| Structure Standard: |
NICU/NBN/SCN Structure
Standards |
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Appendix A: Mission Statement |
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Appendix B: Nursing Conceptual Framework |
| |
Appendix C:
Orientation Guidelines and Role Responsibilities of Nurse Pros,
Float Pool RNs, and Travelers in NICU |
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|
| Scope of Services: |
NICU Scope of
Services |
| |
|
| Protocol: |
Abstinence Syndrome: Neonatal |
| Protocol: |
Admission: Newborn Nursery |
| Protocol: |
Admission: NICU |
| Protocol: |
Amphotericin B |
| Protocol: |
Antihypertensives |
| Protocol: |
Apnea/Bradycardia/Periodic Breathing |
| Procedure Protocol: |
Arterial Line: Peripheral |
| Procedure: |
Baptism |
| Protocol: |
Bleeding Infant: Care of Infant with Coagulopathy |
| Procedure: |
Blood Drawing: Capillary |
| Procedure: |
Blood Drawing from Stopcocks of Umbilical Catheters |
| Procedure: |
Blood Gas Sampling and Disposition |
| Procedure: |
Blood Pressure Monitoring |
| Protocol: |
Breastfeeding |
| Teaching Plan: |
Breastfeeding and Breast Pumping |
| Procedure Protocol: |
Breast Pumping, Breast Milk Use and Storage |
| Procedure: |
Cannulaide Application and Use |
| Procedure: |
Car Seat Monitoring |
| Protocol: |
Cardiorespiratory Monitor |
| Protocol: |
Cell
Phones, Camera Phones and Video Equipment |
| Procedure: |
Central Lines: Dressing Change (applies to Surgically-Placed Lines,
Percutaneous Central Venous Catheters, and Non-central Percutaneous
Catheters) |
| Procedure: |
Central Lines: Intravenous Fluid Administration (applies to
Surgically-Placed, Percutaneous Central Venous Catheters and
Non-Central Percutaneous Catheters) |
| Protocol: |
Central
Lines: Patient Care (applies to Surgically-placed, Percutaneous
Central Venous Catheters and Non-Central Percutaneous Catheters) |
| Procedure: |
Central Venous Line Insertion: Assisting with |
| Procedure: |
Central Venous Lines: Blood Drawing (applies only to
Surgically-placed Central Venous Catheters) |
| Procedure: |
Chest Percussion, Vibration, Postural Drainage |
| Procedure Protocol: |
Chest Tube |
| Procedure: |
Chloral Hydrate Use in the Nurseries |
| Procedure Protocol: |
Circumcision |
| Procedure: |
Classification of Patients-Classification of Patients and Vital Sign
Assessment Guidelines |
| Protocol: |
Cleft Lip and/or Palate |
| Procedure Protocol: |
Colostomy/ Ileostomy |
| Protocol: |
Communication with Families Following Infant's Discharge from the
Nurseries |
| Procedure: |
Cord Blood Samples |
| Protocol: |
CPAP: Nasal |
| Procedure: |
Culture: Respiratory Syncytial Virus (RSV) and Influenza A and B:
Nasopharyngeal Swabs |
| Procedure: |
Cup Feeding |
| Procedure: |
Cystic Fibrosis Screening |
| Protocol: |
Developmental Assessment and Care of the Infant |
| Protocol: |
Digoxin |
| Teaching Plan: |
Discharge Home with Bronchopulmonary Dysplasia (BPD) |
| Protocol: |
Discharge Planning: Neonatal |
| Protocol: |
Diuretics: Care of the Infant Receiving |
| Clinical Procedure: |
Documentation: Progress Notes |
| Procedure: |
Endotracheal Intubation: Assisting with |
| Procedure: |
Exchange Transfusion: Care of the Infant Receiving |
| Protocol: |
Extubated Infant from IMV/HFOV to Room Air, Supplemental Oxygen or
Nasal Cannula |
| Procedure: |
Extubation: Elective |
| Procedure: |
Eye Prophylaxis: Administration of |
| Teaching Plan: |
Family Education of the Hospitalized Infant |
| Protocol: |
Feeding Intolerance/Abdominal Distention |
| Protocol: |
Feedings: Nasojejunal (Continuous) |
| Protocol: |
Feedings: Nasogastric (NG)/Orogastric (OG): Continuous/ Intermittent |
| Procedure: |
Formula: Preparation and Storage |
| Protocol: |
Gastroesophageal Reflux (GER) |
| Teaching Plan: |
Gastroesophageal
Reflux (GER) |
| Protocol: |
Gastrostomy Tube (GT) |
| Teaching Plan: |
Gastrostomy Tube/Button: Home Care Instruction for the Patient with |
| Protocol: |
Glucose Screening during First Twelve Hours in Newborns at Risk for
Hypoglycemia |
| Protocol: |
Grieving:
Care of the Parents Who are |
| Protocol: |
Group B Streptococcal (GBS) Disease: Prevention and Management |
| Procedure: |
Hand Washing in the Nurseries |
| Procedure: |
H.E.A.L. (Helping Endure Infant Lose) Outline of Referral Support
Parent Responsibilities and Group Organization |
| Procedure: |
Hearing Screening: Newborn |
| Protocol: |
Herpes
Simplex Virus (HSV): Care of the Infant Born to Mother with HSV at
Time of Delivery |
| Protocol: |
High Frequency
Oscillatory Ventilator (HFOV) |
| Protocol: |
Hospitalized Infant: Care of the Family |
| Protocol: |
Hydrocephalus: Care of Infant with (Prior to Surgical Intervention) |
| Protocol: |
Hyperglycemia and Insulin Infusion |
| Procedure: |
Identification and Security of Newborns |
| Teaching Plans: |
Ileostomy/Colostomy - Discharge Teaching |
| Protocol: |
Immune
Globulin and Respiratory Syncytial Virus Immune Globulin (RSV-IGIV)
(Respigam®) Administration |
| Procedure: |
Immunizations: Hepatitis B |
| Procedure: |
Immunizations: Polio, Diphtheria, Tetanus, Pertussis, Haemophilus
Influenza Type B, Respiratory Syncytial Virus, Pneumococcal Vaccine |
| Protocol: |
IV Push Medication: Approved List of |
| Procedure: |
IV Therapy |
| Protocol: |
Jaundice Meter: Indices for Total Serum Bilirubin (TSB) Testing |
| Protocol: |
Kangaroo Care: Care of the Infant Receiving |
| Procedure: |
Laser Treatment of Retinopathy of Prematurity (ROP) using the
OcuLight GL |
| Protocol: |
Latex Precautions |
| Procedure: |
Medication Administration: IV |
| Teaching Plan: |
Medication
Administration at Home |
| Procedure: |
Medications: Closed IV Medication System |
| Procedure Protocol: |
Medications: Inhalation by Nebulization and Metered-Dose Inhalers
(MDIS) |
| Procedure: |
Metabolic Screening |
| Protocol: |
Milrinone (Primacor): Continuous Infusion |
| Procedure: |
Midazolam:
Intranasal Administration |
| Teaching Plan: |
Myelomeningocele |
| Protocol: |
Narcotics, Continuous Infusion of |
| Teaching Plan: |
Nasogastric Tube Feedings |
| Procedure: |
Nasogastric Tube: Gravity Drainage |
| Procedure: |
Needle Aspiration of a Pneumothorax: Assisting with |
| Protocol: |
Nephrostomy |
| Procedure: |
Notification of On-Call Attending Neonatologists |
| Procedure: |
Oxygen Administration: Emergency |
| Protocol: |
Pain and/or Sedation, Infusion of Medications for |
| Protocol: |
Pain
Screening and Assessment |
| Protocol: |
PDA |
| Protocol: |
Perioperative Care of the Infant |
| Procedure: |
Peritoneal Dialysis: Assisting with Catheter Insertion and Dialysis |
| Protocol: |
pH Probe |
| Protocol: |
Phototherapy Lights and Biliblanket |
| Protocol: |
Pneumogram
Monitoring |
| Procedure: |
Precipitous High Risk Delivery: Transfer of Infant to Resuscitation
Room |
| Protocol: |
Prostaglandin E1 (PgE1) |
| Protocol: |
Pulse Oximeter |
| Procedure: |
Refrigerator Temperatures: Monitoring in Breast Milk/Formula
Refrigerators |
| Procedure Protocol: |
Replogle Tube: Esophageal Pouch |
| Procedure Protocol: |
Replogle Tube: GI Decompression |
| Protocol: |
Ribavirin: Care of the Infant Receiving |
| Protocol: |
Safety and Security of Newborns |
| Protocol: |
Seizures |
| Teaching Plan: |
Seizures |
| Procedure: |
Sibling Visitation in the Nurseries |
| Protocol: |
Skin Care -
Neonatal |
| Protocol: |
Steroids |
| Protocol: |
Subgaleal Hemorrhage: Care of the Infant at Risk for |
| Procedure: |
Sucrose Administration for Procedural Pain in Newborn Infants |
| Procedure: |
Suctioning |
| Protocol: |
Supplemental Oxygen |
| Procedure Protocol: |
Surfactant: Care of the
Infant Receiving |
| Procedure: |
Surgery: In Unit: Preparation of Infant for * |
| Protocol: |
TCOM |
| Protocol: |
Thermoregulation of the Infant |
| Protocol: |
Tracheostomy Care: Care of the Infant After the First Trach Change |
| Procedure: |
Transport: Back to Home Hospital (Return) |
| Protocol: |
Transport: Care of the Infant During Acute |
| Procedure: |
Transport: In house |
| Protocol: |
Umbilical Catheters |
| Procedure Protocol: |
Urinary Catheter
(Indwelling) |
| Procedure: |
Urine Collection: Non-Sterile Clean Catch Bag Specimen |
| Protocol: |
Vasopressors |
| Teaching Plan: |
Ventriculoperitoneal Shunt (VP Shunt) - Discharge Teaching |
| Procedure: |
Verification of Identity of Parents during Telephone Calls to or
from the Nurseries |
| Protocol: |
Visitation: in the Nurseries |
| Protocol: |
V-P Shunt |
| Protocol: |
Well Newborn |
| Procedure: |
X-rays: Nursing Responsibilities during |
