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Newborn Metabolic Screening
MessageRefer to "Heel Stick Specimen Collection (Newborn Metabolic Screening or Microtainer Samples)" (code ZHEEL) for detailed instructions to obtain specimen.
Specimen should be collected after newborn is at least 24 hours old and has had at least 24 hours of feeding.
Do not touch the actual filter paper portion of the lab slip either before, during or after blood collection. Contamination of the filter paper with water, formula or powder from gloves will affect the results.
Check the specimen to make sure the blood saturated through the card and there is no overlapping of blood in the circles. If there is a problem with the specimen, the test should be repeated.
Allow specimen to dry on a clean flat non-absorbent surface for a minimum of 4 hours.
Specimen should be collected after newborn is at least 24 hours old and has had at least 24 hours of feeding.
Do not touch the actual filter paper portion of the lab slip either before, during or after blood collection. Contamination of the filter paper with water, formula or powder from gloves will affect the results.
Check the specimen to make sure the blood saturated through the card and there is no overlapping of blood in the circles. If there is a problem with the specimen, the test should be repeated.
Allow specimen to dry on a clean flat non-absorbent surface for a minimum of 4 hours.
Test Code
NMS
Alias/See Also
PKU
Preferred Specimen
Heel stick blood applied to form, allow to air dry
Instructions
Verify that the DHMH form has not expired (if so, discard and obtain an indate form). If a patient label is used, do NOT put it on the front of the form, place it on the back side of white top copy.
Complete all information requested on the form. See the back of the form for more detail for completion of the form. NOTE: the Hearing Screening Status must be completed on all newborns prior to discharge. If the form is not completed, the form will NOT be sent out for testing.
The information required by the State Lab includes:
a. Primary care physician
b. Identification of the newborn infant (permanent name and medical record number)
c. Date and Time of specimen collection and collector's identification
d. Mother's information (name, address and phone)
e. Newborn's sex, race, gestational age, health (well or ill) and weight
f. Type of feeding (breast or formula)
g. Indicate birth order, transfusions or antibiotics, if applicable
Complete all information requested on the form. See the back of the form for more detail for completion of the form. NOTE: the Hearing Screening Status must be completed on all newborns prior to discharge. If the form is not completed, the form will NOT be sent out for testing.
The information required by the State Lab includes:
a. Primary care physician
b. Identification of the newborn infant (permanent name and medical record number)
c. Date and Time of specimen collection and collector's identification
d. Mother's information (name, address and phone)
e. Newborn's sex, race, gestational age, health (well or ill) and weight
f. Type of feeding (breast or formula)
g. Indicate birth order, transfusions or antibiotics, if applicable
Transport Container
DHMH form (Maryland Dept of Health & Mental Hygiene)
Additional information is available at the website
http://dhmh.maryland.gov/laboratories/SitePages/nbs_provider.aspx
Reference Range
See report
Clinical Significance
A blood screen to evaluate newborns for metabolic disorders. Testing includes certain endocrine disorders; cystic fibrosis; and disorders breaking down lactose, as well as breaking down fats and proteins. The test is required in the state of Maryland.
