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
Policies Related to Breastfeeding:
2. Guideline for Breastfeeding and Substance Use Updated Feb 2021
4. Management of plugged breast ducts
5. Management of breast engorgement
9. Breastfeeding premature infants
10. Preparing and storing expressed breastmilk
11. Guide to weaning from breast feeding
Refusal Forms:
1. Erythromycin eye ointment Refusal Form
Resources: