Or. Admin. R. 333-021-0800 - Administration of Vitamin K to Newborns

(1) The purpose of ORS 433.303 to 433.314 is to protect newborn infants against Vitamin K Deficiency Bleeding (VKDB).
(2) Physicians licensed under ORS chapters 677, 684 and 685 (medical, osteopathic, naturopathic and chiropractic physicians) or a midwife attending the mother at the birth of a child are responsible for ensuring that Vitamin K is administered to the newborn. The Vitamin K dose is to be administered within the first 24 hours after birth. If for any reason Vitamin K is not administered within 24 hours, it should be done at the earliest opportunity. A physician or midwife ensures that Vitamin K is administered to a newborn by:
(a) Administering the Vitamin K themself;
(b) Directing another person who is legally authorized and who is able to administer the Vitamin K; or
(c) Referring the infant's family to a practitioner legally authorized to obtain and administer Vitamin K.
(3) The appropriate dose of Vitamin K (phytonadione) for a newborn is 0.5 to 1.0 mg and the most effective procedure for administering is through a single intramuscular dose. Smaller, larger or additional doses may be administered on an individual basis as judged medically necessary. This rule is not intended to prevent a physician or midwife from ensuring that Vitamin K is administered by another method after seeking informed consent from the parent.
(4) A parent may, after being provided a full and clear explanation, decline to permit the administration of Vitamin K.
(a) The parent shall sign a form acknowledging understanding of the reason for administration of Vitamin K and possible adverse consequences.
(b) A person must witness the explanation to the parent, and must also sign the form.
(c) The form shall become a part of the medical record of the newborn infant.

Notes

Or. Admin. R. 333-021-0800
HD 20-1984, f. & ef. 10-22-84; PH 28-2017, amend filed 12/22/2017,, effective 1/1/2018

Statutory/Other Authority: ORS 433.312

Statutes/Other Implemented: ORS 433.303-433.314

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