Clinical Guidelines

Isolation Guidelines for NICU

• NICU Isolation guidelines for viruses on RVP (April 2024)

SARS-CoV-2 / COVID-19

• NICU COVID Compiled Guidelines (August 2023)
• NICU COVID-19 (Confirmed) Respiratory Failure, Intubation, "Code White" Pathway (07/14/2020)

Rounding, Transfer and Discharge Guidelines

• CHD NICU to CTICU transfer Algorithm (July 2024)
• Algorithm for Transition from NICU to Pediatric Care (PICU, ACP or Subacute)
  • Guidelines and Checklist for Transfer from NICU to PICU
• Patient Discharge with Corpak Process

Fluids, Electrolytes and Nutrition

• Blood Glucose Monitoring Guidelines (35-36 6/7 GA, SGA, LGA, IDM)
• Kayexalate (decanting EBM/formula)
• Feeding Bundles (Advancement, Supplementation and Intolerance):
  • Premature Feeding Bundles (Bovine Fortification) 
    • 750 grams - 1250 grams (July 2022)
    • 1250 grams - 2500 grams (July 2022)
  • Feeding Bundles for Cardiac or Surgical infants
    • Cardiac-Surgical #1 (July 2022)
    • Cardiac-Surgical #2 (July 2022)
  • Feeding Intolerance Guidelines 
  • Preterm Breastfeeding Pathway
  • Term Infant Breastfeeding Protocol
  • Milk Drop Parent Handout (October 2023)
• TPN/Lipids:
  • Guidelines for the use of Omegaven in the NICU

Pediatric Surgery

• NEC Diagnosis Criteria and Treatment Guidelines - 2021
• Gastrochisis and Small Bowel Atresia Empiric/Periop Antibiotic Guidelines
• Congenital Diaphragmatic Hernia (CDH) Management Guidelines

Respiratory

• iNO Initiation and Weaning Guidelines
  • iNO/PPHN Flow Diagram
• Neonatal/Pediatric Pulmonary Hypertension Guidelines
• Remodulin (treprostinil) Guidelines 
• Ventilator Management for ELBW neonates < 30 weeks

Cardiovascular/Dermatology

• Propranolol for Infantile Hemangioma (< 8 weeks of age)

Hematology

• Hyperbilirubinemia Guidelines for Neonates > 35 weeks GA (2023)
• Phototherapy & Exchange Transfusion for infants <35 weeks 

ID/Sepsis

• Urinary Tract Infection Algorithm (06/28/2022)
• Early Onset Sepsis for > 35 weeks GA (Revised 2024)
• Sepsis calculator link: https://neonatalsepsiscalculator.kaiserpermanente.org/
• Early Onset Sepsis Guideline for Infants 30 - 34 6/7 Weeks Gestation (July 2022)
• SYMPTOMATIC, early-onset sepsis
• Late Onset Sepsis (January 2023)
• MRSA Decolonization Protocol (July 2022)

Neurology/Neurosurgery

• Neonatal Abstinence Syndrome
• LLU Neuro NICU EEG Guidelines (3/15/2021)
• Therapeutic Hypothermia Guidelines (Cooling) (5/2021)
  • Pre-Transport Cooling Packet (2/2021)
• VPS/VSGS/EVD Checklists (Pre- & Post-Operative Care) (2024)
• Myelomeningocele Checklists (Pre- & Post-Operative Care) (2024)

Metabolics

• Neonate Hyperammonemia Algorithm (2024)
• NICU HEC (Hyperammonemia Emergency Care) Checklist (2024)

Tiny Baby Program

• Age of Viability
• NICU CPAP Policy (VLBW)
• NICU Vapotherm Weaning Guidelines
• TBU RCP Driven Ventilator Management for Volume Guarantee
• Patent Ductus Arteriosus (PDA) Guidelines - April 2022 
• Postnatal Corticosteroids to Prevent & Treat Bronchopulmonary Dysplasia

Palliative Managment

• NICU Withdrawal of Life Sustaining Treatment Guideline