Section 144-709-3.0 - RESPONSIBILITY FOR CCHD SCREENING FOR INFANTS BORN IN HOSPITALS OR BIRTHING CENTERS IN MAINE3.1 The administrator of the hospital or birthing center involved in testing under these regulations shall be responsible for assuring that the hospital has a protocol for CCHD screening that includes timing and documentation of screening results as well as risk-related protocols for follow-up of any abnormal screening result (See Section 8 for timing of screening and Section 11 for follow-up).3.2 The administrator of the hospital or birthing center shall be responsible for assuring a screening test for CCHD is performed for each newborn infant prior to his/her discharge from the facility unless parent(s) have a religious objection (see Section 8 for timing of the screening, including screening of babies that are preterm, sick or suspected/known to have a heart defect and Section 10 for parental refusal for religious objection).3.3 Each administrator of a hospital or birthing center shall appoint, and provide to the Maine CDC Birth Defects Program, Division of Population Health, Maine Department of Health and Human Services, the name of a contact person at the facility, who shall be responsible for coordinating the facility's screening activities.3.4 No infant shall be discharged until his/her chart is checked to assure that a CCHD screening has been performed and documented including date, time and screening results unless parent(s) have a religious objection (see Section 10). The facility employee who assembles the discharge papers before the infant leaves the facility shall check that the screening test has been performed and that this fact has been recorded in the infant's medical record. If an infant has had a previous ECHO or a known CCHD diagnosis, this shall be noted in the chart documenting the CCHD screen was not required. The fact that the infant has had a CCHD screen shall be included in any discharge instructions that are given to the parent(s) or guardian(s).3.5 The contact person, as established under section 3.3 above, shall determine the screening status of all infants admitted to the hospital. If any infant is identified as having been discharged without testing, the contact person shall notify the infant's physician or other primary health care provider (within 24 hours) and the Maine CDC Birth Defects Program (within 5 working days) of discovering that fact. The health care provider shall then take appropriate steps to have the infant screened within 5 working day sunless parent(s) have a religious objection (see Section 10).3.6 If an infant is transferred to a second facility during the first 48 hours of life, the CCHD screening should be performed at the second facility. The first facility shall clearly indicate in the papers accompanying the infant that the child needs to be screened (see Section 8) unless parent(s) have a religious objection (see Section 10) and notify the Maine CDC Birth Defects Program of the transfer within 5 working days. This notification can be provided in conjunction with notification to the Maine CDC Newborn Blood spot Screening Program.3.7 All screening results will be recorded in the individual infant's medical record and provided to the infant's healthcare provider. 3.8 The administrator of the hospital or birthing center shall ensure that at least 10% of infants' medical records are reviewed within 8 weeks after discharge, to assure that screening information, including result, has been recorded.3.9 The administrator of the hospital or birthing center shall ensure that all employees are informed of their responsibilities with respect to these regulations.10- 144 C.M.R. ch. 709, § 3.0