Clinical Guidelines

 

Cardiology

Title Last Review Next Review
Cardiac Disease and Murmurs in the Newborn Oct 12 Oct 15
Hypotension Oct 15 Oct 17
Persistent Pulmonary Hypertension in the Newborn (PPHN) Feb 14 Aug 16
Postnatal Extrasystoles Oct 17  

 

Haematology and Jaundice

Title Last Review Next Review
Blood Transfusion, Neonatal Unit Jul 17 Jul 20
Blood Transfusion Policy and Related Guidelines for Neonatal and Paediatric Patients – See TrustNet    
Exchange Transfusion – see Jaundice – Exchange Transfusion and Immunoglobulin    
IVIg Request Form Feb 13 Feb 16
Jaundice:

Feb 19 Feb 24
Polycythaemia Guideline Jul 12 Jul 15
Vitamin K Guideline Nov 17 Nov 22

 

Infection Control

Title Last Review Next Review
Cannulation Care Policy Nov 14 Nov 19
Hepatitis B immunisation Aug 18 Aug 23
Hepatitis C positive mothers – neonatal management Feb 09 Feb 12
Herpes – Genital Herpes management in pregnancy Oct 17 Oct 22
Herpes Simplex in Staff and Parents Jun 14 Jun 19
HIV and Management of babies born to HIV positive mothers Dec 09 Dec 12
Infection Control – Lines Bloods and CLABSIs Jul 14 Jul 19
MRSA – Screening Control and Decolonisation May 18 May 22
TB:

Mar 20 Mar 23

 

Medication

Title Last Review Next Review
Drug Administration Errors Nov 14 Nov 19
Intravenous Vancomycin on NICU Sep 19 Sep 24
Neonatal Drug Formulary – see TrustNet    
Prevention of Over Infusion of Intravenous Fluid and Medicines in Neonatal Patients Sep 19 Sep 24
Trust Formulary    

 

Metabolism

Title Last Review Next Review
Glucose Infusion Calculations Mar 17 Mar 22
Hyperglycaemia: Neonatal Management Aug 17 Aug 22
Hypernatraemia Oct 19 Oct 24
Hypoglycaemia

Aug 17 Aug 22
Metabolic Bone Disease Mar 20 Oct 22

 

Neonatal Transport

Title Last Review Next Review
Nurse only Transfer Jan 19 Jan 22
Operational Remit Guidelines for NTS – CATS – STPRS Teams Jul 14  
SEC NTS referral pathway Jan 19 Jan 22
Suction & Replogle (transport competency) Jan 19 Jan 22
Temperature Control (transport competency) Jan 19 Jan 22
Transport Guidelines Jan 19 Jan 22
Transport Incubator Ventilation Competencies Sep 12  

 

Neurology

Title Last Review Next Review
Abstinence and Withdrawal from Drugs Aug 16 Aug 21
Collapse – Sudden Postnatal Collapse Feb 17 Feb 22
Cranial Ultrasound

Oct 16 Oct 21
Dropped Babies Guideline Oct 19 Oct 24
Neonatal encephalopathy:

   
Drug Withdrawal – see Neonatal Abstinence    
Speech and Language Assessment Dec 17 Dec 19
Pain: Sucrose & non-drug pain relief, PINC score Nov 14 Nov 19

 

Nutrition

Title Last Review Next Review
Administration and Storage of Enteral Feeds Feb 18 Feb 21
Expression of Breast Milk and Cleaning of Breast Kits Feb 18 Feb 21
Feeding and Nutrition (Neonatal):

 
Feb 20
Feb 20
Feb 20
Feb 20
Feb 18

 

 
Feb 23
Feb 23
Feb 23
Feb 23
Feb 21
 
Fluids and PN:

 
Dec 18
Oct 14
Dec 18
 
Dec 23
Oct 19
Dec 23
Nasogastric feeds – Transition from Tube to Oral Feeds Sep 19 Sep 22
Probiotics:

Mar 17 Mar 22

 

Procedures

Title Last Review Next Review
Blood Cultures Mar 20 Mar 23
Blood Sampling Guideline Mar 20 Mar 23
ETT length by GA Jan 18 Jan 23
Intubation Drugs on NICU Oct 17 Oct 22
Long Line Insertion Oct 14 Oct 19
Naso-Jejunal Tube Insertion May 18 Jan 22
Peripheral Arterial Access in Neonates Mar 19 Mar 24
Peripheral Venous Cannulation Guideline Mar 20 Mar 23
pH Study Guideline Apr 20 Apr 23
Skin Preparation Guideline Mar 20 Mar 23
Umbilical Arterial Lines Oct 19 Oct 24
Umbilical Venous Lines Sep 19 Sep 24
Videolaryngocope:

Mar 18 Mar 21
X-rays on the Neonatal Unit Oct 14 Oct 19

 

Renal

Title Last Review Next Review
Kidney Problems – Neonatal:

Feb 17 Feb 22

 

Respiratory Care

Title Last Review Next Review
Budesonide in Preterm Babies Aug 18 Aug 21
ECMO Aug 16 Aug 21
LISA Procedure Sep 18 Sep 23
Oxygen Use in Neonatal Patients Nov 19 Nov 22
Pneumothorax May 19 May 24
Transcutaneous CO2 Monitoring in NICU Mar 19 Mar 24
Vapotherm Use in NICU Sep 17 Sep 22

 

Resuscitation

Title Last Review Next Review
Birthday Cuddle Guideline Oct 18 Oct 21
Delayed Cord Clamping

Jun 19 Jun 24
Dextrose gel in delivery room for preterm infants Mar 20 Mar 23
Extreme Prematurity:

  1. Management of extremely preterm infant
  2. EPT flow chart
   
Extremely Premature Delivery Guideline Nov 14 Nov 19
Resuscitation / Stabilisation:

   

 

Screening

Title Last Review Next Review
Blood Spot Screening in the Newborn Apr 19 Apr 22
ROP (Retinopathy of Prematurity) Laser Treatment May 15 May 20

 

Sepsis

Title Last Review Next Review
Antibiotic Policy Apr 17 Apr 22
Blood Culture Guideline for Neonatal Patients May 18 May 23
Early Onset Sepsis in Term Neonates

Aug 19 Apr 24

 

Skincare

Title Last Review Next Review
Extravasation Injuries Mar 16 Apr 21
Neonatal Skin and Wound Care Mar 16 Feb 21
Skin Cleansing Guideline Feb 19 Feb 21
Sticky Eyes Dec 18 Dec 23

 

Surgical Neonatal Conditions

Title Last Review Next Review
Gastroschisis and Exomphalos Initial Management Jan 18 Jan 22
Stoma Care Mar 16 Apr 21