GUIDELINES INTRODUCTION

GUIDELINES

GUIDELINES GROUP

Guidelines

These guidelines have been compiled as an aide-memoire for all staff concerned with the management of neonates, towards a more uniform standard of care across the Staffordshire, Shropshire and Black Country Newborn Network. They have been drafted with reference to published medical literature and amended after extensive consultation. Wherever possible, the recommendations made are evidence based. Where no clear evidence has been identified from published literature the advice given represents a consensus of the expert authors and their peers and is based on their practical experience.

No guideline will apply to every patient, even where the diagnosis is clear-cut; there will always be exceptions. These guidelines are not intended as a substitute for logical thought and must be tempered by clinical judgment in the individual patient and advice from senior colleagues. (These guidelines are advisory, NOT mandatory).

Guidelines 2007
The Neonatal Guidelines 2007 book is available to purchase from the Staffordshire, Shropshire and Black Country Newborn Network at a cost of £10.00 a copy.  If you would like to purchase a copy of the book, please complete the attached order form. Individual guidelines are available to download, please click the relevant guideline. A link to any supporting evidence for each guideline is listed along side the relevant guideline.
Admission & Discharge Admission to neonatal unit (NNU)   Death and extremely ill babies   Discharge   Follow up of infants discharged from the neonatal unit   Labour ward calls     Transport and referral   Supporting evidence Cardiovascular Cardiac murmurs  Supporting evidence Congenital cyanotic heart disease – the blue baby   Congenital heart disease – heart failure   Hypoplastic left heart syndrome and other duct-dependent lesions (antenatally diagnosed)   Hypotension  Supporting evidence Patent ductus arteriosus (PDA)  Supporting evidence Pericardiocentesis   Critical Care Extreme prematurity   Hypothermia   Pain and stress  Supporting evidence Preterm care (‘golden hour’)   Resuscitation  Supporting evidence Endocrine/Metabolism Hyperglycaemia  Supporting evidence Hyperkalaemia  Supporting evidence Hypoglycaemia  Supporting evidence Hypothyroidism  Supporting evidence IV Fluid therapy  Supporting evidence Metabolic disorders [inborn errors of metabolism (IEM)]   Gastroenterology Breastfeeding   Breast milk handling and storage   Gastro-oesophageal reflux (GOR)  Supporting evidence Gastroschisis   Jaundice  Supporting evidence Liver dysfunction in preterm infants   Necrotising enterocolitis (NEC)   Nutrition  Supporting evidence Total parenteral nutrition (TPN)   Haematology Blood group incompatibilities (including Rhesus disease)  Supporting evidence Coagulopathy  Supporting evidence Polycythaemia  Supporting evidence Thrombocytopenia   Transfusion of red blood cells  Supporting evidence Vitamin K  Supporting evidence Infection BCG immunisation  Supporting evidence CMV  Supporting evidence Conjunctivitis  Supporting evidence Group B Streptococcus disease  Supporting evidence Hepatitis B  Supporting evidence (hepatitis) Hepatitis C   Human Immunodeficiency Virus (HIV)  Supporting evidence Immunisations  Supporting evidence Infection  Supporting evidence Syphilis   Varicella  Supporting evidence Neurology Abstinence syndrome  Supporting evidence Brachial plexus injury   Hypoxic Ischaemic Encephalopathy (HIE)  Supporting evidence Seizures  Supporting evidence Practical Procedures Arterial line insertion  Supporting evidence Arterial line sampling   Cannulation   Chest drain insertion  Supporting evidence Consent   Exchange transfusion   Extravasation injuries   Long lines (peripherally sited)  Supporting evidence Nasogastric tube insertion  Supporting evidence Skin biopsy   Umbilical artery catheterisation   Umbilical artery catheter removal   Umbilical venous catheterisation   Umbilical venous catheter removal  Supporting evidence Venepuncture   Renal Renal abnormalities on antenatal scan  Supporting evidence Renal failure   Respiratory Apnoea and bradycardia   Chronic lung disease  Supporting evidence CPAP (Continuous Positive Airway Pressure) and Bubble CPAP  Supporting evidence High Frequency Oscillatory Ventilation (HFOV)  Supporting evidence Intubation  Supporting evidence Nitric oxide   Oxygen on discharge   Persistent Pulmonary Hypertension of the Newborn (PPHN)  Supporting evidence Pulmonary haemorrhage  Supporting evidence Surfactant replacement therapy  Supporting evidence Ventilation modes   Ventilation (basic principles)  Supporting evidence (blood gas) Screening Antenatal ultrasound abnormalities   Cranial ultrasound scans  Supporting evidence Disorders of sexual development   Examination of the newborn  Supporting evidence Hearing screening   Retinopathy of prematurity (ROP) screening
Please click to download a full PDF version of the Neonatal Guidelines 2007 Book, including hyperlinks to each guideline. For those wishing to put this on to a PDA or other hand held device please follow the link for instruction on how to do this.