Neonatal Guidelines

Section 1 - Resuscitation    Section 2 - Admission/Transfer/Retrieval    Section 3 - General Care    

Section 4 - Thermoregulation    Section 5 - Imaging    Section 6 - Family and Development Care    

Section 7 - Palliative Care and Death    Section 8 - Fluids and Nutrition   

Section 9 - Vascular Access    Section 10 - Infection    Section 11 - Respiratory    

Section 12 - Cardiovascular    Section 13 - Neurology    Section 14 - Haematology    

Section 15 - Metabolic and Endocrine    Section 16 - Surgical    

Section 17 - Other Neonatal Conditions   Section 18 - Empty    Section 19 - Medications    

Section 20 - PD's and PCP's    Section 21 - Newborn Services Guidelines 


Section 1 - Resuscitation

Neonatal Resuscitaires: Oxygen supply in John Hunter Hospital Operating Suite Procedure
NICU Notification/Resuscitation request by Birthing Unit/Operating Suite

Section 2 - Admission/Transfer/Retrieval

Admission of babies to NICU, HDU and SCN
Neonatal patients in ED, PICU and Paediatric Wards at JHCH and at home on Home Midwifery Service (HMS)
Transfer of care from Neonatal Intensive Care (NICU)

Section 3 - General Care

Aspeptic technique in NICU
Collaborative Nursing in NICU
Immune Supportive Oral Care (ISOC) for Neonates in NICU/SCN
Minimum standard of nursing care and assessment in NICU/HD/SCN
Monitoring of the infant in NICU
Probiotics in preterm infants
Clinical Handover in NICU
Pain - assessment and management of pain in the neonate
Skin care guidelines for babies in NICU

Section 4 - Thermoregulation

Giraffe incubator in NICU
Thermoregulation of the Neonate in NICU

Section 5 - Imaging

MRI - Preparation and transfer of infant in NICU

Section 6 - Family and Developmental Care

Developmental care principles in NICU
Kangaroo Care in NICU
Partnership in Care in NICU
Positioning for the preterm or sick neonate in NICU
Ward Tours in NICU

Section 7 - Palliative Care and Death

Dying baby in NICU

Section 8 - Fluids and Nutrition

Enteral feeding-initiation, progression and methods
Parenteral nutrition in NICU
Expressed breast milk-freezing, storage and checking
Immune Supportive Oral Care (ISOC) for Neonates in NICU/SCN

Section 9 - Vascular Access

Central venous catheter management in NICU (excluding PICC, UAC or UVC lines)
Extravasation of IV in NICU
Intraosseous needling in NICU
Intravenous (IV) cannulation and care in NICU
PICC line insertion and management in NICU
Umbilical lines in NICU

Section 10 - Infection

Conjunctivitis in the neonate
Immunisation of the Preterm Infant
Late Onset Sepsis in the Neonate

Section 11 - Respiratory

Apnoea and Bradycardia management in NICU
Continuous Positive Airway Pressure (CPAP) in NICU
Nasal cannula humidified flow in NICU
Neopuff IPPV through the Hudson Prong CPAP circuit in NICU
Nitric Oxide (iNO) Therapy in NICU for Persistent Pulmonary Hypertension of the Newborn
Pneumothorax in NICU
Surfactant Administration in NICU
Transcutaneous Oxygen/Carbon Dioxide Monitoring in NICU
Volume Targeted Ventilation in NICU

Section 12 - Cardiovascular

Patent Ductus Arteriosis (PDA) management in NICU
ECG Investigation in NICU
Cardiac Screening with Pulse Oximetry in NICU
Hypotension and poor circulation in neonates

Section 13 - Neurology 

EEG (amplitude integrated) monitoring in NICU
Neonatal Encephalopathy Management in NICU
Cooling for Hypoxic Ischemic Encephalopathy (HIE)

Section 14 - Haematology

Blood administration and blood products in NICU

Section 15 - Metabolic and Endocrine

Exchange Transfusion in NICU
Hypoglycaemia screening and management in NICU
Jaundice in the Neonate
Newborn screen test in NICU
Phototherapy in JHCH NICU and JHH Postnatal Wards
Thyroid Disorders in the Neonate

Section 16 - Surgical

Congenital Diaphragmatic Hernia Management in the NICU
Gastroschisis in the Neonate
Hypospadius in the Newborn (NICU/SCN)
Omphalocoele in the Neonate
Surgery-Preparation and Care of Infant in NICU

Section 17 - Other Neonatal Conditions

Cleft Lip and Palate Management
Epidermolysis Bullosa (EB) management in NICU
HIV exposed infant management
Retinopathy of Prematurity (ROP) - Screening for and management of in NICU

Section 18 - Empty

Section 19 - Medications

Adrenaline (Epinephrine) Bolus
Adrenaline (Epinephrine) Infusion
Adrenaline (Epinephrine) Nebulised
Alprostadil (Prostin) Drug Protocol
Amethocaine (Tetracaine) Drug Protocol
Amoxicillin (Amoxycillin)
Ampicillin Drug Protocol
Azithromycin (NICU) Drug Protocol
Beractant Drug Protocol
Caffeine Drug Protocol
Calcium Carbonate Drug Protocol
Calcium Chloride Drug Protocol
Cefazolin Drug Protocol
Cefotaxime Drug Protocol
Ceftazidime Drug Protocol
Cephalexin Drug Guideline
Colecalciferol/Cholecalciferol (Vitmain D3)
Cotrimoxazole (NICU) Drug Protocol
Curosurf Drug Protocol
Cycolpentolate Drug Protocol
Dexamethosone Drug Protocol
Dobutamine Drug Protocol
Dopamine (NICU) Drug Protocol
Fentanyl Drug Protocol
Ferrous Sulphate Drug Protocol
Flucloxacillin Drug Guideline
Fluconazole Drug Protocol
FM85 - Breast Milk Fortifier Drug Protocol
Folic acid
Furosemide (Frusemide) Drug Protocol
Gentamicin Drug Guideline
Glucagon Drug Guideline
Heparin Drug Guideline
Hepatitis B Immune Globulin Drug Protocol
Hepatitis B Vaccination Drug Protocol
Hyalronidase Drug Protocol
Hydrochlorothiazide Drug Protocol
Hydrocortisone Drug Protocol
Ibuprofen Drug Protocol
Imipenem Drug Protocol
Indomethacin Drug Protocol
Infanrix - Hexa Drug Protocol
Insulin Drug Protocol
Intragram Drug Protocol
Isoprenaline infusion
Lignocaine Drug Protocol
Meropenem Drug Protocol
Metronidazole Drug Protocol
Midazolam Drug Guideline
Milrinone Drug Protocol
Morphine Drug Protocol
Mupirocin Drug Protocol
Naloxone Drug Protocol
Noradrenaline (Norepinephrine) Drug Protocol
Omeprazole Drug Protocol
Paracetamol IV (Perfalgan) Drug Protocol
Penicillin (Benzyl Penicillin) Drug Guideline
Pentavite Drug Protocol
Phenobarbitone Drug Protocol
Phentolamine Drug Protocol
Phenylephrine HCL Drug Protocol
Phenytoin (Dilantin) Drug Protocol
Phosphate Drug Guideline
Piperacillin + Tazobactam Drug Protocol
Pneumococcal vaccine - Prevenar 13
Poractant alpha Drug Protocol
Potassium Acetate Drug Protocol
Prostin Drug Guideline
Ranitidine Drug Protocol
Rotavirus Vaccination Drug Protocol
Sildenafil Drug Protocol
Sodium Acetate Drug Protocol
Sodium Bicarbonate Drug Protocol
Sodium Chloride Drug Protocol
Sotalol Drug Protocol
Spironolactone Drug Protocol
Sucrose Solution 24% Drug Protocol
Teicoplanin Drug Guideline
Timolol maleate - Topical
Ursodeoxycholic Acid
Vancomycin Drug Guideline
Vecuronium Drug Protocol
Vitamin K (Phytomenadione) Drug Protocol

Section 20 - PD's and PCP's

Blood products administration for neonatal and paediatric patients - PCP
Bloodspot Screening for Newborns - PD
Breast Milk: Safe Management - PD
Clinical Care and Resuscitation of the Newborn Infant - PD
Neonatal Abstinence Syndrome Guidelines - PD
Neonatal Exchange Transfusions in NSW Guideline
Neonatal Minimisation of Early Onset of Group B Streptococcal (EOGBS) Infection - PD
Newborn Infants: Safe Oxygen Administration - PD
Pain Management: Procedure related pain in neonates - PD
Respiratory Maladaption to birth in newborn infants: Observation and Management - PD
Whole Body Cooling: Neonates with suspected moderate or severe Hypoxic Ischaemic Encephalopathy

Section 21 - Newborn Services Guidelines

Resuscitation of the Newborn Infant
Neonatal Abstinence Syndrome (NAS) Management