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    Admission and Discharge Criteria Nicu

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    Bissy Abey
    The document outlines admission and discharge criteria for a neonatal intensive care unit. Babies should be cared for on the postnatal ward when possible. Admission criteria include birth weight, respiratory problems, tube feeding needs, and other criteria requiring closer monitoring. Discharge criteria include weight, corrected age, stability, feeding tolerance, and completion of screening tests.

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    Admission and Discharge Criteria Nicu

    Uploaded by

    Bissy Abey
    33 views3 pages
    The document outlines admission and discharge criteria for a neonatal intensive care unit. Babies should be cared for on the postnatal ward when possible. Admission criteria include birth weight, respiratory problems, tube feeding needs, and other criteria requiring closer monitoring. Discharge criteria include weight, corrected age, stability, feeding tolerance, and completion of screening tests.

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    ADMISSION AND DISCHARGE CRITERIA NICU

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    The document outlines admission and discharge criteria for a neonatal intensive care unit. Babies should be cared for on the postnatal ward when possible. Admission criteria include birth weight, respiratory problems, tube feeding needs, and other criteria requiring closer monitoring. Discharge criteria include weight, corrected age, stability, feeding tolerance, and completion of screening tests.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    33 views3 pages

    Admission and Discharge Criteria Nicu

    Uploaded by

    Bissy Abey
    The document outlines admission and discharge criteria for a neonatal intensive care unit. Babies should be cared for on the postnatal ward when possible. Admission criteria include birth weight, respiratory problems, tube feeding needs, and other criteria requiring closer monitoring. Discharge criteria include weight, corrected age, stability, feeding tolerance, and completion of screening tests.

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    © All Rights Reserved
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    of 3

    ADMISSION AND DISCHARGE CRITERIA -

    NICU
    1. Purpose: 1.1. To organize care of patients in the Neonatal Intensive Care Unit.

    1.2. To meet relevant Joint Commission International (JCI) and Department of


    Health standards.

    2. Policy: 2.1. Patients shall be admitted, or discharged according to clearly defined

    admission and discharge criteria.

    3. Scope: 3.1. All NICU staff, all Pediatric staff.

    4. Abbreviation: 4.1. NICU - Neonatal Intensive Care Unit.

    5. Procedure: 5.1. Babies wherever possible should be looked after on the postnatal ward with

    their mothers.
    5.2. The decision to admit a baby to the Neonatal Unit should be made by a
    Consultant Neonatologist; or a Neonatal Specialist under supervision of a
    Consultant Neonatologist.

    5.3. Admission criteria to the NICU:


    5.3.1. Birth Weight
    5.3.3. Newborns (<28 days corrected age) with any of the following:
     Respiratory problems a. requiring respiratory support of any kind
    including.
    oxygen, or b. persisting signs of respiratory distress requiring continuous
    monitoring not available on the postnatal ward, or apnoea or cyanotic
    episodes.

     Tube feeding.

     Intravenous fluids or medication that cannot be given on the ward.

     Indirect hyperbilirubinemia requiring intensive phototherapy or exchange


    transfusion level.

     Any baby needing closer monitoring or intervention not available on the


    ward.These babies should ideally be reviewed by a Neonatal Specialist
    or
    Consultant before admission.
    ADMISSION AND DISCHARGE CRITERIA -
    NICU
     Post-operative admission following elective surgery for ex-preterm
    infants
    (<37 weeks gestation at birth) who are less than 60 weeks corrected
    gestational age.
    5.4. Discharge Criteria from the NICU:
    5.4.1. Weight 1.8 kg or more.
    5.4.2. Corrected age ≥ 36 weeks for newborns less than one week old at the time
    of discharge.
    5.4.3. Corrected age > 34 weeks if stable for more than two weeks at the time of
    discharge.
    5.4.4. Neonate/infant is deemed stable, based on assessment and physical
    examination performed by a neonatologist within 24 hours prior to
    discharge.
    5.4.5. If more than two weeks old, showing a sustained pattern of weight gain for
    at least three days.
    5.4.6. If born prematurely <35 weeks, no apneas for at least 5 days.
    5.4.7. Maintain body temperature when fully clothed in a cot without additional
    heating.
    5.4.8. No respiratory stimulants given for at least 1 week.
    5.4.9. No supplemental oxygen required for at least 24 hours.
    5.4.10. Tolerating full enteral feeds. Exception is planned discharge with
    nasogastric or gastrostomy feeding.
    5.4.11. All appropriate newborn screening completed.
    5.4.12. All appropriate immunizations given, and if not, reasons documented
    within the patient file.
    5.4.13. Family readiness.

    6. Roles and Responsibilities:


    6.1. NICU Manager- monitor admissions and discharges for compliance with the
    Above criteria.
    ADMISSION AND DISCHARGE CRITERIA -
    NICU
    7. KPI (IF APPLICABLE)/ Monitoring Process: No specific KPIs
    8. References:
    8.1. Joint Commission International (JCI) 7th Edition 2021 - Standard – ACC.2.3
    8.2. Categories of Care (2011). A British Association of Perinatal Medicine (BAPM)
    Framework for Practice.
    8.3. Levels of Neonatal Care. The American Academy of Pediatrics. Committee on Fetus
    and Newborn; Pediatrics (2012) 130 (3): 587–597.
    8.4. The Oxford Handbook of Neonatology, 2nd Edition, Oxford University Press. G Fox
    N, Hoque, T Watts. June 2017.

    9. Related Forms and Documents: Nil


    10. Flow Chart / Table / Diagram (if applicable): Nil
    END OF DOCUMENT (DO NOT DELETE

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