OAR 333-021-0800
Administration of Vitamin K to Newborns

(1) The purpose of ORS 433.303 (Policy on vitamin K) to 433.314 (Educational program) is to protect newborn infants against Vitamin K Deficiency Bleeding (VKDB).
(2) Physicians licensed under ORS chapters 677, 684 and 685 (medical, osteopathic, naturopathic and chiropractic physicians) or a midwife attending the mother at the birth of a child are responsible for ensuring that Vitamin K is administered to the newborn. The Vitamin K dose is to be administered within the first 24 hours after birth. If for any reason Vitamin K is not administered within 24 hours, it should be done at the earliest opportunity. A physician or midwife ensures that Vitamin K is administered to a newborn by:
(a) Administering the Vitamin K themself;
(b) Directing another person who is legally authorized and who is able to administer the Vitamin K; or
(c) Referring the infant’s family to a practitioner legally authorized to obtain and administer Vitamin K.
(3) The appropriate dose of Vitamin K (phytonadione) for a newborn is 0.5 to 1.0 mg and the most effective procedure for administering is through a single intramuscular dose. Smaller, larger or additional doses may be administered on an individual basis as judged medically necessary. This rule is not intended to prevent a physician or midwife from ensuring that Vitamin K is administered by another method after seeking informed consent from the parent.
(4) A parent may, after being provided a full and clear explanation, decline to permit the administration of Vitamin K.
(a) The parent shall sign a form acknowledging understanding of the reason for administration of Vitamin K and possible adverse consequences.
(b) A person must witness the explanation to the parent, and must also sign the form.
(c) The form shall become a part of the medical record of the newborn infant.

Source: Rule 333-021-0800 — Administration of Vitamin K to Newborns, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=333-021-0800.

Last Updated

Jun. 8, 2021

Rule 333-021-0800’s source at or​.us