HealthCheck Training
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Post-Test
Overview
Health Supervision
- Introduction
- Health History
- Physical Examination
- Screening Services
- Laboratory Tests
- Immunizations
- Health Education
Special Health Issues
- Introduction
- Dental Health
- Overweight and Obesity
- HIV Guidelines
- Child Abuse & Neglect
- Language Barriers
- Early Intervention
Documentation
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Health Supervision
Laboratory Tests: Metabolic
DC law requires hospitals and birth centers to screen all newborns (with parental consent) for certain metabolic and hemoglobin disorders. Universal screening and early intervention help prevent life-threatening complications and serious chronic consequences of these diseases, including mental retardation and developmental disabilities.
Universal Newborn
The DC Newborn Metabolic Screening Program screens all District newborns for these disorders:
Sickle
cell disease (see next page)- G-6-PD deficiency
- Congenital hypothyroidism
- Galactosemia
- Phenylketonuria
- Maple syrup urine disease
- Homocystinuria
Initial Screening
The DC Department of Health administers the Newborn Screening Program and notifies providers of abnormal test results, provides educational and referral information, monitors results of repeat tests, and tracks those who require treatment.
Neo Gen Screening, Inc., contracts with the DC Government to analyze blood samples from all District newborns and to provide test results free of charge. Providers may register to gain access to Neo Gen's automated systems, but must obtain written parental consent before accessing individual test results.
Follow-up Screening: The PCP's Role
If the initial blood sample was obtained less than 24 hours after birth or if the sample was unacceptable, the PCP needs to obtain a second blood sample at 1 week of age.
If initial screening results indicate abnormalities, the PCP must:
- Obtain a repeat blood test.
- Provide appropriate referrals to pediatric specialists (endocrinology, hematology, genetics).
- Document all follow-up screening and services in the child's medical record.
Resources
DC
Newborn Metabolic Screening Program
899 North Capitol St., NE
Washington DC 20002
Phone: (202) 442-9344 or 442-5925
Neo
Gen Screening, Inc.
110 Roessler Rd., Suite 200
Pittsburgh, PA 15220
Phone (412) 341-8658; fax (412) 341-8926
E-mail: Registration@neogenscreening.com
