testing or other actions required to confirm the presumptive diagnosis and provide any necessary referrals, including, without limitation, referrals for genetic testing or genetic counseling when necessary; and
(2) Discuss the disorder and options for the treatment of the disorder with the parent or guardian of the infant.
3. If the testing performed pursuant to subsection 1 reveals the existence of a disorder described in the publication adopted by reference in subsection 1 of section 2 and the infant does not have a primary provider of health care, the Nevada Newborn Screening Program at the University of Nevada, Reno, or its successor program, shall perform the duties described in subparagraphs (1) and (2) of paragraph (c) of subsection 2.
4. The parent or guardian of an infant with a positive test result for a disorder described in the publication adopted by reference in subsection 1 of section 2 of this regulation shall , upon notification of the positive test result, promptly take the child to a provider of health care who shall ensure that a quantitative evaluation of the problem indicated by the test result is performed.
5. As used in this section, "provider of health care" means a physician or physician assistant licensed pursuant to chapter 630 or 633 of NRS or an advanced practice registered nurse.

Notes

Nev. Admin. Code § 442.046
Added to NAC by Bd. of Health, eff. 10-23-87; A by R033-16A, eff. 11/2/2016; A by R088-20A, eff. 3/30/2022
NRS 439.200, 442.008

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