FIA and Meconium Testing

[layna]

When and FIA caseworker requests a meconium collection on newborn of a mother with a drug history, do your docs order this? What do you tell the mother?

Just curious. We are working on a protocol for this. I would appreciate any input.

Thanks for your help,

Layna

[layna]

Wow, BBnurse...what a very tragic case. :-( I would really like to see your protocol. It sounds pretty comprehensive. We don't do the neonatal urine screens here. The MDS is ordered by the physician upon communication with CPS. The reason why we are working on a protocol is to hopefully avoid tragedies as described above. I also want to see better communication between CPS and the primary care physician BEFORE delivery. What prompted this review was CPS requests for MDSs that were being done by the nurses without an order and the test not getting paid for by CPS who were the ones requesting the test. Now, by the looks of this post, it looks like it may be a more thorough process if we include the UDS as well. Thanks so much for the info. I would love to see the policy you have, BBnurse.

Layna