Nursery

• No admit dictations are required for babies born here on this admission, but they are required when a newborn is transferred to SMC.

• Discharge summaries are required if babies stay in the hospital for >48 hours (this frequently occurs if C-sec or GBS+).

• For morning report include date and time of delivery, gestational age, APGARs, weight, & any problems/defects (meconium, + GBS, vacuum use).

• A CBC on the baby is needed on the day following delivery if vacuum assist was required, to rule out significant bleeding secondary to birth trauma.

• If you fill out the white newborn or discharge exam sheet for the day & the baby's doing well, then you do not have to write a progress note that day.

• Get consent yourself for circumcision, if it is wanted, even if nurses have already done it. The attending will supervise. Remember to record for personal procedure log.   Most attendings and residents use GOMCO clamp for circ.  

• All preemie boarder babies require an admission & discharge dictation. Direct the transcriptionist to send a d/c dictation to the PCP.

• Caloric requirements for preemie boarder babies: Divide total # of cc intake in 24hrs by 30 to get # of oz. Multiply that by kcal/oz of formula. Divide this by baby's wt. in kg. Baby should be getting at least 110-120 kcal/kg/d.