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This document provides guidelines for the proper collection and submission of newborn screening specimens, ensuring accurate identification and timely testing.
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How to fill out newborn screening specimen collection

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How to fill out Newborn Screening Specimen Collection Form Guidelines

01
Gather all necessary materials including the Newborn Screening Specimen Collection Form and the blood collection devices.
02
Ensure that the infant is at least 24 hours old before collecting the specimen.
03
Complete the top section of the form with the infant's demographic information, including name, date of birth, and medical record number.
04
Indicate the date and time of the blood collection in the designated section.
05
Collect the blood sample using a heel prick method, ensuring to follow proper hygiene practices.
06
Fill out the specimen collection section of the form, including the type of specimen collected (e.g., dried blood spots).
07
Place the collected blood spots on the appropriate area of the form, ensuring they are saturated adequately without overlapping.
08
Sign and date the form, indicating the collector's information.
09
Verify that all sections are complete before sealing the form and specimen in the designated envelope.
10
Send the completed form and specimen to the appropriate testing facility as soon as possible.

Who needs Newborn Screening Specimen Collection Form Guidelines?

01
Newborn Screening Specimen Collection Form Guidelines are needed by healthcare providers, including pediatricians and nurses, involved in the newborn screening process.
02
It is also essential for parents and guardians of newborns to understand the guidelines to ensure proper specimen collection.
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How it works. The NBS Program takes a blood sample from a newborn's heel from 12 to 48 hours after birth to check for genetic disorders. At the same time, the newborn receives a hearing and congenital heart disease screening.
Parents should take babies not born in a hospital or not screened before hospital discharge to a clinic (or back to the hospital) to be checked. Babies need to be screened within 24-48 hours after birth. A few drops of blood from the baby's heel provide the blood sample sent to a lab for screening.
Touch the first circle on the newborn screening card gently against the large blood drop, and in one step, allow the blood to soak through the filter paper and fill the circle. Do not press the paper directly against the baby's heel. Each of the five circles need to be filled and saturated through.
Wipe away the first drop of blood with a dry sterile gauze pad, as it is likely to contain tissue fluids that will contaminate the specimen. Allow a second, large drop of blood to form. Lightly touch the filter paper to this large drop of blood. Allow the blood to soak through and completely fill the preprinted circle.
Newborn screening usually starts with a blood test, followed by a hearing test and possibly other tests. First, hospital staff fill out a newborn screening card with the infant's vital information — name, sex, weight, and date and time of birth — and the date and time of the blood collection.
The heel-stick is always the preferred method for collection of the newborn screening. If it is not possible to perform a heel-stick, please see the Alternative Methods for Collecting a Newborn Screen page for detailed information and instructions.
Newborn Screening Tests Phenylketonuria (PKU). PKU is an inherited disease in which the body can't metabolize a protein called phenylalanine. Congenital hypothyroidism. Galactosemia. Sickle cell disease. Maple syrup disease. Homocystinuria. Biotinidase deficiency. Congenital adrenal hyperplasia.
What are the screening procedures? There are three parts to newborn screening: the blood test (or heel stickWhen the baby's heel is pricked to collect a sample of blood for newborn screening); the hearing screen; and pulse oximetry.

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Newborn Screening Specimen Collection Form Guidelines provide specific instructions on how to collect and submit samples for testing various genetic, endocrine, and metabolic disorders in newborns.
Healthcare providers, such as hospitals and clinics that deliver newborns, are required to file the Newborn Screening Specimen Collection Form Guidelines.
To fill out the Newborn Screening Specimen Collection Form Guidelines, healthcare providers should accurately complete all sections of the form, including newborn's identification information, collection date, and signature of the collector.
The purpose of Newborn Screening Specimen Collection Form Guidelines is to ensure that specimens are collected, documented, and submitted correctly for the early identification of potential health issues in newborns.
The information that must be reported includes the newborn's name, date of birth, mother's name, collection date, healthcare provider's details, and any special instructions or conditions relevant to the specimen.
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