Newborns - Revision history

JenniferH: /* Newborn Discharge Process */

2020-11-21T08:13:39Z

Newborn Discharge Process

← Older revision		Revision as of 08:13, 21 November 2020
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	*Complete and E&M charge		*Complete and E&M charge
	*Update Diagnoses and Problem List if indicated		*Update Diagnoses and Problem List if indicated
	~~[[category:OB & Newborn]]~~

JenniferH: Redirected page to Category:OB & Newborn#Newborns

2020-11-21T07:22:36Z

Redirected page to Category:OB & Newborn#Newborns

← Older revision		Revision as of 07:22, 21 November 2020
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			#REDIRECT [[:Category:OB & Newborn#Newborns]]

	==Newborn Admissions==		==Newborn Admissions==
	Examine patient after delivery		Examine patient after delivery

JenniferH: /* Scenarios/ Special Situations */

2020-03-30T20:21:28Z

Scenarios/ Special Situations

← Older revision		Revision as of 20:21, 30 March 2020
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	'''Bili Lights:'''		'''Bili Lights:'''

	See [[~~Jaundice – Neonatal Evaluation & Treatment~~\|YKHC Clinical ~~Guidelines~~]] or details on which babies require phototherapy and how to do it on OB unit.		See [[media:Jaundice_neonatal.pdf\|YKHC Clinical Guideline for Neonatal Jaundice]] or details on which babies require phototherapy and how to do it on OB unit.

	'''Bethel newborn bilirubin follow-up''': For babies born on the unit, the nurses will often agree to obtain a follow up bili on a baby on the following day. The patient will have to come directly to the OB unit and a hospitalist physician will need to be responsible for ordering the bili, reviewing the results and determining follow up. This will keep the patient from having to go to the clinic or ER (around sick people) for follow up labs		'''Bethel newborn bilirubin follow-up''': For babies born on the unit, the nurses will often agree to obtain a follow up bili on a baby on the following day. The patient will have to come directly to the OB unit and a hospitalist physician will need to be responsible for ordering the bili, reviewing the results and determining follow up. This will keep the patient from having to go to the clinic or ER (around sick people) for follow up labs

Mfaubion: /* Scenarios/ Special Situations */

2018-02-06T18:14:40Z

Scenarios/ Special Situations

← Older revision		Revision as of 18:14, 6 February 2018
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	'''Bili Lights:'''		'''Bili Lights:'''

	See [[Neonatal ~~Jaundice~~ Evaluation & Treatment\|YKHC Clinical Guidelines]] or details on which babies require phototherapy and how to do it on OB unit.		See [[Jaundice – Neonatal Evaluation & Treatment\|YKHC Clinical Guidelines]] or details on which babies require phototherapy and how to do it on OB unit.

	'''Bethel newborn bilirubin follow-up''': For babies born on the unit, the nurses will often agree to obtain a follow up bili on a baby on the following day. The patient will have to come directly to the OB unit and a hospitalist physician will need to be responsible for ordering the bili, reviewing the results and determining follow up. This will keep the patient from having to go to the clinic or ER (around sick people) for follow up labs		'''Bethel newborn bilirubin follow-up''': For babies born on the unit, the nurses will often agree to obtain a follow up bili on a baby on the following day. The patient will have to come directly to the OB unit and a hospitalist physician will need to be responsible for ordering the bili, reviewing the results and determining follow up. This will keep the patient from having to go to the clinic or ER (around sick people) for follow up labs

JaneM: Needs Jaundice guideline link

2017-11-13T02:22:46Z

Needs Jaundice guideline link

← Older revision		Revision as of 02:22, 13 November 2017
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	'''Bili Lights:'''		'''Bili Lights:'''

	See [[Neonatal Jaundice Evaluation & Treatment\|YKHC Clinical Guidelines]] ~~for~~ details on which babies require phototherapy and how to do it on OB unit.		See [[Neonatal Jaundice Evaluation & Treatment\|YKHC Clinical Guidelines]] or details on which babies require phototherapy and how to do it on OB unit.

	'''Bethel newborn bilirubin follow-up''': For babies born on the unit, the nurses will often agree to obtain a follow up bili on a baby on the following day. The patient will have to come directly to the OB unit and a hospitalist physician will need to be responsible for ordering the bili, reviewing the results and determining follow up. This will keep the patient from having to go to the clinic or ER (around sick people) for follow up labs		'''Bethel newborn bilirubin follow-up''': For babies born on the unit, the nurses will often agree to obtain a follow up bili on a baby on the following day. The patient will have to come directly to the OB unit and a hospitalist physician will need to be responsible for ordering the bili, reviewing the results and determining follow up. This will keep the patient from having to go to the clinic or ER (around sick people) for follow up labs
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	'''Preterm and Sick Infants:'''		'''Preterm and Sick Infants:'''

	Call ~~‘peds on call’~~ for any anticipated (or unanticipated) preterm ~~delivery~~, high-risk delivery or sick infant ~~as soon as possible~~. ~~If peds is not in house make~~ sure nursing staff are preparing for a sick infant and RT and pharmacy are ~~called in~~. Get more physician help if possible. Peds may need help activating, getting consents and paper work completed and extra hands in resuscitation.		Call the pediatric hospitalist for any anticipated (or unanticipated) preterm deliveries, high-risk delivery or sick infant. Make sure nursing staff are preparing for a sick infant and RT and pharmacy are requested. Get more physician help if possible. Peds may need help activating, getting consents and paper work completed and extra hands in resuscitation.

	Hospitalists should be familiar with the neonatal resuscitation cart and emergency resuscitation equipment, supplies and protocols (see links below) as ~~pediatricians are not in house after hours~~. Hospitalists may be responsible for the initial resuscitation and stabilization of a very sick newborn.		Hospitalists should be familiar with the neonatal resuscitation cart and emergency resuscitation equipment, supplies and protocols (see links below) as the pediatrician may need assistance with the baby. Family Medicine Hospitalists may be responsible for the initial resuscitation and stabilization of a very sick newborn if the pediatrician is on a medevac or not able to leave another emergency.

	Remember the ER and NW have nurses and staff that can help as well.		Remember the ER and NW have nurses and staff that can help as well.

			Many, apparently well seeming, infants delivered less than 36 weeks end up needing to be transferred because of difficulty with feeding and thermoregulations. Closely monitor these infants and have a low threshold to send these babies to Anchorage. Babies that deliver 36-37 weeks often do well, but these also need to be monitored and transferred if they are requiring more than routine care.

	[[media:Neonatal resuscitation summary.pdf\|Neonatal Resuscitation Summary Chart]] Links to pdf.		[[media:Neonatal resuscitation summary.pdf\|Neonatal Resuscitation Summary Chart]] Links to pdf.

JaneM at 02:11, 13 November 2017

2017-11-13T02:11:04Z

← Older revision		Revision as of 02:11, 13 November 2017
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	==Newborn Admissions==		==Newborn Admissions==
	Examine patient after delivery		Examine patient after delivery
	Complete Admission H&P. Please consider using the shared Newborn Admission template for boy and girl by Hampton or Pelkan’s pre-completed shared newborn note. They are pre-completed for normal newborns so you will need to change exam for any abnormalities. They contain a good outline of what the admission note should include and you can modify it to your liking. These include maternal prenatal information that is helpful for the baby that needs to be seen in follow up.		Complete Admission H&P. Please consider using, and saving as your own, the shared Newborn Admission template for boy and girl by McClure and Hampton or Pelkan’s pre-completed shared newborn note. They are pre-completed for normal newborns so you will need to change the exam for any abnormalities. They contain a good outline of what the admission note should include and you can modify it to your liking. These include maternal prenatal information that is helpful for the baby that needs to be seen in follow up.
	Complete newborn orders		Complete newborn orders
	Complete medication reconciliation		Complete medication reconciliation
	Place an E&M charge order		Place an E&M charge order

	==Scenarios/ Special Situations==		==Scenarios/ Special Situations==
	'''Bili Lights:'''		'''Bili Lights:'''

Mfaubion: /* Scenarios/ Special Situations */

2015-10-16T20:31:19Z

Scenarios/ Special Situations

← Older revision		Revision as of 20:31, 16 October 2015
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	'''Bili Lights:'''		'''Bili Lights:'''

	[[~~See~~ YKHC Clinical Guidelines]] for details on which babies require phototherapy and how to do it on OB unit		See [[Neonatal Jaundice Evaluation & Treatment\|YKHC Clinical Guidelines]] for details on which babies require phototherapy and how to do it on OB unit.

	'''Bethel newborn bilirubin follow-up''': For babies born on the unit, the nurses will often agree to obtain a follow up bili on a baby on the following day. The patient will have to come directly to the OB unit and a hospitalist physician will need to be responsible for ordering the bili, reviewing the results and determining follow up. This will keep the patient from having to go to the clinic or ER (around sick people) for follow up labs		'''Bethel newborn bilirubin follow-up''': For babies born on the unit, the nurses will often agree to obtain a follow up bili on a baby on the following day. The patient will have to come directly to the OB unit and a hospitalist physician will need to be responsible for ordering the bili, reviewing the results and determining follow up. This will keep the patient from having to go to the clinic or ER (around sick people) for follow up labs

Mfaubion: /* Scenarios/ Special Situations */

2015-10-16T20:21:44Z

Scenarios/ Special Situations

← Older revision		Revision as of 20:21, 16 October 2015
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	Remember the ER and NW have nurses and staff that can help as well.		Remember the ER and NW have nurses and staff that can help as well.

	Neonatal Resuscitation Summary Chart ~~[[link here to this in resources~~]]		[[media:Neonatal resuscitation summary.pdf\|Neonatal Resuscitation Summary Chart]] Links to pdf.

	YKHC Premie Warm Welcome Protocol ~~[[link here to this in resources~~]]		[[Premie_Warm_Welcome_Protocol\|YKHC Premie Warm Welcome Protocol]]

	==Newborn Rounding==		==Newborn Rounding==

Mfaubion at 23:55, 26 May 2015

2015-05-26T23:55:47Z

← Older revision		Revision as of 23:55, 26 May 2015
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	*Complete and E&M charge		*Complete and E&M charge
	*Update Diagnoses and Problem List if indicated		*Update Diagnoses and Problem List if indicated
			[[category:OB & Newborn]]

Mfaubion at 23:11, 26 May 2015

2015-05-26T23:11:07Z

← Older revision		Revision as of 23:11, 26 May 2015
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	[[See YKHC Clinical Guidelines]] for details on which babies require phototherapy and how to do it on OB unit		[[See YKHC Clinical Guidelines]] for details on which babies require phototherapy and how to do it on OB unit

	Bethel newborn bilirubin follow-up: For babies born on the unit, the nurses will often agree to obtain a follow up bili on a baby on the following day. The patient will have to come directly to the OB unit and a hospitalist physician will need to be responsible for ordering the bili, reviewing the results and determining follow up. This will keep the patient from having to go to the clinic or ER (around sick people) for follow up labs		'''Bethel newborn bilirubin follow-up''': For babies born on the unit, the nurses will often agree to obtain a follow up bili on a baby on the following day. The patient will have to come directly to the OB unit and a hospitalist physician will need to be responsible for ordering the bili, reviewing the results and determining follow up. This will keep the patient from having to go to the clinic or ER (around sick people) for follow up labs

	'''Circumcision:'''		'''Circumcision:'''