Data related to critical congenital heart defects were collected.
Results: There were no positive pulse oximetry screening results (O2 saturation< 90%)at pulse oximetry screening 1 or pulse oximetry screening 2 , and no additional diagnostic tests were ordered as a result of puls oximetry screening. Although one full- term newborn had negative results at pulse oximetry screening 1 and pulse oximetry screening 2, the Regustered nurses identified a murmur , and a subsequent echocardiogram was used to detect tetralogy of Fallot and pulmonary atresia.The Registered nurses detected concerning conditions in 14 newborns that resulted in 28 additional tests,including echocardiograms(9),chest x-ray imaging (8),laboratory(7),electrocardiograms(3),and ultrasound imaging(1).
Conclusions: The pulse oximetry screening positive result rate was 0 for newborns at pulse oximetry screening 1 and pulse oximetry screening 2 . Therefore, our study findings supported Maryland's mandate of one pulse oximetry screening completed within 24 to 48 hours of birth . Nurses must continue to be vigilant about assessing newborns , including screening for critical congenital heart defects and congenital heart defects.