These policies 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.

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

Neonatal Abstinence Syndrome

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

Ortho

• Developmental Dysplasia of the Hip in Infants Guideline

 

Policies Related to Breastfeeding:

1. Breastfeeding Policy YNNH

2. Guideline for Breastfeeding and Substance Use Updated Feb 2021

3. Expressing breastmilk

4. Management of plugged breast ducts

5. Management of breast engorgement

6. Management of sore nipples

7. Use of nipple shields

8. Guide to latching

9. Breastfeeding premature infants

10. Preparing and storing expressed breastmilk

11. Guide to weaning from breast feeding

12. Mastitis management

 

Refusal Forms:

1. Erythromycin eye ointment Refusal Form

2. Vitamin K Refusal form

 

Resources:

1. Craniofacial Surgery Referral for Ear Molding