Newborn Nursery Routine Admission Order - Cabell Huntington Hospital (Page 2 of 2) in pdf

Newborn Nursery Routine Admission Order - Cabell Huntington Hospital Page 2

Page 2 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

PATIENT CARE: Cont'd

Hearing screen prior to discharge

Newborn Teaching

Ballard Score

LABORATORY:

State metabolic newborn screen prior to discharge

Blood Type/Direct Coombs test (if mother RH negative or O+)

Blood Type/Direct Coombs test (if serum bilirubin TcB falls in 75% on the bilirubin nomogram

and lab work not on chart)

Meconium drug screen

Urine drug screen on infant (first voided urine or meconium drug screen if first voided urine not

obtained) if maternal drug screen positive

COMMUNICATION:

If maternal membranes ruptured greater than 18 hours, notify primary care Physician

Rooming in at mother's request

If maternal drug screen positive, notify Primary Care Physician and begin abstinence

scoring of newborn

ADDITIONAL ORDERS

Physician

Pager

Date_____/____/______Time:

Signature

Date_____/____/______Time:

Verbal Order Verification

**SCAN PHYSICIAN SIGNATURE PAGE FIRST TO PHARMACY**

CHH-700

Patient Identification

Original 10/87

Revised 2/05, 3/05, 2/09 10/09 7/10

Newborn Nursery Routine Admission Order - Cabell Huntington Hospital Page 2