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UNIT UPDATES
ICN-3 service is located in the ICN-4 indefinitely. Please use the Peds Kangaroo Care list to track our patients. (see orientation tab for details)
Please monitor FOCs thoughtfully. Normal head growth is ~0.5-1 cm/week. If growing faster or slower, FOC should be rechecked and if truly growing above that, the infant should have a HUS to evaluate for hydrocephalus or other intracranial problem.
Please give charge nurse updated cache every evening before signing out to the NICU team.
Infants with microcephaly should be reported to the DOH:
Daily Schedule:
8:00 AM Resident Morning Report (Tuesdays and Wednesdays)
9:00 AM Rounds
11:00 AM Teaching (Currently we are not routinely participating in daily teaching with MBU during the COVID pandemic)
5:00 PM Sign out to NICU
ICN-3 Admission/Transition Criteria
Newborns requiring close observation during a period of transition (period of 6 hours immediately post-partum). Examples include:
Infants with mild respiratory distress that have the potential for a successful transition.
Any infant who has a continuing oxygen requirement of more than 1/2 liter of oxygen via nasal cannula at the end of the 6 hours of the transition should be admitted to the NBICU. These infants would be eligible to return to the ICN-3 after 24 hours if stable on nasal cannula.
Transfer from NBICU, ICN-4, Mother Baby Unit, Labor and Delivery, Newborn Clinic, Pediatric Clinic or Carrie Tingley Hospital that meet admission criteria.
All infants directly admitted or transitioned to ICN-3 must be at least 34 weeks gestation by first trimester ultrasound or Ballard exam if no ultrasound is available and have a birth weight of at least 1700 grams.
Stable newborns including those with prematurity, neonatal abstinence syndrome or requiring diagnostic work-ups.
Newborns requiring management of or continued screening for hypoglycemia.
Newborns requiring frequent or continuous monitoring of vital signs.
Newborns no more than 7 days of age if readmitted to ICN-3 for hyperbilirubinemia, feeding difficulties, or poor weight gain without concerns of infection.
Newborns no more than 14 days of age if transferred from NBICU or ICN-4 and meeting the following criteria:
Stable respiratory status, requiring no more than 1 liter of oxygen via nasal cannula. Patients that received higher level of oxygen support (eg, high flow) should be stable on nasal cannula for a minimum of 12 hours prior to transfer.
Anticipated length of hospital stay > 48 hours. In the case that a patient needs to be transferred and discharge is expected in < 48 hours, discharge planning (eg, PCP follow up, discharge education) should be in process.
A corrected age of 34 weeks if born at 32 weeks gestational age.
Infants born at 33 weeks gestational age that are deemed stable by the NBICU team and accepted by the ICN-3 Attending.
Questions/comments/updates? Please contact nurrea@salud.unm.edu.