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Get the free Newborn Screening Proficiency Testing Program Data-Report Form - cdc

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A form used for reporting proficiency testing results related to newborn screening for toxoplasmosis, including laboratory results and contact details.
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How to fill out newborn screening proficiency testing

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How to fill out Newborn Screening Proficiency Testing Program Data-Report Form

01
Start with the title section and enter the name of the facility.
02
Fill in the date of the report submission.
03
Provide the contact information of the person completing the form.
04
Enter the date range for the proficiency testing samples.
05
List all the newborn screening tests performed during the reporting period.
06
Document the identification number for each test performed.
07
Record the results for each sample, including any comments or notes regarding discrepancies.
08
Confirm the completion of the testing by signing the form.
09
Submit the form to the appropriate governing body or organization.

Who needs Newborn Screening Proficiency Testing Program Data-Report Form?

01
Healthcare facilities that perform newborn screenings.
02
Laboratories involved in newborn screening procedures.
03
State health departments that oversee newborn testing programs.
04
Quality assurance personnel conducting proficiency testing.
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Typically, it takes three to five days to obtain test results on all 28 disorders. In addition to calling the DSHS Newborn Screening Laboratory at 512-458-7578 to request laboratory result reports, the newborn's medical home may access screening results through the web-based system and the Voice Response System (VRS).
A midwife or nurse will your baby's heel with a lancet (a special needle) and will collect a few drops of blood onto a screening card. Then, the card is sent to a central laboratory for processing. Newborn bloodspot screening involves a combination of biochemical and genetic testing.
The fastest way to obtain your child's NBS results is to contact the facility where the baby was born. If there is a result that needs follow-up, you will be contacted by phone to let you know what other testing is needed.
Proficiency testing or PT is the testing of unknown samples sent to a laboratory by a CMS approved PT program. Most sets of PT samples are sent to participating laboratories three times per year.
The results of your baby's newborn blood spot screening become available five to seven days after birth. Three types of results are possible: In-range (also called negative, normal, or low risk) Out-of-range (also called positive, abnormal, or high risk)
The newborn blood spot test checks for: cystic fibrosis (CF) sickle cell disease (SCD) congenital hypothyroidism (CHT) phenylketonuria (PKU) medium-chain acyl-CoA dehydrogenase deficiency (MCADD) maple syrup disease (MSUD) isovaleric acidaemia (IVA) glutaric aciduria type 1 (GA1)
Parents can get all the newborn screening test results from the baby's doctor. The Department of State Health Services (DSHS) will send the results to the doctor in seven to 14 days.
Newborn screening tests may include: Phenylketonuria (PKU). PKU is an inherited disease in which the body cannot metabolize a protein called phenylalanine. Congenital hypothyroidism. Galactosemia. Sickle cell disease. Maple syrup disease. Homocystinuria. Biotinidase deficiency. Congenital adrenal hyperplasia.

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The Newborn Screening Proficiency Testing Program Data-Report Form is a structured document that collects data on the performance of laboratories in conducting newborn screening tests. It is used to assess the accuracy and reliability of screening results.
All laboratories participating in the Newborn Screening Proficiency Testing Program are required to file the Data-Report Form to ensure compliance with testing standards and to help maintain quality control.
To fill out the Data-Report Form, laboratories must provide specific information as per the guidelines, including details about the tests conducted, the results obtained, and any discrepancies noted. Proper training or guidance should be followed to ensure accurate completion.
The purpose of the Data-Report Form is to evaluate the performance of newborn screening laboratories, identify areas for improvement, and ensure high standards of testing and reporting to protect the health of newborns.
The form must report information such as the lab identification, tests performed, results of proficiency testing samples, comments on performance, and any corrective actions taken if there were errors in the testing process.
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