Newborn Orders - Saskatoon Health Region Page 3
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3PATIENT IDENTIFICATION
RUH
SCH
SPH
OTHER:
ACTION
Newborn Admission Order Set for Maternal and Newborn Care Unit
Vital Signs
Follow Maternal Newborn Unit Policy: Admission of Newborn #402
Pain Management
When unable to initiate breastfeeding (e.g. breastfeeding mother absent, Neonate formula fed, Neonate
NPO, procedural positioning precludes breastfeeding, etc.), administer sucrose 24% 5-10 drops PO 2 min prior
to the minor invasive procedure as per SHR Nursing Policy #1102 Sucrose Solution for Infant and Pediatric
Procedural Pain Management; repeat q3-5 min to a max of 3 doses/procedure
Assessment for Subgaleal Hematoma
Follow Maternal Newborn Unit Policy: Assessment of Newborn for Subgaleal Hematoma #422
Assessment of Hypoglycemia
Follow Maternal Newborn Unit Policy: Glucose Testing in Well or at Risk Newborns #511
Discharge
Discharge home when criteria met. Advise parent to have clinical reassessment in 24 - 48 hours.
If discharged before 24 hours of age, ensure follow-up for Metabolic Screen and Bilirubin within 48 hrs
Additional Orders
PRACTITIONER PRINTED NAME
PRACTITIONER SIGNATURE
DATE/TIME
Notice of confidentiality: Contains information that is time sensitive or confidential. Use, disclosure, copying or communication of the contents is prohibited. If
you have received in error, notify the SHR Pharmacy Manager, Operations (306-655-6695).
Form #100322
12/15
Category: Orders
Page 2 of 2
NEWBORN
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