(a) If a child is born in a Wyoming hospital, the hospital shall collect and deliver the child's bloodspot specimen for the Wyoming Newborn Screening Panel according to § 5(c) of this Chapter.
(b) If a child is not born in a Wyoming hospital, the person attending the delivery shall arrange to have the child's bloodspot specimen collected and delivered according to § 5(c) of this Chapter.
(c) A qualified healthcare professional shall collect a child's bloodspot specimen for the Wyoming Newborn Screening Panel according to the following requirements and procedures. - (i) A 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 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 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 bloodspot specimen according to best medical practices.
- (D) If the child requires an exchange transfusion, the qualified healthcare professional shall collect the bloodspot specimen prior to the exchange transfusion and according to best medical practices. If the qualified healthcare professional fails to collect the 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 bloodspot specimen prior to transfer or make arrangements with the receiving hospital to collect the bloodspot specimen. The transferring hospital shall notify the Wyoming Department of Health Newborn Screening Program if a child is transferred prior to bloodspot specimen collection.
- (ii) A bloodspot specimen must be collected according to the following procedure.
- (A) The qualified healthcare professional shall collect the 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) A 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) A bloodspot specimen must be delivered according to the following procedures.
- (A) The Department shall ensure access to contracted courier services for timely transport of bloodspot specimens. 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 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 § 5(c)(iv)(A) of this Chapter.
- (C) A contracted courier service shall pick up bloodspot specimens from 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 bloodspot specimens.