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10.52.15.00.htm 10.52.15.00. Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 52 PREVENTIVE MEDICINE Chapter 15 Screening for Critical Congenital Heart Disease (CCHD) in Newborns Authority: Health-General Article, §13-109, 13-111, and 18-107(a) Annotated Code of Maryland
10.52.15.01.htm 10.52.15.01. 01 Purpose and Scope.. A. This chapter establishes Statewide screening protocols for critical congenital heart disease in newborn infants.B. This chapter identifies standards and requirements for the Department, birthing facilities, nurse midwives, and persons participating in newborn screening for critical congenital heart disease.
10.52.15.02.htm 10.52.15.02. 02 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) “Attending clinician” means an individual who is:. a) A health care provider as defined in Health-General Article, §5-601, Annotated Code of Maryland; andb) Responsible for the care of newborn infants, and is either:. i) A certified nurse practitioner licensed by the Maryland Board of Nursing; or. ii) A certified nurse midwife licensed by the Maryland Board of Nursing..
10.52.15.03.htm 10.52.15.03. 03 Pre-Test Information and the Right to Refuse Screening.. A. Before a newborn infant is screened for CCHD, a health care provider shall provide to the newborn infant's parent or guardian an explanation of CCHD screening that includes:1) Reasons for screening, including:. a) The purpose and benefits of the screening; and. b) The nature, risks, and consequences of not screening for CCHD.. 2) A parent or guardian's right to refuse having the screening performed, including:.
10.52.15.04.htm 10.52.15.04. 04 Screening Procedures.. A. An authorized health care provider shall perform the screening.. B. Newborn Infants Receiving Routine Care.. 1) The birthing facility or nurse midwife shall:. a) Perform screening on a newborn infant between 24 hours and 48 hours of life; or. b) If unable to perform the screening, refer the infant to another authorized health care provider to perform the screening between 24 hours and 48 hours of life.2) If the newborn infant is discharged from a faci
10.52.15.05.htm 10.52.15.05. 05 Results.. A. Recordation of Results.. 1) All screening results shall be recorded in the newborn infant’s medical record.. 2) All screening results shall be entered into the web-based system along with the following information:a) Newborn infant’s:. i) Name;. ii) Date of birth;. iii) Gender;. iv) Place of birth; and. v) Primary care physician after discharge; and. b) Mother’s:. i) Name; and. ii) Date of birth.. B. Abnormal Screening Results.. 1) Abnormal screening res
10.52.15.06.htm 10.52.15.06. 06 Birthing Facility and Nurse Midwife Responsibilities.. A. Birthing Facility Responsibilities. The birthing facility shall:. 1) Identify a clinical staff person as a contact for CCHD screening;. 2) Develop protocols to ensure that all newborn infants are offered screening;. 3) Develop protocols to ensure that all screening results are reported in accordance with Regulation .05 of this chapter;4) Ensure that follow-up is performed for newborn infants not screened befo
10.52.15.07.htm 10.52.15.07. 07 Department Responsibilities.. The Newborn Screening Follow-Up Unit shall:. A. Investigate each instance of abnormal screening results to determine the cause for the abnormal result;B. Enter newborn infants found to have CCHD into the Birth Defects Reporting and Information System;. C. Provide condition-specific information and resources to the family; and. D. Perform ongoing evaluation of CCHD screening in the State..
10.52.15.08.htm 10.52.15.08. 08 Records.. A. The screening of newborn infants pursuant to this chapter is a population-based public health surveillance program as defined under the Health Insurance Portability and Accountability Act of 1996.B. On request, a birthing facility or health care provider shall make available to the Newborn Screening Follow-Up Unit:1) Medical records;. 2) Records of laboratory tests; and. 3) Any other medical information the Newborn Screening Follow-Up Unit considers necessary to:.
10.52.15.9999.htm 10.52.15.9999. Administrative History Effective date:. Regulations .01―08 adopted as an emergency provision effective October 5, 2012 (39:22 Md. R. 1427) emergency status extended to June 1, 2013 (40:6 Md. R. 469) adopted permanently effective April 15, 2013 (40:7 Md. R. 612)
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