WAC 246-650-020   Performance of screening tests.  (1) Hospitals providing birth and delivery services or neonatal care to infants shall:

     (a) Inform parents or responsible parties, by providing a departmental information pamphlet or by other means, of:

     (i) The purpose of screening newborns for congenital disorders,

     (ii) Disorders of concern as listed in WAC 246-650-020(2),

     (iii) The requirement for newborn screening, and

     (iv) The legal right of parents or responsible parties to refuse testing because of religious tenets or practices as specified in RCW 70.83.020, and

     (v) The specimen storage, retention and access requirements specified in WAC 246-650-050.

     (b) Obtain a blood specimen for laboratory testing as specified by the department from each newborn prior to discharge from the hospital or, if not yet discharged, no later than five days of age.

     (c) Use department-approved newborn screening specimen/information forms and directions for obtaining specimens.

     (d) Enter all identifying and related information required on the specimen/information form following directions of the department.

     (e) In the event a parent or responsible party refuses to allow newborn screening, obtain signatures from parents or responsible parties on the department specimen/information form.

     (f) Forward the specimen/information form with dried blood spots or signed refusal to the Washington state public health laboratory no later than the day after collection or refusal signature.

     (2) Upon receipt of specimens, the department shall:

     (a) Perform appropriate screening tests for:

     (i) Biotinidase deficiency;

     (ii) Congenital hypothyroidism;

     (iii) Congenital adrenal hyperplasia;

     (iv) Galactosemia;

     (v) Homocystinuria;

     (vi) Hemoglobinopathies;

     (vii) Maple syrup urine disease (MSDU);

     (viii) Medium chain acyl-coA dehydrogenase deficiency (MCADD);

     (ix) Phenylketonuria (PKU);

     (x) Cystic fibrosis;

     (xi) The amino acid disorders: Argininosuccinic acidemia (ASA), citrullinemia (CIT), and tyrosinemia type I (TYR 1) according to the schedule in WAC 246-650-030;

     (xii) The fatty acid oxidation disorders: Carnitine uptake defect (CUD), long-chain L-3-OH acyl-CoA dehydrogenase deficiency (LCHADD), trifunctional protein deficiency (TFP), and very long-chain acyl-CoA dehydrogenase deficiency (VLCADD) according to the schedule in WAC 246-650-030;

     (xiii) The organic acid disorders: 3-OH 3-CH3 glutaric aciduria (HMG), beta-ketothiolase deficiency (BKT), glutaric acidemia type I (GA 1), isovaleric acidemia (IVA), methylmalonic acidemia (CblA,B), methylmalonic acidemia (mutase deficiency) (MUT), multiple carboxylase deficiency (MCD), propionic acidemia (PROP) according to the schedule in WAC 246-650-030;

     (b) Report significant screening test results to the infant's attending physician or family if an attending physician cannot be identified; and

     (c) Offer diagnostic and treatment resources of the department to physicians attending infants with presumptive positive screening tests within limits determined by the department.



[Statutory Authority: Chapter 70.83 RCW. 08-13-073, § 246-650-020, filed 6/16/08, effective 7/17/08. Statutory Authority: Chapters 70.83, 43.20 RCW. 06-04-009, § 246-650-020, filed 1/20/06, effective 2/20/06; 03-24-026, § 246-650-020, filed 11/24/03, effective 12/25/03. Statutory Authority: RCW 43.20.050 and 70.83.050. 92-02-019 (Order 225B), § 246-650-020, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.20.050. 91-02-051 (Order 124B), recodified as § 246-650-020, filed 12/27/90, effective 1/31/91. Statutory Authority: Chapters 43.20 and 70.83 RCW. 91-01-032 (Order 114B), § 248-103-020, filed 12/11/90, effective 1/11/91. Statutory Authority: RCW 43.20.050 and 70.83.050. 87-11-040 (Order 303), § 248-103-020, filed 5/18/87.]