Newborn screening tests commenced in Victoria in 1966, when screening was for Phenylketonuria. Since then screening has expanded to testing for Congenital Hypothyroidism, Cystic Fibrosis, and over 20 rare conditions. These tests ensure early detection and treatment of these conditions.
This guideline provides an outline for medical and nursing staff to perform screening tests for newborn infants at the Royal Children's Hospital.
Blood Sampling Table
All infants (including palliative or deceased infants)
48 - 72 hours
Infants who have received blood transfusions/exchange transfusion/s, platelets, FFP, albumin, from birth to 72 hours of life
Obtain sample pre-transfusion (even < 48 hours of age), then > 48 hours post transfusion - NB: need to obtain 3rd sample
Infants on Total Parenteral Nutrition (TPN)
48 hours post cessation of TPN
Premature infants birth weight < 1000 grams
Premature infants birth weight < 1500 grams
Infants who have had transfusions of blood within the 1st 48-72 hours of life
3 weeks post transfusion
If in doubt or you have any queries, contact Newborn Screening Laboratory: ext 16272
If parents wish to refuse to have the test the following steps should be followed:
Newborn Screening Evidence Table
Please remember to read the disclaimer.
The development of this clinical guideline was coordinated by Chris Lim, Registered Nurse, Butterfly Ward. Approved by the Clinical Effectiveness Committee. Authorised by Bernadette Twomey, Executive Director Nursing Services. Current as of August 2013.
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