Ch. 1, § 5. Initial Bloodspot Specimen Collection

(a) If a child is born in a Wyoming hospital, the hospital shall collect and deliver the child's initial bloodspot specimen for the Wyoming Newborn Screening Panel according to subsection (c) of this section. (b) If a child is not born in a Wyoming hospital, the person attending the delivery shall arrange to have the child's initial bloodspot specimen collected and delivered according to subsection (c) of this section. (c) A qualified healthcare professional shall collect a child's initial bloodspot specimen for the Wyoming Newborn Screening Panel according to the following requirements and procedures. (i) The initial bloodspot specimen must be collected according to the following timelines. (A) If the child is full-term and healthy, the qualified healthcare professional shall collect the initial bloodspot specimen between twenty-four (24) and forty-eight (48) hours after birth. (B) If the child is to be discharged before twenty-four (24) hours after birth, the qualified healthcare professional shall collect the initial bloodspot specimen before discharge according to best medical practices. (C) If the child is not full-term or healthy, the qualified healthcare professional shall collect the initial bloodspot specimen according to best medical practices. (D) If the child requires an exchange transfusion, the qualified healthcare professional shall collect the initial bloodspot specimen prior to the exchange transfusion and according to best medical practices. If the qualified healthcare professional fails to collect the initial bloodspot specimen prior to the exchange transfusion, the qualified healthcare professional shall indicate that the child was transfused in the appropriate section of the bloodspot specimen collection card. (E) If the child needs to be transferred to another hospital, the transferring hospital shall ensure that a qualified healthcare professional collect the initial bloodspot specimen prior to transfer or make arrangements with the receiving hospital to collect the initial bloodspot specimen. The transferring hospital shall notify the Wyoming Department of Health Newborn Screening Program if a child is transferred prior to initial bloodspot specimen collection. (ii) The initial bloodspot specimen must be collected according to the following procedure. (A) The qualified healthcare professional shall collect the initial bloodspot specimen from capillary blood drawn by heel prick or an alternative method authorized by the Department. (B) The qualified healthcare professional shall transfer the collected bloodspot specimen directly onto the bloodspot section of the bloodspot specimen collection form provided by the Department. All circles on the form must be saturated with blood from one side only. After saturation, the form must air-dry horizontally on a dry, clean, and non-absorbent surface for three (3) to four (4) hours. (iii) The initial bloodspot specimen collection form provided by the Department must be completed according to the following procedure. (A) The qualified healthcare professional shall complete the bloodspot specimen collection form accurately and legibly. (B) A complete bloodspot specimen collection form must provide all required information including maternal and infant demographics, infant birth weight, time of birth, specimen collection time, physician information, and submitter information. (iv) The initial bloodspot specimen must be delivered according to the following procedures. (A) The Department shall ensure access to contracted courier services for timely transport of initial bloodspot specimens collected by qualified healthcare professionals. Timely transport is delivery to the contracted laboratory within twenty-four (24) hours of collection, or as early as possible. (B) The qualified healthcare professional shall arrange for timely transport of the initial bloodspot specimen via contracted courier service or overnight express services to the contracted laboratory after appropriate dry time and completion of the bloodspot specimen collection form. Timely transport means as defined in subsection (c)(iv)(A) of this section. (C) A contracted courier service shall pick up initial bloodspot specimens from birthing hospitals and deliver bloodspot specimens to the contracted laboratory. (d) The Department shall provide program brochures, consent and waiver forms, and specimen collection forms to hospitals, physicians, and other qualified healthcare professionals twice yearly and upon request. (e) The Department shall ensure access to contracted laboratory services for analysis of initial bloodspot specimens.