Unique Plan Description: Peds Neonate Readmission (JE FH)
Plan Selection Display: Peds Neonate Readmission (JE FH)
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-22 19:38:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-21 10:43:19
Available at all facilities: Yes

Peds Neonate Readmission (JE FH)
Admit/Discharge/Transfer
	Admit to Inpatient Status
		T;N, Anticipated LOS 2 midnight or more
	Admit to Observation Status
		T;N
Vital Signs
	Vital Signs
		Q4H-Sch
		Q6H-Sch
		Q8H-Sch
		Q12H
		Q4HAWAKE
Diet
	NPO
		
	Breast Milk
		Feed Base: Mother Breast Milk, Special Instructions: Supplement with formula
		Feed Base: Mother Breast Milk, Special Instructions: No supplementation
	breast milk (maternal)
		mL, By Mouth, Q3H, for see comment
			Comment: per feeding protocol
	Infant Feeding
		
Laboratory
	CBC with Diff
		Stat, spec type = Blood
	hsCRP
		Stat, spec type = Blood
	Blood Gases Capillary (CBG) - MH/WH/JE
		Stat, spec type = Blood
	Blood Gases Capillary (CBG) - FH
		T;N, Stat, spec type = Blood
	Bilirubin Total
		Stat, spec type = Blood
	Bilirubin Total and Direct
		Stat, spec type = Blood
	Bilirubin Direct
		Stat, spec type = Blood
	AST
		Stat, spec type = Blood
	ALT
		Stat, spec type = Blood
	Direct Coombs
		Stat, spec type = Blood
	Indirect Coombs
		Stat, spec type = Blood
	UA (Culture if Positive)
		Routine, Routine, spec type = Urine
	Glucose POC - RN
		Once
Tomorrow's Lab
	CBC with Diff
		T;N+12hrs, Routine, spec type = Blood
		T;N+24hrs, Routine, spec type = Blood
	hsCRP
		T;N+24hrs, Routine, spec type = Blood
	Bilirubin Total
		T;N+24hrs, Routine, spec type = Blood
Diagnostic Tests

	Chest 2 View
		Stat
			Comment: At bedside, Special Care Infant
IV Solutions
		Recommended rate is 3.33mL/kg/hr (80mL/kg/day).(NOTE)*
	Dextrose 10% in Water
		250 mL, IV, ml/hr
	Dextrose 5% with 0.225% NaCl w/KCl 10 mEq/1000 mL
		1,000 mL, IV, ml/hr
		10 mEq, EVERY BAG
	Dextrose 5% with 0.45% NaCl w/KCl 10 mEq
		1,000 mL, IV, ml/hr
Medications
	gentamicin IVPB
		5 mg/kg, Injection-Premix, IVPB, Q36H, Early onset neonatal sepsis
			Comment: >30 weeks gestational age
		5 mg/kg, Injection-Premix, IVPB, Q48H, Early onset neonatal sepsis
			Comment: <30 weeks gestational age
	gentamicin IVPB (FH)
		5 mg/kg, INT, IVPB, Q36H, Early onset neonatal sepsis
			Comment: >30 weeks gestational age
		5 mg/kg, INT, IVPB, Q48H, Early onset neonatal sepsis
			Comment: <30 weeks gestational age
	ampicillin IVPB
		100 mg/kg, INT, IVPB, Q8H, Early onset neonatal sepsis
	ampicillin IVPB (FH)
		100 mg/kg, INT, IVPB, Q8H, Early onset neonatal sepsis
			Comment: Dilute vials as follows to get concentration of 100mg/mL250mg=2.5mL500mg=5ml1000mg=10mLWithdraw ___ml for dose of ___mgExpires: 1 hr
	acyclovir IVPB
		20 mg/kg, INT, IVPB, Q8H, Early onset neonatal sepsis
Patient Care
	Resuscitation Status
		Full Code
		No Code
	Notify MD of Lab results
		T;N, Call all Lab results.
	Order Lab
		gentamicin level before 2nd dose. If level is >/=1, hold dose and re-check level q12 hours until level is <1, and make that the new dosing interval
	Intake and Output
		Weigh diaper
			Comment: Record in grams
Therapies
	Phototherapy
		Phototherapy Bank Double
		Bili Blanket

CSF Panel (Pediatric) (FH JE)
Laboratory
	Protein CSF
		T;N, Stat, spec type = Cerebrospinal Fluid
			Comment: Save CSF
	Glucose CSF
		T;N, Stat, spec type = Cerebrospinal Fluid
			Comment: Save CSF
	Cell Count and Diff CSF
		T;N, Stat, spec type = Cerebrospinal Fluid
	Enterovirus by PCR
		T;N, Stat, spec type = Cerebrospinal Fluid
	Herpes Simplex Virus 1/2 PCR. Other than blood
		T;N, Stat, spec type = Cerebrospinal Fluid
	Culture Routine
		T;N, Stat, Body Fluid, spec type = Cerebrospinal Fluid
			Comment: Save CSF

Oxygen Protocol
Therapies
Respiratory Therapy
	Oxygen Therapy
		T;N
	Pulse Oximetry Spot Check RT
		T;N, BID
	Continuous Pulse Oximetry Monitoring Check
		T;N, BID

Blood Culture Set
Laboratory

	.Blood Culture.
		T;N, Stat, spec type = Blood
		T;N, Routine, spec type = Blood
		T+1;0400, Routine, spec type = Blood
	.Blood Culture
		T;N, Stat, spec type = Blood
		T;N, Routine, spec type = Blood
		T+1;0400, Routine, spec type = Blood

*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