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/

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 (6/12/2007)

               Admission Guidelines Stahlman Nursery  (03/03/05)

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

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

               Adoption ( 03/21/2007)

               Amphotericin B administration ( 05/10/2007)

               Anesthesia in the NICU  (03/21/2007)

               Aquaphor  topically in ELBW newborns ( 03/21/2007)

               Arterial Lines: peripheral (06/04/2008)

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

               Antimicrobial Usage for Empiric Therapy (7/25/2007)

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

 

B

               Back to Sleep ( 07/25/01)

               Back-Transport Guidelines ( 06/26/2007)

               Benzodiazepine Taper ( 09/13/2007)             

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

               Bilirubin Mangement Guildeline Graph (5/12/2006)

               Binasal Airway CPAP for transport ( 12/19/01)

               Blood Cultures ( 01/29/93)

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

               Blood Transfusion (pRBCs) (09/01/02)

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

               BPD Follow-up Clinic ( 07/01/01)

               Breast milk ( 10/24/01)

               BROVIACŪ Catheters  for central venous access (02/14/08)

 

C

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

               Calcium and  Phosphorus: Optimal Intake Guidelines (6/11/2007)

               Call Schedule

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

               Census/Bed space guidelines ( 7/15/02)

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

               Circumcision ( 08/09/00)

               Co-bedding twins and higher-order multiples ( 03/15/00)

               Cord Blood ( 01/19/00)

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

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

               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 (07/01/2009)

               Department of Child Services (DCS) referrals ( 6/23/99)

               Dermatology Atlas Online ( 01/15/03)

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

               Diversion policy (11/18/02

               Double volume exchange transfusion ( 02/07/2008)

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

               Drug screening in the potentially substance-exposed infant ( 11/19/99)

 

E

               Ecmo: Alert  ( 07/01/02)

               Ecmo: Post-ECMO  Discharge Orders ( 07/01/99)

               Endotracheal suctioning ( 02/17/99)

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

               Enteral Feeding ( 04/15/02)

               Enteral Nutrition ( 05/07/03)

               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)

               Exchange Transfusion record sheet ( 05/01/77)

 

F

               Feeding tubes: OG, NG and transpyloric ( 07/19/00)

               Fingernails & Infection Control ( 10/18/00)

   Fluconazole prophylaxis protocol (7/21/2009)

               Follow-up clinic for NICU graduates ( 07/01/98)

               Formula storage and preparation ( 05/01/00)

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

 

G

               Gastrostomy care and feeding ( 10/01/99)

               Genetic disorders and testing information ( 01/15/03)

               Glucose Infusion Rate ( 06/12/2007)

               Growth charts and calculations ( 02/21/99)

 

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)

               HIE and Head-Cooling Overview  (08/01/2007)

               Head Cooling on Transport (10/09/2007)

               Head Cooling Practical Tips ( 08/06/2007)

               HIV ( 10/31/02)

               Hungry/agitated surgical infant protocol ( 08/26/03)

               Hydrocortisone for Vasopressor-Resistant Hypotension (7/20/2007)

               Hydrops Fetalis ( 06/24/05)

               Hyperbilirubinemia in Infants ≥ 35 Weeks Gestation (07/19/04)

 

I

   Immunizations ( 3/3/2010)

               Indomethacin: (Indocin)  Prophylaxis in the ELBW infant ( 07/01/00)

               Indomethacin: (Indocin) Treatment for PDA   ( 05/23/07)

               Infection control ( 02/13/02)

               Interim event notes ( 5/17/2007)

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

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

               Iron supplementation ( 05/07/03)

               Isolation Policy (09/01/99)

               IV Fluids: Admission IV fluids ( 05/19/03)

               IV Fluids: Advancing fluid intake ( 07/01/95)

               IV Infiltrates ( 06/04/2008)

 

J

K

               Kangaroo Care ( 05/21/93)

 

L

               Laboratory: Amounts of blood needed for common test ( 03/06/03)

               Laboratory: Spurious results ( 09/19/01)

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

               Lactation consultants ( 12/01/02)

               Limits of viability: antenatal and perinatal management ( 11/12/97)

               Limits of viability: Counseling the parents (5/12/2008)

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

 

M

               Meconium drug screens ( 09/20/00)

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

   Medication Manual Nursing  (3/3/2010)

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

               Medication dosage adjustments ( 04/17/02)

               Medication Manual On-line (6/16/2008)

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

               Methadone taper for opioid-dependent neonates ( 05/23/2007)

               Multivitamin Supplementation ( 01/21/02)

 

N

               Narcan (Naloxone) ( 03/21/01)

               Name changes of inpatients ( 07/18/01)

               Nasal cannula oxygen administration ( 3/18/2008)

               NCPAP: adjunctive equipment ( 06/21/00)

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

               Needlestick Policy ( 11/19/04)

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

               NICU Nursing Resource Page (03/22/2006)

               Nitric oxide therapy for PPHN ( 09/16/01)

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

               N-PASS ( 07/06/04)

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

              

 

O

               Ophthalmology visits for ROP exams ( 09/19/01)

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

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

 

P

               Pain management: Analgesia ( 08/02/05)

               Phototherapy for indirect hyperbilirubinemia ( 05/01/00)

               Physician chain of command ( 10/20/99)

               PICC Lines ( 05/24/02)

               Platelet transfusions ( 10/01/99)

               PO feeding protocol for growing premies ( 05/22/02)

               Post-Op Pain Management Plan ( 07/06/03)

               Potassium, parenteral administration ( 04/21/03)

               Post-discharge nutrition ( 02/21/01)

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

               Procedural Pain Management Guidelines (5/2/2006)

               Prostin during Transport ( 02/26/08)

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

               Pulse oximeters: Desired O2 saturations and alarm values ( 06/24/2008)

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

 

Q

            Quiet time ( 11/20/02)

 

R

               Recipes for increasing caloric density in formulas ( 07/31/2007)

               Replogle tubes ( 05/01/00)

  Research Protocols in the NICU  ( 04/24/2009)

               Respiratory equations ( 07/01/00)

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

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

               ROP: Screening exams in the NICU ( 2/5/2008)

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

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

 

S

               Sibling visitation in the NICU ( 04/23/03)

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

               Sound boxes ( 01/17/01)

               State Newborn Screening

               Stool hemoccult testing ( 06/21/00)

               Sucrose water (24%) for analgesia ( 05/31/02)

               Surfactant: prophylactic protocol  ( 11/03/03)

  Synagis (palivizamab) for RSV prophylaxis in NICU graduates ( 10/29/2009)

               Systemic Steriods for evolving severe CLD ( 04/04/2008)

 

T

               Teams in the NICU: composition, call and pt. care responsibilities ( 04/21/03)

               Telephone communication with family ( 04/18/03)

               Thermoregulation: general guidelines ( 05/01/00)

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

               Thrombolytic therapy in neonates ( 11/08/2006)

               TPN / IL  ( 06/12/2007)

               Transport: Calls for an infant who has been discharged home ( 03/07/2007)

               Transport: Calls regarding imminent deliveries ( 06/18/01)

               Transport: Follow-up calls to the referring physician ( 01/16/02)

               Transport: Lifeflight/Angel Communications Dispatch ( 03/26/03)

               Transport: LifeFlight Helicopter Guidelines ( 03/19/03)

               Transport: Inhaled Nitric Oxide use during transport ( 12/18/02)

               Transport: Organizing a second team ( 03/20/02)

               Trophic feeds ( 09/12/01)

 

U

               Umbilical catheters: Sizes and depth of insertion ( 09/15/2006)

               Urine cultures ( 01/15/03)

               Urine dipsticks, routine ( 03/14/00)

 

V

               Ventilator Management of Diffuse Lung Injury (10/12/2005)

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

               Visitation guidelines ( 12/11/02)

               Vital signs ( 03/08/00)

               Vitamin A supplementation ( 07/01/00)

               Vitamin K prophylaxis ( 10/01/99)

 

W

              Withdrawal Symptoms  ( 06/27/2007)

              WizOrder in the NICU ( 03/11/03)

              Wound care ( 02/28/03)

 

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

 

         Archived Items that no longer have a current protocol are listed here