Section 144-283-3 - RESPONSIBILITY FOR SPECIMEN COLLECTION FROM INFANTS BORN IN HOSPITALS OR BIRTHING CENTERS IN MAINEA. The administrator of the hospital or birthing center is responsible for ensuring that a blood specimen is collected from each newborn infant prior to his/her discharge from the facility in accordance with this rule.B. Each administrator of a hospital or birthing center involved in testing under this rule must designate a contact person at the facility who is responsible for coordinating the facility's screening activities, and provide to the Department the name of the contact person responsible for coordinating the facility's screening activities.C. The person who collects the NBS specimen by performing a heel stick must fully and clearly complete the filter paper form, and record in the infant's chart the fact that the NBS specimen was collected, including date and time when collected.D. No infant may be discharged until his/her chart is checked to ensure that an NBS specimen has been collected. The facility employee who assembles the discharge papers before the infant leaves the facility must check that an NBS specimen has been collected and recorded in the infant's medical record. The fact that the infant has had a specimen collected must be included in discharge instructions that are given to the parent(s).E. The Department will send to the hospital contact person test results for infants whose NBS specimens are received for testing. The contact person must compare these results to the hospital's list of infants discharged to ensure that each infant was tested before discharge, and that each blood specimen was received for testing. If any infant is identified as having been discharged without testing, or without a NBS having been received for testing, the contact person must notify the infant's physician or other primary healthcare provider within 24 hours and the Department within five working days of discovering that fact. The healthcare provider must then take appropriate steps to have the infant tested within five working days of the discovery.F. If an infant is transferred to a second facility during the first 24 hours of life, the NBS specimen must be taken at the second facility. The first facility must clearly indicate in the transfer papers accompanying that the infant requires an initial NBS test. The transferring hospital must ensure that the Department is notified in writing of the transfer within five working days of the transfer, using the transfer form provided by the Department.G. The administrator of the hospital or birthing center must ensure that each NBS specimen is shipped via designated courier to the designated screening laboratory within 24 hours after collection.H. All screening results will be returned by the Department to the hospital contact person (Section 3(C) above), by providing individual result reports. The screening results will be recorded in the individual infant's medical record.I. The administrator of the hospital or birthing center must ensure that at least 10 percent of infants' medical records are reviewed within eight weeks after discharge to assure that screening information, including result, has been recorded.J. The administrator of the hospital or birthing center must ensure that all employees are informed of their responsibilities with respect to this rule.10-144 C.M.R. ch. 283, § 3