R9-13-204. First Specimen Collection

A. When a newborn is born in a hospital, the hospital’s designee shall collect a first specimen from the newborn according to whichever of the following occurs first: 1. Unless specified otherwise by a physician, physician assistant, or registered nurse practitioner, before administering a transfusion or parenteral nutrition; 2. When the newborn is at least 24 but not more than 72 hours old; or 3. Before the newborn is discharged, unless the newborn: a. Is transferred to another hospital before the newborn is 48 hours old; or b. Dies before the newborn is 72 hours old. B. If a newborn is admitted or transferred to a hospital before the newborn is 48 hours old, the receiving hospital’s designee shall: 1. Verify that the first specimen was collected before admission or transfer, or 2. Collect a first specimen from the newborn according to the requirements in subsection (A). C. When a newborn is born in a birth center, the birth center’s designee shall collect a first specimen from the newborn according to subsection (A)(1) or (A)(2). D. For a home birth attended by a health care provider, the health care provider or the health care provider’s designee shall collect a first specimen from the newborn according the requirements in subsection (A)(2). E. If a parent refuses collection of a first specimen, the hospital or birth center in which the newborn was born or the health care provider attending the newborn’s home birth shall indicate the refusal on a specimen collection kit, comply with R9-13- 203(B)(3), and submit the specimen collection kit to the Arizona State Laboratory no later than 24 hours or the next working day after the refusal.