Clinical Guidelines

 

Cardiology

Title Last Review Next Review
Extrasystoles in Neonatal Period Mar 23 Mar 26
Hypotension in Neonates Feb 21 Feb 24
Neonatal Heart Murmurs Mar 23 Mar 26
PDA Paracetamol Dosing Protocol May 22 May 25
Persistent Pulmonary Hypertension in the Newborn (PPHN) Jan 21 Jan 24

 

Congenital Conditions

Title Last Review Next Review
Down Syndrome Jul 21 Jul 24

 

Haematology and Jaundice

Title Last Review Next Review
Blood Transfusion, Neonatal Unit Aug 21 Dec 23
Blood Transfusion Policy and Related Guidelines for Neonatal and Paediatric Patients – See intranet
IVIg Request Form – See TrustNet
Jaundice:

   
Polycythaemia Guideline Mar 22 Mar 25
Thrombocytopenia Apr 23 Apr 26
Vitamin K Guidelines:

Feb 23 Feb 26

 

Infection Control

Title Last Review Next Review
COVID-19 Guidelines and Resources – see intranet    
Hepatitis B Immunisation Jan 24 Jan 27
Herpes – Genital Herpes management in pregnancy Oct 17 Oct 22
HIV and Management of babies born to HIV positive mothers 2020 2025
MRSA Decolonisation on the Neonatal Unit Jun 23 Jun 26
NICU Recovery Roadmap – see intranet    
TB:

Mar 20 Mar 23

 

Medication

Title Last Review Next Review
Intravenous Vancomycin on NICU – See intranet Sep 22 Sep 24
Medication Errors in NICU Nov 21 Nov 26

 

Metabolism

Title Last Review Next Review
Glucose Infusion Calculations Feb 23 Feb 25
Hyperglycaemia: Neonatal Management Mar 21 Mar 24
Hypernatraemia Oct 19 Oct 24
Hypoglycaemia

Nov 22 Dec 25
Metabolic Bone Disease Mar 23 Mar 26

 

Neonatal Transport

Title Last Review Next Review
Cosytherm Use for Transport Sep 23 Sep 26
Kent Surrey and Sussex Neonatal Transfer Service (KSS NTS) Sep 23 Sep 26
SEC NTS Referral Pathway Jul 22 Jul 24
Transfer to SPH Maternity and Neonatal Unit – Leaflet Jan 23 Jan 25
Transport Temperature Control Competency Sep 23 Sep 26

 

Neurology

Title Last Review Next Review
CrUSS Schedule Oct 23 Oct 26
Dropped Babies Guideline Oct 19 Oct 24
Neonatal Abstinence and Neonatal Opioid Withdrawal Syndrome Sep 22 Sep 25
Neonatal encephalopathy:

Neurodevelopmental Follow Up Nov 22 Oct 24
Pain and Comfort Management in Neonates Jul 23 Jul 26
Sudden and Unexpected Postnatal Collapse (BAPM) May 22  

 

Nutrition

Title Last Review Next Review
Infant Feeding on Maternity Unit
Infant Feeding:

May 23 Apr 26
Nutrition in the Neonate – Part 1
BDA Preparation and Storage Nov 20 Nov 23
Nutrition in the Neonatal Infant Feb 23 May 24
Transition from Tube to Oral Feeding Jan 23 Jan 26
Nutrition Feeding Pathway – Part 2
Enteral Feeding Risk Stratification Mar 23 Mar 26
Neonatal Nutritional Additives: KSS Principles of Practice Sep 23 Sep 26
Pathway – Medium and Low Risk Nov 23 Nov 26
Pathway – High Risk Mar 23 Mar 26
Pathway – Extremely High Risk Mar 23 Mar 26
Practical Guidance On Routine Oral Supplementation Dec 23 Dec 26
Nutrition via Parenteral Route – Part 3
KSS – PN Maintenance (Electrolyte Containing) May 22 May 25
KSS – PN Starter (Electrolyte Free) May 22 May 25
Parenteral Nutrition Guideline May 22 Mar 25
Nutritional Composition of Feeds on NICU – Part 4
Composition of Feeds Used on NICU Jan 23 Jan 26
Composition of MEBM and BMF with SMA Jan 23 Jan 26
Nutritional Complications Associated with Prematurity – Part 5
Hypoglycaemia Guideline Nov 22 Dec 25
Metabolic Bone Disease Mar 23 Mar 26
Nutritional Complications Associated with Prematurity Jan 23 May 23
Probiotics Guideline Oct 22 Nov 25

 

Procedures

Title Last Review Next Review
Blood Cultures Apr 23 Apr 26
Blood Sampling Guideline Apr 23 Apr 26
Central Line Care Bundle Jan 21 Jan 24
ETT Length and Curosurf Administration Jul 23 Jul 26
Exchange Transfusion – Double Volume Feb 22 Aug 23
Immunisation on NICU Nov 20 Nov 23
Intraosseus Needle Insertion on NICU (EZ-IO) Mar 21 Mar 24
Intubation Drugs on NICU Oct 17 Oct 22
LocSSIPs:

   
Long Line Insertion Jan 24 Jan 27
Lumbar Puncture in Neonatal Patients Policy Nov 20 Nov 23
Multichannel Intraluminal Impedance pH Study Apr 23 Apr 26
Nasogastric and Orogastric Tube Insertion and Safe Management Guidelines

May 24 Aug 26
Nasojejunal Tube Insertion:

Apr 23 Apr 26
Neonatal Outpatient Follow-Up Guideline Jul 23 Jul 26
Neonatal transfers to MRI for self-ventilating babies Aug 21 Jul 24
NICU Escalation Policy – see TrustNet Feb 23 Feb 26
Peripheral Arterial Access in Neonates Mar 19 Mar 24
PVC Insertion and Care Policy for Neonates Dec 23 Dec 26
Retinopathy of Prematurity Policy Dec 20 Dec 23
Skin Cleansing Guideline Dec 23 Apr 26
Umbilical Arterial Lines Oct 19 Oct 24
Umbilical Venous Lines Sep 19 Sep 24

 

Renal, Electrolyte, and Fluid Management

Title Last Review Next Review
Hyperkalaemia Jun 23 Jun 26
IV Fluid and Electrolyte Management in Neonates Oct 21 Oct 25

 

Respiratory Care

Title Last Review Next Review
Care of the Ventilated Patient:

Chronic Lung Disease of Prematurity Aug 22 Sep 25
Difficult Airway Management May 22 May 25
LISA Procedure Mar 24 Mar 27
Lung Ultrasound Guidelines Jul 23 Jul 26
Oxygen Assist Module (OAM) Guide Mar 22 Mar 27
Oxygen Use in Neonatal Patients Nov 19 Nov 22
Pneumothorax May 19 May 24
Respiratory Support on NICU Jul 22 Nov 24
SLE600 Flow Sensor – See intranet Oct 22 Oct 25
Surfactant Administration via Laryngeal Mask or Supraglottic Airway (SALSA) Jun 23 Jun 26
Transcutaneous CO2 Monitoring in NICU Mar 19 Mar 24

 

Resuscitation

Title Last Review Next Review
Delayed Cord Clamping

Apr 21 Jun 24
Dextrose gel in delivery room for preterm infants Mar 20 Mar 23
Extreme Prematurity:

Dec 23 Sep 24
Resuscitation / Stabilisation:

Thermoregulation in the NICU Aug 22 Aug 25

 

Safeguarding

Title Last Review Next Review
Baby Abduction Policy – see intranet Apr 21 Apr 24
Trust Safeguarding Children Resources – see intranet

 

Screening

Title Last Review Next Review
Newborn Bloodspot Screening Aug 23 Nov 26
ROP (Retinopathy of Prematurity) Laser Treatment – see procedures    

 

Sepsis

Title Last Review Next Review
Antimicrobial Policy Mar 23 Mar 26
Blood Culture Guideline for Neonatal Patients – see procedures    
Early Onset Sepsis in Term Neonates Sep 21 Nov 24

 

Skincare

Title Last Review Next Review
Extravasation Injuries Management in Neonatal Unit Jul 23 Jul 26
Nappy Rash Guideline Apr 20 Apr 23
Skin Care Guideline Jun 23 Jun 26
Sticky Eyes Dec 18 Dec 23

 

Surgical Neonatal Conditions

Title Last Review Next Review

 

Please note that guidelines over 12 months out-of-date have been archived on the Trust intranet for future review.