Unit 7: RA 9288 (Newborn Screening) Flashcards
1
Q
RA 9288 is also known as
A
Newborn Screening Act of 2004
2
Q
It is a simple procedure to find out if a baby has a congenital disorder that may lead to mental retardation or even death if left untreated.
A
Newborn Screening (NBS)
3
Q
Through ________, treatment can be given early to prevent consequences of untreated conditions.
A
Newborn Screening (NBS)
4
Q
The _______________ was integrated as part of the country’s public health delivery system with the enactment of the Republic Act no. 9288 otherwise known as Newborn Screening Act of 2004.
A
Comprehensive Newborn Screening (NBS) Program
5
Q
Who acts as the lead agency in the implementation of the law and collaborates with other National Government Agencies (NGA) and key stakeholders to ensure early detection and management of several congenital metabolic disorders.
A
Department of Health (DOH)
6
Q
What are the current 6 disorders that are screened in the Newborn screening program in the Philippines?
A
- congenital hypothyroidism (CH)
- congenital adrenal hyperplasia (CAH)
- phenylketonuria (PKU)
- glucose-6-phosphate dehydrogenase (G6PD) deficiency
- galactosemia (GAL)
- maple syrup urine disease (MSUD)
7
Q
The National Policy and Strategic Framework on Expanded Newborn Screening for 2017-2030 is also known as?
A
Administrative Order No. 2018-0025
8
Q
The Guidelines on the Implementation of the Expanded Newborn Screening Program is also known as
A
Administrative Order No. 2014-0045
9
Q
How many disorders are included in the Expanded Newborn Screening?
A
28 more disorders (including the 6 disorders)
10
Q
The expanded screening will include 22 more disorders such as
A
- hemoglobinopathies
- additional metabolic disorders:
- organic acid
- fatty acid oxidation
- amino acid disorders
11
Q
T or F
The RA 9288 also defines the establishment and accreditation of Newborn Screening Centers (NSC)
A
T
12
Q
What are the 6 operational NCSs in the Philippines?
A
- NIH at the University of the Philippines Manila
- Visayas located at West Visayas State University Medical Center, Iloilo City
- Mindanao located at the Southern Philippines Medical Center, Davao City
- Central Luzon in Angeles City, Pampanga
- Southern Luzon in Tanauan City, Batangas
- Northern Luzon in Batac City, Ilocos Norte
13
Q
Ideally, NBS is done immediately after _______ from birth
A
24 hrs
14
Q
NBS is done through obtaining a few drops of blood from the baby’s _______, blotted on a special absorbent filter card and then sent to Newborn Screening Center (NSC).
A
heel
15
Q
Who are authorized to collect the blood sample from the newborn?
A
- physician
- nurse
- medical technologist
- trained midwife
16
Q
According to the Proclamation No. 540 dated January 20, 2004, when is National Newborn Screening Week celebrated in each year?
A
1st week of October
17
Q
Who approved the oclamation No. 540 dated January 20, 2004, stating the 1st week of October as National Newborn Screening Week?
A
President Gloria Macapagal-Arroyo
18
Q
How many sections are there in RA 9288?
A
19 sections
19
Q
Who approved and signed the RA 9288?
A
President Gloria Macapagal-Arroyo
20
Q
When was RA 9288 approved?
A
April 7, 2004
21
Q
What is Section 1 of RA 9288?
A
Title - Newborn Screening Act of 2004
22
Q
What is Section 2 of RA 9288?
A
Declaration of Policy
23
Q
Section 2
The ___________ shall ensure that every baby born in the Philippines is offered the opportunity to undergo newborn screening and thus be spared from heritable conditions that can lead to mental retardation and death if undetected and untreated.
A
National Newborn Screening System
24
Q
What is Section 3 of RA 9288?
A
Objectives
25
Section 3
This act ensure that every newborn has access to newborn screening for certain __________ that can result in mental retardation, serious health complications or death if left undetected and untreated;
heritable conditions
26
Section 3 | T or F
This act shall establish and integrate a sustainable newborn screening system within the public health delivery system;p
T
27
Section 3 | T or F
This act shall ensure that all health practitioners are aware of the advantages of newborn screening and of their respective responsibilities in offering newborns the opportunity to undergo newborn screening
T
28
Section 3 | T or F
This act shall ensure that parents recognize their responsibility in promoting their child's right to health and full development, within the context of responsible parenthood, by protecting their child from preventable causes of disability and death through newborn screening.
T
29
What is Section 4 of RA 9288?
Definitions
30
This refers to means a newborn screening system that includes, but is not limited to, education of relevant stakeholders; collection and biochemical lofeening of blood samples taken from newborns; tracking and confirmatory festing to ensure the accuracy of screening results; clinical evaluation and biochemical/medical confirmation of test results; drugs and medical/surgical management and dietary supplementation to address the heritable conditions; and evaluation activities to assess long term outcome, patient compliance and quality assurance.
Comprehensive Newborn Screening
31
This is referred to as the means the monitoring of a newborn with a heritable condition for the purpose of ensuring that the newborn patient complies fully with the medicine of dietary prescriptions.
Follow up
32
This refers to any condition that can result in mental retardation, physical deformity or death if left undetected and untreated and which is usually inherited from the genes of either or both biological parents of the newborn.
Heritable condition
33
NOH means?
National Institute of Health
34
This refers to a child from the time of complete delivery to 30 days old.
Newborn
35
This means the central facility at the NIH that defines testing and follow-up protocols, maintains an external laboratory proficiency testing program, oversees the national testing database and case registries, assists in training activities in all aspects of the program, oversees content of educational materials and acts as the Secretariat of the Advisory Committee on Newborn Screening.
Newborn Screening Reference Center
36
This refers to a procedure for locating a newborn with a possible heritable condition for purposes of providing the newborn with appropriate laboratory to confirm the diagnosis and, as appropriate, provide treatment.
Recall
37
What is Section 5 of RA 9288?
Obligation to Inform
38
Section 5 | T or F
Any **health practitioner** who delivers, or assists in the delivery, of a newborn in the Philippines shall, **after delivery**, inform the parents or legal guardian of the newborn of the **availability, nature and benefits of newborn screening**
F
(prior to delivery)
39
What is Section 6 of Ra 9288?
Performance of Newborn Screening
40
Section 6
The NBS shall be done after ____________ of life but not later than _________ from complete delivery of the newborn
24 hrs ; 3 days
41
Section 6
newborn that must be placed in **intensive care** in order to ensure survival may be **exempted from the 3-day requirement** but must be tested by _______
7 days of age
42
What is Section 7 of RA 9288?
Refusal to be Tested
43
Section 7
A parent or legal guardian may **refuse testing** on the grounds of _________, but shall **acknowledge in** _________ their understanding that refusal for testing places their newborn at risk for undiagnosed heritable condition
religious beliefs ; writing
44
Section 7 | T or F
A copy of the refusal documentation shall be made part of the **newborn's medical record** and refusal shall be indicated in the **national newborn screening database**
T
45
What is Section 8 of RA 9288?
Continuing Education, Re-education and Training Health Personnel
46
Section 8
Who is responsible for the following?
- conduct continuing information, education, re-education and training programs for health personnel on the rationale, benefits, procedures of newborn screening; and
- disseminate information materials on newborn screening at least annually to all health personnel involved in material and pediatric care
DOH with assistants of the NIH and others agencies
47
What is Section 9 of RA 9288?
Licensing and Accreditation
48
Section 9
Who are in charge of require health institutions to provide newborn screening services as a condition for licensure or accreditation
DOH and Philippine Health Insurance Corporation
49
Hat is Section 10 of RA 9288?
Lead Agency
50
Section 10
Who is the lead agency in implementing RA 9288?
DOH
51
Section 10
The DOH shall establish the _____________ on Newborn Screening
Advisory Committee
52
Section 10
The DOH shall develop the implementing rules and regulations for the immediate implementation of a nationwide newborn screening program within ________ from the enactment of this Act
180 days
53
Section 10
The DOH shall coordinate with the ____________ for implementation of the newborn screening program
Department of the Interior and Local Government (DILG)
54
Section 10
The DOH coordinate with the __________ for the **accreditation of Newborn Screening Centers** and preparation of defined testing protocols and quality assurance programs.
NIH Newborn Screening Reference Center
55
What is Section 11 of RA 9288?
Advisory Committee on Newborn Screening
56
Section 11
To ensure sustained inter-agency collaboration, the __________ is hereby created and made an integral part of the Office of the Secretary of the DOH
Advisory Committee on Newborn Screening
57
Section 11
The Advisory Committee is to **review annually** and **recommend conditions** to be included in the ___________
newborn screening panel of disorders
58
Section 11
The Advisory Committee is to review and recommend the ____________ to be charged by Newborn Screening Centers
newborn screening fee
59
Section 11 | T or F
One of the duties of the Advisory Committee is to **review the report of the Newborn Screening Reference Center** on the **quality assurance** of the **National Screening Centers**
T
60
Section 11
How many members are there in the Advisory Committee?
8 members
61
Who is the Chairman of the Advisory Committee on Newborn Screening?
Secretary of Health
62
Who is the Vice Chairperson of the Advisory Committee on Newborn Screening?
Executive Director of the NIH
63
Besides the chairman and Vice chairperson, who are the remaking members of the Advisory Committee on Newborn Screening?
- Undersecretary of the DILG
- Executive Director of the Council for the Welfare of Children o Director of the Newborn Screening Reference Center
- **3 representatives appointed by the Secretary of Health** who shall be a **pediatrician, obstetrician, endocrinologist, family physician, nurse or midwife**, from either the public or private sector
64
Section 11
The 3 representatives shall be appointed for a term of _________, subject to their being **reappointed for additional three (3) years period for each extension**
3 years
65
What is Section 12 of RA 9288?
Establishment and Accreditation of Newborn Screening Centers
66
Section 12
Who is responsible for ensuring that Newborn Screening Centers are strategically located in order to be accessible to the relevant public and provide services that comply with the standards approved by the Committee upon the recommendation of the NIH.
DOH
67
Section 12
The Newborn Screening Center shall have a ___________ for infants found **positive for any and all of the heritable conditions**
recall/follow up programs
68
Section 12 | T or F
The newborn screening center shall have certified laboratory performing all tests included in
the newborn screening program
T
69
Section 12
The Newborn Screening center shall be be supervised and staffed by trained personnel who have been duly qualified by the ______
NIH
70
Section 12
The Newborn Screening Center shall **submit to periodic announced or unannounced inspections** by the ____________ in order to evaluate and ensure quality Newborn Screening Center performance.
Newborn Screening Reference Center
71
What is Section 13 of RA 9288?
Establishment of Newborn Screening Reference Center
72
Section 13
The **NIH** shall establish a __________, which shall be **responsible for the national testing database and case registries, training, technical assistance and continuing education** for laboratory staff in all Newborn Screening Centers.
Newborn Screening Reference Center
73
What is Section 14 of RA 9288?
Quality Assurance
74
Section 14
The NIH Newborn Screening Reference Center shall be responsible drafting and ensuring good laboratory practice standards for newborn screening centers and establishing an ____________ and ________________
external laboratory proficiency testing and certification program
75
Section 14
The NIH Newborn Screening Reference Center shall act as the ______________ relating to newborn screening standards and practices
principal repository of technical information
76
Section 14 | T or F
The NIH Newborn Screening Reference Center shall provide technical assistance to newborn screening centers
T
77
What is Section 15 of RA 9288?
Database
78
Section 15
NIH Newborn Screening Reference Center shall maintain a _____________ of patients tested and a registry for each condition
national database
79
Section 15
The NIH NSRC shall submit reports ________ to the **Committee** and to the **DOH** on the status of and relevant health information derived from the database
annually
80
What is Section 16 of RA 9288?
Newborn Screening Fees
81
Section 16
the newborn screening fee shall be divided and set aside for the following purposes:
- at least 4% to the **DOH's Centers for Health Development**
- at least 4% to the **Newborn Screening Centers** for human resource development and equipment maintenance and upgrading
- at least 4% to the **NIH Newborn Screening Reference Center** for overall supervision, training and continuing education, maintenance of national database, quality assurance program and monitoring of the national program
- the balance for the operational and other expenses of the Newborn Screening Center
82
What is Section 17 of RA 9288?
Repealing Clause
83
What is Section 18 of RA 9288?
Separability clause
84
What is Section 19 of RA 9288?
Effectivity
85
Section 4
This refers to a facility equipped with a newborn screening laboratory that complies with the standards established by the NIH and provides all required laboratory tests and recall/follow-up programs for newborns with heritable conditions.
Newborn Screening Center
