NPASS
This neonatal tool assesses both pain and sedation and is required when a patient is receiving pain medication.
What is the NPASS Score?
This algorithm should be followed first when treating diaper rash before escalating care.
What is the diaper dermatitis algorithm?
“Hi Dr. Smith, this is Courtney, the RN in NICU. I’m calling about Baby A who is having increased work of breathing and oxygen requirements.”
What is Situation?
This item is no longer used in the updated UAC setup process
What is the 0.22 micron filter?
Distension, bilious emesis, failure to pass meconium, and refusal to feed.
What are the classic signs of neonatal intestinal obstruction?
If a patient is on a continuous IV pain medication drip like morphine or fentanyl, this is how often NPASS must be documented.
What is every hour (Q1H)?
Skin that is broken down d/t rubbing or scratching
What is excoriated skin?
This is considered the MOST critical part of SBAR and must be clear and concise.
What is the Situation?
This syringe remains attached to the setup and is primed with line fluids.
What is the 3mL flush syringe?
The “double-bubble sign” seen on imaging
What is xray finding of Duodenal Atresia?
When giving an IV PRN or bolus pain medication, NPASS must be documented at these two specific times.
What is before administration and 30 mins after?
This cream is now first-line treatment for diaper rash instead of Desitin.
What is Remedy Paste?
“His NPASS pain scores are 5–6, sedation score is 0, and he appears agitated and not synchronous with the ventilator.”
What is assessment?
Volume needed for waste blood with Hummi Draw
Initial management steps for suspected neonatal intestinal obstruction
What is keeping the infant NPO, IV fluids, and placing a Replogle?
This NPASS score type (negative values) reflects a patient’s level of sedation and risk of oversedation.
What is the sedation score?
This must be ensured before applying any cream to prevent further skin breakdown.
What is making sure the skin is completely dry?
“This is a 32-week infant on CPAP, admitted yesterday for prematurity. He has been stable until this morning when his oxygen needs began to increase.”
What is Background?
This PPE is required to connect new UAC tubing set to patient.
What is mask, hat and sterile gloves?
This is often the 1st symptom presented for infants with CF
What is meconium ileus?
For patients not receiving pain medication, only this part of NPASS needs to be documented with each vital sign assessment.
What is the pain score only?
If a diaper rash does not improve after this amount of time on the algorithm, a wound consult should be considered.
What is 3 days?
"We are giving PPV, I need you to come to bed 9 now"
What is Situation?
This should be done after initial set up at the beginning of your shift and after blood draws.
What is zeroing the line?
This is a neonatal surgical emergency associated with bilious emesis
What is malrotation with volvulus?