Unique Plan Description: Newborn Comfort Care
Plan Selection Display: Newborn Comfort Care
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-21 19:16:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-11-19 13:09:29
Available at all facilities: No

Newborn Comfort Care
Admit/Discharge/Transfer
	Comfort Care Status
		T;N
			Comment: Initiate Nursing comfort care plan, and provide comfort care cart and education packet to family/door hanger.
Vital Signs
	Vital Signs
		as needed or as requested by family. For fever (Axillary Temp = or > than 100F may utilize non-pharmacological measures such as bathing for fever control.
			Comment: Utilize non-pharmacological measures such as swaddling, cuddling, pacifier as needed for pain control.
Activity
	Activity-Position
		T;N
			Comment: reposition prn as tolerated.
Diet
	Formula
		Feed Frequency: On Demand, Formula: Other-see special instructions, Special Instructions: formula of mother's choice, as tolerated.
	Breast Milk
		Feed Frequency: On Demand, Feed Base: Mother Breast Milk, Special Instructions: as tolerated.
	breast milk (maternal)
		mL, By Mouth, Q3H, for see comment
			Comment: per feeding protocol
Laboratory
	Glucose POC - RN
		Once
Today's Lab
	Newborn Screen Nebraska
		T;N, Routine, spec type = Blood Spot
	IA NB Screen
		T;N, Routine, spec type = Blood Spot
Medications

	Vitamin K
		1 mg, Injection, IM-IntraMUSCULAR, Once
	erythromycin ophth 0.5% oint 1gm
		1 appl, Ointment, Eye, Both, Once
		Pain Control for NIPS>4 OR fever (Axillary Temp = or > than 100F(NOTE)*
		Infant greater than or equal to 38 weeks gestation:(NOTE)*
	Tylenol pediatric oral syringe
		15 mg/kg, Syringe, Oral, By Mouth, Q6H, PRN, pain-mild
	Tylenol 325 mg/10.15 mL elixir (JE)
		15 mg/kg, Elixir, BY MOUTH, Q6H, PRN, pain-mild
	acetaminophen 160 mg/5 mL oral liquid
		15 mg/kg, Elixir, By Mouth, Q6H, for pain-mild
	Tylenol
		15 mg/kg, Suppository, RECTALLY, Q6H, PRN, pain-mild
		Infant 32-38 weeks gestation:(NOTE)*
	Tylenol pediatric oral syringe
		15 mg/kg, Syringe, Oral, By Mouth, Q8H, PRN, pain-mild
	Tylenol 325 mg/10.15 mL elixir (JE)
		15 mg/kg, Elixir, BY MOUTH, Q8H, PRN, pain-mild
	acetaminophen 160 mg/5 mL oral liquid
		15 mg/kg, Elixir, By Mouth, Q8H, for pain-mild
	Tylenol
		15 mg/kg, Suppository, RECTALLY, Q8H, PRN, pain-mild
	morphine
		0.1 mg/kg, Syringe, By Mouth, Q1H, PRN for see comment
			Comment: moderate to severe dyspnea
Patient Care
	Resuscitation Status
		No Code
	Notify MD
		Primary provider for the newborn(s)
	Airway Suction
		Use bulb syringe, PRN as needed
	Wound Care
		dress open lesions with saline and gauze PRN
		Pain Control for NIPS </= to 4(NOTE)*
	Administer Oral Sucrose
		T;N
			Comment: for mild to moderate pain, Neonatal Infant Pain Scale (NIPS) less than 4.
		For Comfort(NOTE)*
	Oxygen Therapy, Nurse to Administer
		Via Nasal Cannula, O2 @ 5L/min, PRN
Consults/Follow-up
	Consult Social Work
		Newborn Comfort Care
	Consult Chaplain
		Newborn end of life/comfort care

*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