Unique Plan Description: Newborn Rounds
Plan Selection Display: Newborn Rounds
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-20 17:33:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-03-12 08:17:17
Available at all facilities: No

Newborn Rounds
Admit/Discharge/Transfer
	Transfer
		Transfer to NICU
		From Special Care Nursery to Newborn Nursery
Vital Signs
	Vital Signs
		T;N, Routine
Diet
	Infant Feeding
		
Laboratory
Today's Lab
	Bilirubin Total and Direct
		Routine, spec type = Blood
	Transcutaneous Bilirubin - JE
		Routine, spec type = Transcutaneous
	Transcutaneous Bilirubin - RN (MH WH FH)
		T;N
	Bilirubin Total
		Routine, spec type = Blood
	ABORh Patient Type
		Routine, spec type = Blood
	Direct Coombs
		Routine, spec type = Blood
	Basic Metabolic Panel
		Routine, spec type = Blood
	CBC with Diff
		Routine, spec type = Blood
	hsCRP
		Routine, spec type = Blood
	Culture Urine
		Routine, Urine, spec type = Urine
	Newborn Screen Nebraska
		T;N, Routine, spec type = Blood Spot
	IA NB Screen
		T;N, Routine, spec type = Blood Spot
Tomorrow's Lab
	Basic Metabolic Panel
		T+1;0400, Routine, spec type = Blood
	Bilirubin Total and Direct
		T+1;0400, Routine, spec type = Blood
	Transcutaneous Bilirubin - JE
		T+1;0400, Routine, spec type = Transcutaneous
	Bilirubin Total
		T+1;0400, Routine, spec type = Blood
	CBC with Diff
		T+1;0400, Routine, spec type = Blood
	hsCRP
		T+1;0400, Routine, spec type = Blood
	Culture Urine
		T+1;0400, Routine, Urine, spec type = Urine
Diagnostic Tests
Radiology
	Chest 1 View
		Routine
	Clavicle Lt
		Routine, Fracture/Clavicle
	Clavicle Rt
		Routine, Fracture/Clavicle
Ultrasound
	US Renal Retro Limited
		Routine
	US Renal Retro Complete
		Routine
	US Hips
		Routine, Abnormality/Hip
		Congenital Hip
	US Spine
		Sacral Dimple
	US Head Complete
		Routine
Medications

	Tylenol pediatric oral syringe
		15 mg/kg, Syringe, Oral, By Mouth, Once, NOW
	Tylenol 325 mg/10.15 mL elixir (JE)
		15 mg/kg, Elixir, BY MOUTH, Once, NOW
	acetaminophen 160 mg/5 mL oral liquid
		15 mg/kg, Liquid, By Mouth, Once, NOW
	lidocaine-prilocaine 2.5%-2.5% topical cream
		1 appl, Cream, TOPICAL, Once, NOW
	lidocaine 4% topical cream
		1 appl, Cream, TOPICAL, Once, NOW
	Ayr Saline 0.65% nasal solution
		1 gtt, Solution, NOSTRIL, AFFECTED, Q1H, PRN, congestion
	Ocean 0.65% nasal spray
		1 spray, Solution, NOSTRIL, AFFECTED, Q1H, PRN, congestion
Immunizations
	Recombivax HB Pediatric/Adolescent
		0.5 mL, Solution-Injection, IM-Intramuscular, Once, T;N
	hepatitis B pediatric vaccine 10 mcg/0.5 mL intramuscular suspension
		0.5 mL, Suspension-Injection, IM-Intramuscular, Once, T;N
	hepatitis B pediatric vaccine 5 mcg/0.5 ml intramuscular soln (FH)
		0.5 mL, Solution-Injection, IM-Intramuscular, Once, T;N
Patient Care

	Lavage newborn
		
	Notify MD of Lab results
		
	Pulse Oximetry Spot Check by nurse
		Once
		QID
		BID
		Q12H
	Discontinue IV
		
	Car Seat Study
		T;N
		T+1;0600
Consults/Follow-up
	Consult Neonatologist
		Refer to/Consult with: or NNP
		Reason for Referral: If recommendation for escalation of care OR exchange transfusion, Refer to/Consult with: Neonatologist, No Provider Notified
	Consult Cardiologist
		
	Consult Social Work
		T;N

Blood Culture Set
Laboratory
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	.Blood Culture.
		T;N, Stat, spec type = Blood
		T;N, Routine, spec type = Blood
		Timed, spec type = Blood
		T+1;0400, Routine, spec type = Blood
	.Blood Culture
		T;N, Stat, spec type = Blood
		T;N, Routine, spec type = Blood
		Timed, spec type = Blood
		T+1;0400, Routine, spec type = Blood

Circumcision EKM
Medications
	Tylenol pediatric oral syringe
		15 mg/kg, Syringe-Oral, By Mouth, Once, PRN, pain-moderate
			Comment: Give immediately prior to or after the procedure.
		15 mg/kg, Syringe-Oral, By Mouth, Q6H, 4 Dose(s)/Time(s)
	Tylenol 325 mg/10.15 mL elixir (JE)
		15 mg/kg, Elixir, BY MOUTH, Once, PRN, pain-moderate
	acetaminophen 160 mg/5 mL oral liquid
		15 mg/kg, Elixir, By Mouth, Once, PRN for pain-moderate
	Xylocaine-MPF 1% preservative-free injectable solution
		1 mL, Injection, SUBCUTANEOUS, Once, PRN, discomfort
		0.5 mL/kg, Injection, SUBCUTANEOUS, Once, PRN, discomfort
			Comment: for patients under 2 kg
	lidocaine-prilocaine 2.5%-2.5% topical cream
		1 appl, Cream, TOPICAL, Once, T;N
			Comment: To Penis one hour prior to procedure
	bacitracin ointment
		1 appl, Packet, TOPICAL, Q30MIN, PRN for see comment
			Comment: to circumcision area as needed with every diaper change
Patient Care
	Circumcision scheduled for:
		Date/Time T;N
	Obtain Consent/Permit for:
		T;N, Circumcision
	Administer Oral Sucrose
		T;N, Once
			Comment: orally, by pacifier or by syringe. On call for circumcision.
	Dressing Care
		T;N, bleeding
			Comment: Apply surgicel as needed for bleeding
		T;N, bleeding
			Comment: Apply Vaseline to circumcison with each diaper change

Newborn Bilirubin Newborn DAT Positive
Laboratory
	Transcutaneous Bilirubin - JE
		T;N, Stat, spec type = Transcutaneous
		T;N+240, Timed, Dose(s)/Time(s), spec type = Transcutaneous
		T;N+480, Timed, Dose(s)/Time(s), spec type = Transcutaneous
		T;N, Routine, spec type = Transcutaneous
			Comment: Within 4 hours of discharge.  Notify provider of results.
Patient Care
	Transcutaneous Bilirubin - RN (MH WH FH)
		T;N, Now
		T;N+240, Q4H-Sch, 2, Dose(s)/Time(s)
		T;N+480, Q12H, 3, Dose(s)/Time(s)
		T;N, Within 4 hours of discharge.  Notify provider of results.

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase