Vanderbilt NICU Guidelines

Key Words will take you to specific guidelines.  Click on the first letter of the Key Word or the Key Words below to view the guidelines.  The list contains the policies that are currently available.  Updates will be made as they become available. 

Additional evidence based resources can be found at:

 http://www.nichd.nih.gov/cochrane/ and http://www2.aap.org/sections/perinatal/

A B C D E F G H I J K L M N O P Q  R S T U V W X Y Z

Key Words    

A

                Admission Guidelines of the Extremely Low Birth Weight Newborn (10/26/2012)

               Admission Guidelines to decrease CNS injury to LBW infant (10/8/2013)

               Admission Guidelines for >1000gms inborn infants   (03/23/2015)

               Admission of Infants who have been home ( 03/22/2007)

               Admission of Infant with possible Coarctation of Aorta (2/26/2015)

               Admission of post-op cardiac surgery patients ( 05/21/01)

               Adoption ( 03/21/2007)

               Anesthesia in the NICU 04/15/2015)

               Arterial Lines: peripheral (06/04/2008)

               Anatomy Atlases: A digital library of anatomy information (03/03/2006)

               Antimicrobial Usage for Empiric Therapy (10/24/2014)

               Attending physician interaction with parents ( 03/21/2007)

 

B

               Back-Transport Guidelines ( 06/26/2007)            

               BiliTool: Phototherapy Guideline Tool (02/23/2006)

               Billing documentation for Attendings and NNP’s (4/9/2015)

               Blood Cultures ( 01/29/93)

               Blood Products in the NICU ( 09/01/02)

                Blood Transfusion (pRBCs) (7/13/2016)

               Bowel Bags for abdominal wall defects ( 05/01/00)

               Breastfeeding Pathway (08/30/2013)

               Breastfeeding and NAS (12/30/2016)

               BROVIAC® Catheters  for central venous access (02/14/08)

              

C

               Caffeine for apnea of prematurity ( 09/20/00)

               Calcium, phosphorus and vitamin D metabolism (04/29/2013)

               Call Schedule

               Car seats and the car seat test ( 10/24/01)

               CDH Management Protocol (2/13/2014) (References)

               CDH Management Schematic (7/19/2012)

               Census / Bed space Guidelines (2/26/2015)

      Chaplain referrals and emergency contact (04/10/2017)

               Choanal atresia: noninvasive ways to assess patency of the nares( 07/01/00 )

               Circumcision ( 08/09/00)

               Communication in the NICU (4/8/2016)

               Cord Blood ( 01/19/00)

               Counting spontaneous breaths in an intubated patient ( 10/22/01)

         Counseling: Cardiac - HLHS (3/13/2017)

                Counseling: Limits of Viability  (9/19/2012)

               Covering isolettes to diminish light exposure (01/21/02)

               CPAP - Bubble (2/10/2016)

               CPAP and Nasal Injury prevention protocol (8/5/2015)

               C-Reactive Protein (CRP) Protocol  (03/24/05)

 

D

               D12.5W through peripheral IVs  ( 01/20/99)

               Death and Bereavement Care ( 07/16/01)

                  Death Documentation Protocol (10/6/2015)

               Department of Child Services (DCS) referrals (5/5/2015)

               Dermatology Atlas Online ( 01/15/03)

               Discharge Criteria for infants going home  ( 05/19/99)

               Diversion policy (8/18/2014)

         Double volume exchange transfusion (2/15/2018)

               Drips: calculating continuous IV infusion rates ( 07/10/2006))

 

E

               Ecmo: Alert  ( 07/01/12)

               ECMO Emergent (07/28/2015)

               Ecmo: Post-ECMO  Discharge Orders ( 07/01/12)

               Endotracheal suctioning ( 02/17/99)

               Endotracheal tube sizes and depth of insertion ( 02/23/00)

               Enterobacter sakazakii contamination of powdered formula (04/10/03)

               Erythromycin Ointment (Ilotycin) for Ophthalmic prophylaxis ( 05/01/00)

               Estimated length of stay by birth weight ( 07/01/98)

               Ethics in the NICU (9/15/2006)

               Evidence-based Medicine Literature Request and Library (10/17/2006)

       

              

 

F

               Feeding tubes: OG, NG and transpyloric ( 08/17/2010)

               Fellow Notification of Attending Neonatologist (9/16/2013)

               Fellowship Goals and Objectives (9/19/2012)

               Fellowship Policies (11/21/2013)

               Fingernails & Infection Control ( 10/18/00)

               Fluconazole prophylaxis protocol (3/29/2016)

               Follow-up clinic for NICU graduates

               Follow-up Clinic Referrals (8/28/2014)

               Formula storage and preparation ( 05/01/00)

               Fresh frozen plasma (FFP) & cryoprecipitate ( 07/16/01)

 

G

               Gastrostomy care and feeding ( 10/01/99)

               Glucose homeostasis in the NICU (1/17/2017)

               Golden Hour Quality Improvement Project (7/14/14)

              

 

H

               Handwashing ( 03/08/00)

               Head Ultrasound for IVH/PVL screening in the VLBW infants ( 07/15/02)

               Heparin usage in IVF and TPN ( 05/21/01)

               Hepatitis B Vaccine and HBIG ( 10/15/04)

               HIV ( 10/31/02)

      Hydrocortisone for Vasopressor-Resistant Hypotension (2/22/2018)

               Hydrops Fetalis ( 06/24/05)

               Hyperbilirubinemia in Infants ≥ 35 Weeks Gestation (8/30/2013)

               Hyperbilirubinemia in Infants < 35 Weeks Gestation (8/30/2013)

               Hyperbili - Phototherapy for indirect hyperbilirubinemia ( 05/01/00)

 

I

               Immunizations (3/1/2016)

     Indomethacin: (Indocin)  Prophylaxis in the ELBW infant (02/21/2018)

     Indomethacin: (Indocin) Treatment for PDA   (02/21/2018)

               Infection control ( 02/13/02)

               Infection Control: Monitoring Duration of Central Lines (9/11/2014)

                      Central Line Insertion

                      Sticker Summary

               Interim event notes ( 5/17/2007)

               Interim summaries with change of service ( 09/01/01)

               Interpreters : AT&T Language Line ( 04/18/01)

               Intubation- premedication for non-emergent intubation (1/25/2017)

                  Isolation Policy (09/01/99)

              IV Fluids: Admission IV fluids (1/10/2017)

J

 

K

               Kangaroo Care ( 05/21/93)

 

L

               Laboratory: Amounts of blood needed for common test ( 04/15/2014)

               Laboratory: Spurious results ( 09/19/01)

               Laboratory: Unlabeled blood samples ( 09/19/01)

               Lactation consultants ( 7/7/2011)

               Late Preterm Infant 34-36 week Pathway (11/29/2012)

               Limits of viability: antenatal and perinatal management ( 2/9/2016)

               Line Sepsis: When to pull the line ( 07/16/01)

 

M

               Meconium-stained amniotic fluid: delivery room management ( 03/21/01)

       Medication Manual NICU  (3/8/2017)

               Medical student supervision in the NICU ( 10/18/00)

               Metabolic Acidosis: Assessment and Treatment (7/30/2007)

               Metabolic Bone Disease Prevention Protocol (11/21/2013)

       MRSA Prevention Protocol (05/11/2017)

               Myelomeningocele Info Sheet (8/12/2016)

 

N

               Narcan (Naloxone) ( 03/21/01)

               NAS Assessment and Management (9/6/2013)

               Name changes of inpatients ( 07/18/01)

               Nasal cannula oxygen administration ( 3/18/2008)

               NCPAP: adjunctive equipment ( 06/21/00)

               NCPAP: Nasal Injury Prevention (10/13/2015)

               NEC Stabilization prior to Surgery  ( 06/25/2007)

               Needlestick Policy ( 11/19/04)

               Neonatal Follow-up Clinic ( 04/26/05)

 

               Neuro-NICU:

                      HIE Background (5/21/2014)

              HIE Protocol (5/9/2017)

                      Hypothermia Early Exit Guidelines (5/21/2104)

                      Neurological Exam Definitions (5/21/2014)

                      Neonatal Seizure Protocol (5/21/2014)

                      Encephalopathy Neurological Exam (5/21/2014)

                      Neonatal Stroke Evaluation (5/21/2014)

                      Neuro / NICU Co-management guidelines (5/21/2014)

                      Cooling on Transport (8/24/2012)

                      Healthy Brain Guidelines (5/21/2014)

 

        Newborn Nursery Care Guide (2017)

               Nitric oxide therapy for PPHN (12/9/2016)

         NNP NICU Guide (11/20/2017)

               Non-viable live-born infants ( 05/01/00)

               N-PASS ( 07/06/04)

               Nursing care that parents may provide their infants ( 05/01/00)

      Nurtition and Fluid Management (7/4/2017)

      Nutrition- Pre-Op feeding with Congenital Heart Disease (5/14/2017)

              

 

O

               Orientation and Procedures YouTube Videos (6/3/2014)

               Outstanding lab results at the time of discharge ( 09/20/00)

               Oxygen concentration-discrepancy in equipment readings ( 08/15/01)

 

P

               Palliative Care: EOL Guidelines (3/29/2016)

               Pain management: Analgesia ( 08012013)

               Patient care chain of command ( 11/22/10)

               Phototherapy for indirect hyperbilirubinemia ( 05/01/16)

               PICC Lines (11/14/2012)

               Platelet transfusions ( 8/17/2012)

               Potassium, parenteral administration ( 04/21/03)

               Premature Infant Short and Longterm Discharge Plans (11/29/2012)

               Private pediatricians: Notification of admission ( 08/08/00)

               Procedural Pain Management Guidelines (5/2/2006)

               Prostin during Transport ( 06/08/2012)

               PT / OT consultation guidelines ( 11/18/02)

               Pulse oximeters: Desired O2 saturations and alarm values (1/20/2017)

               Pulse oximeters: Discontinuing use ( 05/01/00)

 

Q

               Quality Projects in the NICU (6/22/2016)

              Quiet time ( 11/20/02)

 

R

               Replogle tubes ( 05/01/00)

       Research Protocols in the NICU  (01/25/2018)

         Respiratory Care Pathways (5/26/2017)

               Respiratory equations ( 07/01/00)

               Rocephin use in the NICU ( 07/26/2007)

        ROP:  Eye Drops for Exams (5/18/2017)   

               ROP: Laser photocoagulation for threshold ROP ( 06/21/00)

               ROP: Screening exams in the NICU ( 1/4/2013)

               ROP: Screening with respect to DC/BT ( 01/10/01)

               RSV: controlling nosocomial spread ( 10/02/02)

 

S

               Safe Sleep Protocol (7/22/2013)

               Safe Sleep PowerPoint Presentation (11/29/2012)

        Skin Biopsy

                           Genetics lab Contacts (11/15/17)

                           Procedure for obtaining samples (11/15/17)

                           Lab requisition form (11/15/17) 

                  Skin care for the VLBW Infant ( 02/21/01)

               Sound Environment Guidelines ( 05/13/14)

               Stool hemoccult testing ( 06/21/00)

               Sucrose water (24%) for analgesia (08/15/2016)

               Support for staff through the loss of a patient (7/12/2013)

               Surfactant protocol  (2/10/2016)

               Synagis (palivizamab) for RSV prophylaxis in NICU graduates (10/30/2015)

               Synagis (palivizamab) AAP Guidelines (10/30/2015)

               Synagis (palivizamab) Updated Guidelines - Pediatrics (10/30/2015)

              

 

T

               Telephone communication with family ( 04/18/03)

               Thermoregulation: general guidelines ( 05/01/00)

               Thermoregulation: the Giraffe bed ( 02/21/01)

               Thrombolytic therapy ( 6/11/2012)

         TPN Shortage Guide (11/15/17)

       Transferring an NICU patient to the Acute Care Floor (1/12/2018) 

       Transfer of NICU patient to Operating Room (11/15/17)   

        Transport -  Elective Flights (non-emergent) (01/17/2018)          

U

               Umbilical catheters: Sizes and depth of insertion ( 05/29/2014)

               Urine cultures ( 01/15/03)

        UVC Securement (4/25/2017)

V

               Ventilation Management:

                          Volume Guarantee Pressure Support Ventilation Protocol (6/20/2013)

                          Volume Gurarantee Info Sheet (6/20/2013)

               Viral Cultures in the NICU ( 3/22/2007)

               Vitamin K prophylaxis ( 10/01/99)

 

W

              WizOrder in the NICU ( 03/11/03)

              Wound care ( 02/28/12)

 

X

               X-rays: Emergent films ( 08/10/02)

               X-rays: Patient position for chest radiographs ( 05/15/2007)

               Xylocaine as a local anesthetic in the NICU ( 05/01/00)

 

Y

 

Z