W. Va. Code R. § 64-100-5

Current through Register Vol. XLI, No. 50, December 13, 2024

Section 64-100-5 - Recommended Protocol for Pulse Oximetry Testing

5.1. The following are recommendations from the United States Secretary of Health and Human

Services' Advisory Committee on Heritable Disorders in Newborns and Children, the American Academy of Pediatrics, and the Centers for Disease Control and Prevention.

5.2. Pulse oximetry should be performed on the right hand and one foot. If the newborn's oxygen saturation is 95% in either extremity, with a 3% difference between the two, he or she will be considered to have passed the screening test and no additional evaluation will be required unless signs or symptoms of CHD are present.

5.3. If the oxygen saturation is 95% in both the hand and foot or there is a 3% difference between the hand and foot on three measures, each separated by one hour, the newborn should be evaluated by his or her pediatrician and referred, if indicated, for an echocardiogram at an ultrasound facility that has experience in newborn cardiac echocardiograms. The echocardiogram shall be interpreted by a pediatric cardiologist who shall then make appropriate arrangements for follow-up when necessary.

5.4. A newborn with oxygen saturation that is 90% in either the hand or foot should be referred immediately for additional evaluation.

5.5. The pulse oximetry guidelines and supporting information may be found online at http:/www.wvdhhr.org/mcfh [File Link Not Available] [File Link Not Available].

W. Va. Code R. § 64-100-5