R438-15-5. Timing of Collection of First Specimen

(1) The first specimen shall be collected between 24 and 48 hours of the newborn's life, except as outlined in Subsection (2). (2) If the newborn is discharged from an institution before 24 hours of age, a specimen shall be collected within two hours of discharge. (3)(a) If the newborn is to receive a blood transfusion or dialysis, a specimen shall be collected before the procedure, unless an emergency situation prevents sufficient time for collection. (b) If the newborn receives a blood transfusion or dialysis before collecting the appropriate specimen, the health care provider shall: (i) collect initial screen no later than the seventh day of life; (ii) collect second screen seven to ten days after last transfusion or dialysis for a second screening specimen; and (iii) if a hemoglobin pattern is abnormal on the first screen, collect a repeat screen after 120 days of life to evaluate the hemoglobin pattern.