Admission/Stage 1
What is the new resource we have for families about their hospital stay? And how do they access it?
The virtual welcome packet
QR code in patient room
Where can you find the recipe for formula or EBM fortification?
Emily Center
Who needs to check equipment prior to nesting? Who teaches the family about their home equipment?
BioMed
Home health
What do you need to do to make sure the education record is saved as complete?
Uncheck "Incomplete"
When should we start discharge education?
On admission
What is the name of the app we introduce to families?
Our Journey in the NICU
**not available to Android users**
How do you know if the hearing screen is done? How do you know when your patient is ready for a hearing screen?
Blue immunization card, hearing screen report in the documents
Patient's are on their "home oxygen", no NG or going home with NG
What needs to be completed before the parents can be signed up for Trach CPR?
Tracheostomy education record
How do you dispose of milk in Timeless?
Login to Timeless
Dispose --> Dispose bottles/ mother bags --> Scan bottles/bags --> Reason --> patient discharged to home
What comment box do you chart if teaching is ongoing?
First
When does the first newborn screen need to be completed? The second?
At 24 hours of life, unless you are starting blood products or TPN
On day of life 7 or if dc on 5 or 6 draw prior to dc, if dc earlier than day 5 send form with family.
**make sure special care/nursery is selected on the card and to activate the second newborn screen order**
What is HRPP? And how do you know if your family is enrolled?
High Risk Perinatal Program, state funded, follow-up after discharge
Ask the HUC or Social Work
How do you take a trach/vent patient on their stroller ride to the car before discharge?
-bring RT
-can be done during nesting "shift change"
-give them tips on where to place equipment
-move car to main entrance
Where do you find the discharge summary and discharge instructions?
Summary- Documents
Instructions- Print Reports --> Document Reports --> Discharge Instructions
What are the 3 things you need to start in your patient's chart in the first 24 hours of admission?
1. Education record
2. Plan of care
3. Patient profile
How do you do a CCHD test? How do you know if your baby passed? How do you chart it?
Grab another pulse ox cord and probe
Connect to monitor
Place one probe as pre and one as post
Oxygen saturation >95% in pre, with no more than 3% difference between pre and post
Charting: in Discharge Pathway, 'Infant Screens' in Assessment Intervention
Optional- VS time column
What is the VIS? Where can you find it? Where do you document vaccines?
Vaccine Information Sheet.
Can be found with on the vaccine information sheet sent with the vaccine from pharmacy or on the CDC website.
Blue Immunization Card, blue packet, and EMAR
Explain the different nesting levels.
Blue - 2 care providers for total of 48H, 2 care providers nest separately for 24H each. Single ventricle, new trach, new vent
Red - 1 care provider for 24H or 2 care providers nest separately for 12H each. NG or Gtube AND oxygen
Yellow - Minimum 1 care providers for 12H, can be split into 2 6hrs shift. NG or Gtube only, pulse ox needed if pump ordered.
What do you have to chart when your patient is discharged?
1. Vital signs within the hour
2. D/C plans of care
3. Within Care Plan Problems/Focus of Cares, you will add a single time column with the discharge time. This is where you will write a summary of their discharge to include their patients goals & outcomes, who they went home with, what equipment they had, how they were leaving, and any other information you need to.
4. Completed ed record and discharge pathway
What are the 3 forms that parents have to sign before discharge?
1. Never Shake a Baby
2. Passenger restraint law
3. LAR Patient released- must be 2 RN check