NNICU polices here

 

Bilirubin

• Hyperbilirubinemia Standard Operating Procedure: Timing of transcutaneous bilirubin (TCB) checks on well newborns, criteria for obtaining a serum bili, MD notification

Cardiac

• Arrhythmia Postnatal Monitoring
• Critical Congenital Heart Disease screening policy:  timing, implementation, interpretation of results and eval of infants routinely screened for Critical Congenital Heart Disease

Fluids/Electrolytes/Nutrition

• Hypoglycemia Guideline_Sep2019: At risk newborn
• Glucose monitoring in otherwise healthy newborn (ie symptomatic baby who is NOT at risk)

General/Screening/Routine Care:

• Care of the Well Newborn Policy 5.2018 Routine newborn care (initial assessment, frequency of vital signs, expectations re timing of bath, administration of vitamin K, erythromycin, hepatitis B vaccine)
• Car Seat Challenge Testing AAP recommended car seat screening in late pre-term infants
• Circumcision policy
• Discharge Against Medical Advice Policy
• Fall (Newborn) Assessment and Management  evaluation and monitoring required in the event of an infant fall
• Trisomy 21 Delivery Room and Initial Management
• Well newborn emergency response protocol
• Vitamin K refusal by parents-Guide for clinicians posted Jan 2017

Infectious Disease

• COVID-19 Care and Prevention in the Newborn
• Cytomegalovirus Newborn Testing Guidelines
• GBS & Prevention of Early Onset Sepsis -6.2019: monitoring and evaluation required for an infant exposed to maternal Group B strep in the well newborn nursery
• HIV Infection: Management of HIV+ Mothers and Their Newborns developed by the Infectious Disease group at YNHH based on the most recent perinatal HIV guidelines.
• HSV Management of Asymptomatic Neonates
• Influenza pertaining to mother/newborn  updated July 2021
• Zika testing and evaluation guidelines CDC posted Jan 2017

Substance Exposure/Neonatal Abstinence Syndrome

• NAS pharmacy guideline: care of the newborn exposed to narcotic at risk for withdrawal, including recommended period of observation and scoring.
• Kratom: Kratom: systemic review

Ortho

• Developmental Dysplasia of the Hip in Infants Guideline

*The policies above are all available online for review via the Intranet. Go to “Yale New Haven” tab–> select “Policies”–> click on “Clinical Practice Manual” (third line)–> scroll down to “Women and Infants” and select.

 

Refusal Forms:

1. Erythromycin eye ointment Refusal Form

2. Vitamin K Refusal form

 

Resources:

1. Craniofacial Surgery Referral for Ear Molding