Newborn Nursery Routine Admission Order - Cabell Huntington Hospital
ADVERTISEMENT
1
2Page 1 of 2
Newborn Nursery
Routine Admission Orders
Directions:
1. Indicate choice when options are available by placing a check in the box
2. Mark through entire line any prechecked item you do not wish to order
_______________________________________________________________________________________
mark through
Attending Physician:
Diagnosis:
Admit to:
Newborn Nursery
ALLERGIES:
NKA
ALLERGIC to:
VITAL SIGNS:
Vital signs per unit protocol
DIET:
Breast fed infant: demand schedule or every 3 hours
Breast fed infant: NPO after breast unless mother requests formula supplement
Manual breast pump system
Formula fed infant: start formula after 1 hour of age if no respiratory distress; THEN
Formula fed infant: feed every 3 hours PO, if infant weighs 6 pounds 3 ounces or less or has a
serum glucose level less than 40 mg/dl
Formula fed infant: feed every 4 hours, PO, if infant weighs greater than 6 pounds 3 ounces
MEDICATIONS:
Ph t
Phytonatione/Vitamin K (Aqua mephyton) 1 mg IM x 1 dose to prevent bleeding
ti
/Vit
i K (A
h t
) 1
IM 1 d
t
t bl di
Erythromycin ophthalmic (Ilotycin) ointment each eye x 1 dose for prophylaxis eye infection
(label with patient information for discharge)
Acetaminophen (Tylenol) 15 mg/kg PO every 4 hours PRN at mother's request for post
circumcision pain
Hepatitis B pediatric vaccine 0.5 ml IM x 1 dose (prior to discharge, obtain consent)
PATIENT CARE:
Weigh patient on admission
Weigh patient daily
Place under radiant warmer until temperature stable (97.6° F - 99.0° F axillary temperature)
Bath after temperature is stable (97.6° F - 99.0° F axillary temperature)
Point of Care (POC) blood glucose
Initiate Hypoglycemia protocol on infants defined by Hypoglycemia policy
Bilimeter reading at 12-18 hours of age (if serum bilirubin TcB falls in the 75th percentile on the
bilirubin nomogram obtain BUBC and notify Physician notify Physician)
Bilimeter reading if clinical assessment of jaundice (if serum bilirubin TcB falls in the 75th percentile
on the bilirubin nomogram obtain BUBC and notify Physician)
Bilimeter reading at discharge (if serum bilirubin TcB falls in the 75th percentile on the bilirubin
nomogram obtain BUBC and notify Physician)
CHH-700
Patient Identification
Original 10/87
Revised 2/05, 3/05, 2/09 10/09 7/10
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Medical