Folder View

Guidance for ANNPs for requesting, documenting and auditing blood component orders for neonatal patients. Keywords: Neonatal/ Neonate/ Blood/ Transfusion/ ANNP/ Advanced Neonatal Nurse Practitioner/ Platelets/ FFP/ Cryo

Management of limb ischaemia in neonatal patients; with and without arterial catheters in place."limb ischaemia" "arterial catheter"

Arterial line sampling for neonates. Staff responsibilities. Technique. ANTT procedure. Keywords: Neonate/ neonatal/ arterial/ blood gas/ sampling/ ANNT procedure

Approach to peripheral arterial cannulation, management of complications and troubleshooting.Keywords: blood sampling/ arterial

This guideline is designed to ensure a standardised approach to the assessment of infants diagnosed with neonatal hypotonia.Keywords: Neonate. Hypotonia. Assessment.

The policy highlights specific issues relating to the transfusion of blood products in neonates. This document is supplemental to the RCHT Blood Transfusion Policy.Keywords: blood/ transfusion/ infants/ neonates/ administration/ children/ child/ massive haemorrhage paediatric/ MHP.

Management of known and undiagnosed cleft lip and/or palate at birth. Airway support management. Feeding support management. Referral pathways.Keywords: Neonatal, cleft lip, cleft palate.

Process summary for babies who have complex congenital anomalies, where preterm delivery may necessitate different management, or who may have a diagnosis incompatible with survival.Keywords: Anomalies, antenatal, fetoneonatal, fetal neonatal.

Outline of timings of first and subsequent cranial ultrasounds for premature neonates. Keywords: Neonatal, head, cranial, ultrasound, imaging.

Guidance for all staff involved with handling and positioning on the Neonatal Unit. Keywords: Neonatal, positioning, developmental positioning, nesting, gel pillows, prone positioning pillows.

Clinical management, treatment, blood tests. Folic acid supplement. Follow up for DAT positive infants jaundiced in neonatal period -Direct Antiglobulin TestKeywords: DAT/ Coombs positive/ neonate/ neonatal/ jaundice/ folic acid

Discharge planning from the neonatal unit to the community.Keywords: discharge from neonatal unit/ discharge of neonate into the community/ neonatal discharge/ discharge

All clinical staff working in the Care Group of women and children to provide evidence based guidance in the suggested schedule of health checks for Down's Syndrome. Keywords: health checks/ schedule/ Triosomy 21

SOP for staff receiving calls about and information about subsequent action/escalation.Keywords: pre hospital birth/ community birth

This guideline is designed to provide guidance to neonatal staff on the feeding of infants.Keywords: Enteral, feeding, neonates.

This document described the process of fingerprint access to the Neonatal unit for parents and carers. Keywords: Security/ fingerprint/ scanner identity/ biometric.

To support safe, prolonged, comfortable and effective use of head pillows in developmental care of the neonate. Keywords: head pillows/ gel pillows/ head cushions/ positioning/ developmental care/ neuroprotective care

This guideline outlines the clinical responsibilities of staff involved in the management of neonate with murmur.Keywords: Neonatal, cardiac, murmur.

Guide to management of infants at risk of Hepatitis B infection

This guideline outlines the perinatal management of mothers and their infant in the event of a Hepatitis C (HCV) positive mother.Keywords: neonatal/ newborn/ neonate/ HCV/ perinatal

Management and investigation of early or severe DAT negative jaundice. Management of phototherapy, blood testing and medication for spherocytosis in the neonate with associated follow up requirements.Keywords: Spherocytosis/ HS/ Hereditary/ Neonate/ Neonatal/ Anaemia/ Folic acid/ Haemoglobin/ Jaundice

This guidance is designed to support assessment and management of neonates with possible HIE and the local implementation of the South West Neonatal Network Guideline Therapeutic Hypothermia Care Pathway For Neonatal Encephalopathy Secondary To Perinatal Asphyxia.Keywords: neonate/ neonatal/ cooling/ HIE/ CFM

This guideline is designed to provide guidance to neonatal staff on the use of breast milk fortifier at home post discharge.Keywords: homes/ breast milk/ fortifier

This guideline outlines the clinical responsibilities of staff involved in the immunisation of an infant or child. Keywords: Children, infants, neonates, immunisation, RSV, nirsevimab, palivizumab, respiratory syncytial virus.

This guideline is designed to ensure the implementation of a standardised approach to the management of infants born to mothers with thyroid disease.Keywords: thyroid disease

Infection is common in the neonatal period, and prompt recognition, escalation and treatment reduces morbidity and mortality, and reduces separation of mother and baby.This document is relevant to all Neonatal and Maternity staff who are involved in the care of babies in the neonatal period and is relevant to all Maternity staff looking after mothers.

Pathway for unwell children attending RCHT.Keywords: children/ paediatrics/ ICU

Procedure for peripheral intravenous cannulation, equipment required, technique to be used, documentation and monitoring required.Keywords: Neonate. Neonatal. Cannula. Cannulation. Peripheral.

This guideline applies to Paediatric and Neonatal staff for babies requiring surfactant without need for endotracheal ventilation. Keywords: Neonate/ neonatal/ MIST/ LISA/ surfactant

Guidance on the use of LifeStart ™ for optimal cord management. Keywords:LifeStart ™, Optimal cord management, Preterm.

Procedure for neonatal central venous access using a percutaneous longline, equipment required, technique to be used, documentation and monitoring required.Keywords: Neonate, neonatal, central line, longline, percutaneous, TPN, midline, flush, obs.

This guideline outlines procedure for undertaking a neonatal lumbar puncture.Keywords: Neonatal. Infection screen. Lumbar puncture. LP.

This guideline gives guidance to neonatal staff on the initial management of a baby born through meconium. This does not cover care on the neonatal unit or the management of meconium aspirate syndrome (MAS).Keywords: Meconium, meconium stained, liquor, MSL, aspiration, new-born, observation.

Standard Operating Procedure for use when the Medical Air supply to the NNU is interrupted and back up measures are required, in particular when needing to swap to bottle medical air.Keywords: Medical air/ medical gases/ oxygen/ nitric oxide/ bottled air/ bottled gases.

This guideline is designed to provide guidance to neonatal staff and general practitioners on prescription of micronutrient supplements to preterm infants.Keywords: neonatal/ micronutrient/ infant feeding/ supplements/ micronutrients

The policy describes how to ensure all staff understand their roles and responsibilities in relation to the safe storage of all milk (breastmilk/donor milk/formula) on the neonatal unit. It also details how to loan breast pumps insupporting expressing and how to manage "wrong breastmilk to wrong baby" incidents. Keywords: Milk storage/ breastmilk/ formula/ baby receivinganother mothers breastmilk/ breast pump loan protocol

Guidance on appropriate mouth care for neonatal inpatients

This provides guidance to staff in the Neonatal Unit on how to manage nappy rash.

Management of NECKeywords: NEC/ Necrotising Enterocolitis

This guideline outlines the management of infants exhibiting symptoms of Neonatal Abstinence Syndrome (NAS) and infants born to mothers exposed to drugs in pregnancy. Keywords: neonatal/ neonate/ newborn/ neonatal abstinence syndrome/ NAS/ drug withdrawal

To provide paediatricians, paediatric nurses and support workers with guidance in the provision of emotional support and clinical care following a neonatal death.Keywords: neonatal death/ bereavement/ postmortem

Guidance on endotracheal suctioning for intubated neonates.Keywords: endotracheal suctioning

Guidance on number and seniority of staff attending deliveries from the neonatal service.Keywords: Delivery attendance, delivery, neonatal team.

Prevention, assessment and treatment of neonatal extravasation injury.Keywords: neonatal/ extravasation

Approach to Neonatal Intubations, management of complications and the difficult airway. Keywords: Neonatal/ Intubation/ Airway/ Difficult Airway

Guidance to ensure all Pathology and Radiology tests undertaken on a baby within the Neonatal or Maternity service are reviewed by an appropriate practitioner and appropriate action taken. Keywords: Neonatal, Maxims, results checking.

Neopuff respiratory system.Keywords: Neopuff. T-piece resuscitator. Resuscitation.

This document outlines the Neonatal Outreach Service's aims and purposes of operation, demonstrates how the service delivers care, the key principles involved in the delivery of care and provides guidance for new and existing staff. Keywords: Outreach/neonatal.

This guideline is designed to provide guidance to neonatal staff on the treatment of seizures in the neonatal period

Guideline which outlines the process for neonatal incident review and governance of the neonatal patient safety meeting. Keywords: Neonatal governance.

Guide to management of suspected neonatal testicular torsion.Keywords: testis/ torsion/ neonatal

This document outlines the process for response to a major incident which may require unit evacuation.Keywords: Neonatal unit evacuation, evacuation, major incident.

Escalation thresholds and procedure for neonateswithin NNU and maternity. Keywords: neonatal escalation/ consultant call/ NNU out of hours

Neonatal monitoring flowchart

The aim of this document is to outline the indication for and provide guidance on the use of pacifiers in non-nutritive sucking (NNS). This guideline applies to all staff that care for infants who may benefit from non-nutritive sucking.Keywords: Non Nutritive Sucking, Pacifier, Dummy, Neonatal, Newborn, Neonate

Guideline on management of babies going home in oxygen. Keywords: Neonate/ oxygen/ download.

This guideline is designed to ensure the implementation of a standardised approach to the care of infants requiring oxygen therapy and oxygen saturation monitoring and their subsequent management.Keywords: Oxygen therapy/ Oxygen saturation monitoring

The purpose of this guideline is to inform all neonatal staff of the appropriate assessment, management and documentation of neonatal pain.Keywords: Neonatal, neonate, newborn, pain.

Guidelines on the use of Neonatal Parenteral Nutrition (PN) at RCHT. Keywords: neonatal parenteral nutrition/ neonatal PN

To provide guidance on performing cerebrospinal fluid (CSF) aspiration/tap by accessing a ventricular access device VAD).Keywords: Ventricular Access Device/ VAD/ Cerebrospinal fluid aspiration/ CSF aspiration/ Ommaya Reservoir/ CSF tap/ Post-haemorrhagic ventricular dilatation/ PHVD.

To provide a standard framework for investigating neonates with antenatal/postnatal premature atrial and ventricular contractions. To provide information to parents to help reduce anxiety. Keywords: Ectopic beat/ atrial ectopics

Management of a newborn infant with Persistent Pulmonary Hypertension of the Newborn (PPHN) in the acute hospital setting. Keywords: persistent pulmonary hypertension of the newborn/ PPHN/ neonate/ neonatal/ clinical/ newborn

This guideline is for the use of medical and nursing staff in the Neonatal Unit caring for newborns that develop a pneumothorax.Keywords: newborn/ pneumothorax/ chest drain/ neonatal/ neonate/ chest drain

Guideline on the management of neonates with suspected or confirmed polycythaemia

To provide Maternity and Neonatal staff with the information to aid in counselling parents who may deliver before 37 weeks gestation. Keywords: Preterm, neonatal.

This guideline is designed to provide direction on prolonged jaundice pathway for investigation and management. Keywords: Neonatal/ Jaundice/ Prolonged/ Neonate

To support safe, prolonged, comfortable, and effective use of Prone Positioning pillows in developmental care of the neonate.Keywords: Prone positioning pillows, Birdy pillow, positioning, developmental care, neuroprotective care.

This guideline applies to Neonatal Unit medical and nursing staff for babies born at less than 28 weeks gestation who should receive prophylactic hydrocortisone.Keywords: Neonate/ neonatal/ prophylactic hydrocortisone/ CLD/ BPD/ bronchopulmonary dysplasia/ chronic lung disease

Scope of practice for neonatal staff when redeployed to paediatric wards. Keywords: Redeployment, paediatric, neonatal.

Outlines repatriation process for babies returning to RCHT who may be suitable for care on NNU.Keywords: Repatriation,/Neonatal Unit.

Outline for respiratory management of babies on the neonatal unit. Keywords: CPAP/ high flow/ neonate/ respiratory support/ ventilation

This guideline sets out to aid medical and midwifery staff in correctly identifying those babies with a sacral dimple that required further investigation.Keywords: Neonatal, neonate, newborn, sacral dimple.

This guideline outlines the process of obtaining a neonatal post mortem skin biopsy.Keywords: post mortem

This SOP guides the procedure for procurement of specialist formula milks on the neonatal unit.Keywords: CMPA/ cow's milk protein allergy/ hydrolysed/ infant formula/ high energy formula/ international code of marketing/ the code.

The policy describes how to ensure all staff understand their roles and responsibilities in supporting parents to feed and care for their baby in ways which support optimum health and well-being. This guideline works in conjunction with the Infant feeding policy and provides specific guidance for the neonatal unit.Keywords: Neonatal feeding, parents as partners in care, close and loving relationships.

Practical approach to investigation and management of a positive newborn screen for congenital hypothyroidism.

To support a consistent, safe and neuroprotection method of bathing infants on the neonatal unit including education for parents. Keywords: Neonatal, bathing, wrapped bathing, swaddled bathing, developmental care.

The aim of this document is to outline the indication for, and provide guidance on the use of, environmental humidity in incubators for preterm infants.Keywords: humidified air/ neutral thermal environment/ neonatal/ preterm infant/ neonate

Document providing guidance on the use of the neonatal transport incubator and ventilator for internal or external patient transfers.Keywords: neonatal/ transfer

Indications for UVC and UAC placement, procedure details, confirming placement, fixation and how to remove. Keywords: UVC/ UAC/ arterial/ venous/ umbilical/ cord

Step by step guidance for venepuncture process inneonates.Keywords: blood samples

The provides guidance to staff in the Neonatal Unit on how to recognise and manage a baby presenting with symptoms of a VRI.Keywords: neonatal/ viral respiratory infections/ VRIs

To support safe, prolonged, comfortable, and effective skin to skin contact in the neonatal unit using stretchy wraps.Keywords: Kangaroo care, skin to skin, cuddle, contact, wraps, T.I.C.K.S, developmental care.