UNIVERSITY OF FLORIDA



COLLEGE OF NURSING

COURSE SYLLABUS

Fall 2012

COURSE NUMBER NGR 6320C section 7740

COURSE TITLE Neonatal Care I

CREDITS 2 (1 credit didactic, 1 credit laboratory)

PLACEMENT First Course in Neonatal Care Track

PRE/Co-REQUISITE NGR 6101: Theory and Research for Nursing

NGR 6020C: Advanced Neonatal Health Assessment

and Diagnostic Reasoning

NGR 6140: Physiology and Pathophysiology for Advanced

Nursing Practice

NGR 6636: Health Promotion and Role Development

in Advanced Practice Nursing

FACULTY

| | | | |

|Jacqui Hoffman, DNP, NNP-BC | |Cell (727) 709 9211 |Office hours: Virtual on Adobe |

|hoffmanjm@ufl.edu | | |Connect, Tues. 1:00–2:00 PM; |

| | | |additional hours by appt |

| | | | |

| | | |Thurs., 10:00 – 12:00 |

| | | |Virtual on Adobe Connect, Tues., |

|Leslie A. Parker, PhD, NNP-BC parkela@ufl.edu |HPNP 2227 |(352) 273-6384 |1:00-1:30 |

| | |Beeper#: | |

| | |(352) 413-3212 |Available by appt |

| | |Cell (352) 215 9360 | |

|Julie Schultz, MSN, NNP-BC | | | |

|juliesch@ufl.edu | |Cell: 954 260 0071 | |

| | | | |

|DEPARTMENT CHAIR | | | |

|Susan Schaffer, PhD, ARNP-BC |HPNP 2229 |Office 352-273-6366 |Available by appt |

|Department Chair | | | |

|sdschaf@ufl.edu | | | |

|Gainesville Campus | | | |

| | | | |

| | | | |

| | | | |

|CAMPUS DIRECTOR JAX | | | |

|Andrea Gregg, DSN, RN |JAX |Office: 904-244-5172 |Available by appt |

|Associate Professor |LRC, 3rd Floor|Fax: 352-273-6568 | |

|greggac@nursing.ufl.edu | | | |

|Jacksonville Campus | | | |

COURSE DESCRIPTION The purpose of this course is to provide advanced study of

neonatal intensive care nursing for low risk term and preterm neonates. Emphasis will be on

fetal growth and development, neonatal nursing care, and the role of the neonatal nurse

practitioner in low risk neonatal care.

COURSE OBJECTIVES Upon completion of this course, the student will be able to:

1. Analyze the genetic and environmental variables associated with congenital defects and/or spontaneous abortion.

2. Integrate theory and current research findings pertaining to fetal and neonatal physiology and pathophysiology, perinatal development, low risk term and preterm neonates and families, and therapeutic approaches for the management of neonatal health problems.

3. Direct the care of low risk term and preterm neonates, in collaboration with other members of the health care term.

4. Provide care to low risk term and preterm neonates in neonatal intensive care settings.

5. Analyze the influence of ethical, legal, political, economic, and sociocultural factors on the provision of care to neonates and their families.

COURSE SCHEDULE

|    |Day |Time |Room |

|Class |On-line |First class will be on Wednesday, August 22nd with the remaining classes on Tuesdays from |

| | |Noon - 1 PM on Adobe Connect. On Neo I exam dates, class will be Tuesday afternoons from |

| | |3-4 PM. |

| | | |

| | |Neo I Exams 9-11AM (see below for dates) – Proctor U |

Clinicals: TBA

E-Learning in Sakai is the course management system that you will use for this course. E-Learning in Sakai is accessed by using your Gatorlink account name and password at . There are several tutorials and student help links on the E-Learning login site. If you have technical questions call the UF Computer Help Desk at 352-392-HELP or send email to helpdesk@ufl.edu.

It is important that you regularly check your Gatorlink account email for College and University wide information and the course E-Learning site for announcements and notifications.

Course websites are generally made available on the Friday before the first day of classes.

ATTENDANCE

Students may be expected to attend on-campus or synchronous classes periodically. Students are expected to participate in the activities and discussions as listed in the course syllabus and on the course web-site. A grade penalty may be assigned for late assignments, including tests. Timeframes for the posting and receiving of materials are listed in the course materials on the course web-site. Make-up exams may not be available in all courses.

This course will use one of UF’s web hosted collaborative software applications (Adobe

Connect and or Voice Thread) for lecture presentation and or assignments.  These collaborative applications have the functionality of recording your text, audio and or video comments.   If you do not want to be recorded please notify assigned faculty member prior to the first class.  You do not need to provide a photo or use the video comment option, this is your choice.  The recordings are accessed through web links provided by your faculty member and should not be share with anyone not enrolled in the course. The recordings are available to the class during the semester.  The recordings will not be used in another course.

Students are expected to be present for all scheduled clinical practice experiences and seminars. Students who have extraordinary circumstances preventing attendance should explain these circumstances to the course faculty member prior to the scheduled clinical practice experience or seminar. Instructors will then make an effort to accommodate reasonable requests. A grade penalty may be assigned for unexcused seminar or clinical absences. The faculty member will advise the method of notification for absences to the clinical site e.g. phone, email, and notification of facility.

Graduate students are required to submit a written calendar of planned clinical practice dates and times to the course faculty member prior to beginning the clinical rotation. Any changes to the calendar (dates and times) must be submitted in writing to the course faculty member before the change is planned to occur. Clinical hours accrued without prior knowledge of the faculty member will not be counted toward the total number of clinical hours required for the course.

ACCOMMODATIONS DUE TO DISABILITY

Each semester, students are responsible for requesting a memorandum from the Disability Resource Center to notify faculty of their requested individual accommodations. This should be done at the start of the semester.

COUNSELING AND STUDENT HEALTH

Students may occasionally have personal issues that arise on the course of pursuing higher education or that may interfere with their academic performance. If you find yourself facing problems affecting your coursework, you are encouraged to talk with an instructor and to seek confidential assistance at the University of Florida Counseling Center, 352-392-1575, or Student Mental Health Services, 352-392-1171. Visit their web sites for more information: or

STUDENT HANDBOOK

Students are to refer to the College of Nursing Student Handbook for information about College of Nursing policies, honor code, and professional behavior. Of particular importance for this course are the sections on appearance in clinical practice areas, personal liability insurance, and student safety.

TOPICAL OUTLINE

1. Patterns of embryological and fetal growth and development and the genetic and environmental variables which influence those patterns (Obj.# 2,3,4)

2. Health maintenance and anticipatory care of the low risk term and preterm neonate, pharmacologic and nutritional variations related to those clients (Obj.# 4,5,6)

3. Intrapartal adaption from intrauterine fetal physiology, resuscitation measures at time of delivery (Obj.# 1,4,5)

4. The perinatal family and their adaptation to the crisis of the birth and possible hospitalization of a healthy neonate (Obj.# 4,5)

5. Immunological factors related to the neonate, neonatal sepsis, antibiotic therapy, and infection control in neonatal care units (Obj.# 1,2,4,5)

TEACHING METHODS

Lecture, discussion, case studies and case presentations, faculty supervised clinical practice, written materials, computer assisted instruction and audiovisual materials, and individual conferences.

LEARNING ACTIVITIES

Case studies and case presentations, discussions, exams, faculty supervised clinical practice

EVALUATION

Minimum Required Contact Hours: 48

Clinical experience will be evaluated through faculty observation, verbal communication with the student, written work, and agency staff reports using a College of Nursing Clinical Evaluation Form. Faculty reserve the right to alter clinical experiences, including removal from client care areas, of any student to maintain patient safety and to provide instructional experiences to support student learning.

Logs

A weekly log is expected and is due each Friday by 5:00pm in which you arei n the clinical setting. This log should include:

a. A short description of your patients

b. What care you provided each patient

c. Procedures

d. Ethical dilemmas (if any were encountered)

e. Problems with staff, preceptor, faculty

f. Problems which may need discussion with faculty preceptor

g. Goals for next week

Assigned clinical faculty will respond to each log on the Sakai web site. It is expected that you respond via Sakai E-mail to all Questions. Failure to complete logs in a timely manner may result in an unsatisfactory Clinical evaluation.

The student’s attendance sheet must be completed and returned prior to ALL scheduled final evaluations.

All clinical experiences need to be scheduled through your clinical instructor. If you schedule clinical on an unauthorized day, you will not receive credit for those hours.

Clinical evaluation will be based on achievement of course and program objectives using a College of Nursing Clinical Evaluation Form. All areas are to be rated. A rating of Satisfactory represents satisfactory performance and a rating of Unsatisfactory represents unsatisfactory performance. The student must achieve a rating of Satisfactory in each area by completion of the semester in order to achieve a passing grade for the course. A rating of less than satisfactory in any of the areas at semester end will constitute a course grade of E. Regardless of the classroom grade, the student receiving an Unsatisfactory evaluation in the clinical component of the course will be assigned a course grade of E or U.

The faculty member will hold evaluation conferences with the student and clinical preceptor, if applicable, at each site visit. The faculty member will document or summarize each conference on the Clinical Evaluation Form or Incidental Advisement Record. This summary will be signed by the faculty member and student. Mid-rotation evaluation conferences will be made available to each student. Final evaluation conferences with the faculty member are mandatory and will be held during the last week of each semester. A student may request additional conferences at any time by contacting the faculty member.

Students enrolled in advanced practice courses with a clinical component will use Clinical Experience Form F to document clinical experience including hours, practice location and preceptor for their personal records. Students also assess their learning experiences using Clinical Site Assessment Form G. Completed Form G is collected by the faculty member and submitted to the Coordinator of Clinical Resources at the College. At the end of the clinical experience the student completes a self-evaluation and the faculty member completes a student evaluation using the College of Nursing Clinical Evaluation Form.

Course work will be evaluated by written examinations and written assignments. Clinical performance will be graded on satisfactory/unsatisfactory basis. Students must achieve a satisfactory grade in the clinical area in order to successfully complete the course.

Didactic evaluation will be through written examinations and written assignments.

|Test I |25% |October 2nd 9:00-11:00 AM |

|Test II |25% |October 30th 9:00-11:00 AM |

|Test III |25% |December 11th 9:00-11:00 AM |

|Case Studies (5) |20% |See page 7 for criteria |

|Class Participation |5% |See page 7for criteria |

All graded assignments will be graded and returned to the student within 2 weeks of submission

ProctorU:

The College of Nursing utilizes ProctorU, a live proctoring service, for major examinations in graduate web-based online courses to ensure a secure testing environment.   Students must sign in to ProctorU at least 30 minutes prior to the scheduled time for each exam in order to authenticate their identity and connect with the live proctor. Students authenticate their identity and are remotely monitored by a trained employee of ProctorU. 

o Major course examinations will be administered via ProctorU, a live proctoring service, to ensure a secure testing environment.

o Each student computer must be in compliance with Policy S1.04, Student Computer Policy and must contain a web cam, microphone, and speakers.

o Each examination will cost $22.50 per exam.

o Students go to the website and click on “How To Get Started”. This will permit students to create an account and test out their system.

o Once an instructor makes an exam available, students go online to ProctorU to schedule and pay for the exam session. Students must provide a valid email address and phone number where they can be reached during an exam.

o CON IT Support office will oversee this process and provide technical assistance.

All tests will be graded and returned to the student within 2 weeks.

CRITERIA FOR CLASS PARTICIPATION

You are required to read all entries on the discussion board. In addition, a minimum of four (4) entries per week will need to be placed on the discussion board; this may include submitting new items for discussion or to discuss an issue already introduced. This is a required aspect of the class participation grade and counts towards 5% of grade. Discussions should be submitted weekly; points will not be awarded for discussions submitted all at one time.

CRITERIA FOR CASE STUDIES

2. Case Studies

There will be five (5) case study assignments, each worth 4% of your grade, which you will be required to analyze. These will be distributed these via e-mail on the following dates: August 27th, September 10th , September 24th, October 8th, October 29th and November 19th. You will have 2 weeks to complete. Failure to submit by due date will require in 5 points lost per day for the assignment. This is a clinical tool; therefore, there is no need for APA format. Please answer the questions as if you were the NNP caring for the patient. Each student will return this assignment for feedback from the instructor. The student will then incorporate this feedback into the case study. This process will continue until the case study is in an acceptable format.

3. The student’s attendance sheet must be completed and returned prior to ALL scheduled evaluations.

4. All clinical experiences need to be scheduled through your clinical instructor. If you schedule clinical on an unauthorized day, you will not receive credit for those hours.

GRADING SCALE

A 95-100 (4.0) C 74-79* (2.0)

A- 93-94 (3.67) C- 72-73 (1.67)

B+ 91- 92 (3.33) D+ 70-71 (1.33)

B 84-90 (3.0) D 64-69 (1.0)

B- 82-83 (2.67) D- 62-63 (0.67)

C+ 80-81 (2.33) E 61 or below (0.0)

* 74 is the minimal passing grade

For more information on grades and grading policies, please refer to University’s grading policies:

Graduate:

REQUIRED TEXTS

Blackburn, S. (2012). Maternal, Fetal, & Neonatal Physiology (4th ed.). Elsevier. ISBN - 9781437716238.

Kenner, C. & Lott J.W. (2007). Comprehensive Neonatal Care. (5th ed). Elsevier.

ISBN:978-1-4160-2942-7

Gomella, T. L., Cunningham, M.D., & Eyal, F.G. (2009). Neonatology management, procedures, on call problems, diseases and drugs. McGraw-Hill Medical. ISBN: 9780071544313.

Moore, K. & Persaud, T. (2011). The Developing Human: Clinically oriented embryology (9th ed.). Elsevier. ISBN - 9781437720020.

WEEKLY CLASS SCHEDULE

|Date |Topic |Reading/ Online Lectures |

|August 14th and 15th |Orientation | |

|Drs. Parker and Hoffman |Procedure lab | |

| | | |

| | | |

|Week 1-3 |THE PREGNANCY AT RISK: Perinatal Risk |Gomella. Chapters 1, 85, 87, 124. |

|Wed, August 22nd |Factors, Evaluation of Fetal Maturity and |Kenner and Lott Chapter 37 |

|Tues, August 28th |Well-Being, Fetal Distress, Intrauterine |Moore: Chapters 1 and 2 |

|Tues, Sept 4th |Resuscitation, Congenital Infections | |

|Dr. Hoffman | |Askin, D.F. (2004). Intrauterine infections. |

| |Human Development: The beginnings of human |Neonatal Network. 23(5). 23-30. |

| |development: The first week |DeVries, J. (2007). The ABCs of CMV. Advanced in |

| | |Neonatal Care, 7: 248-255. |

| | |Folett, T. & Clarke, D. (2011). Resurgence of |

| | |congenital syphilis: Diagnosis and treatment. Neonatal|

| | |Network, 30: 320-328. |

| | |Gantert, M., Been, J., Gavilanes, A., et al. (2010). |

| | |Chorioamnionitis: A multiorgan disease of the fetus? |

| | |Journal of Perinatology, 30: S21-30. |

| | |Lam, N., Gotsch, P. & Langan, R. (2010). Caring for |

| | |pregnant women and newborns with hepatitis B or C. |

| | |American Family Physician, 82: 1225-1228. |

| | |Lombardi, G., Garofoli, F., & Stromati, M. (2010). |

| | |Congenital cytomegalovirus infection: Treatment, |

| | |sequelae and follow-up. The Journal of Maternal-Fetal |

| | |and Neonatal Medicine, 23: 45-48. |

| | | |

| | |Supplemental Readings: |

| | |Bailao, L., Osborne, N., Rizzi, M., et al. (2005). |

| | |Ultrasound markers of fetal infection Part 1: Viral |

| | |infections. Ultrasound Quarterly, 21: 295-308. |

| | |Bailao, L., Osborne, N., Rizzi, M., et al. (2005). |

| | |Ultrasound markers of fetal infection Part 2: |

| | |Bacterial, parasitic, and fungal infections. |

| | |Ultrasound Quarterly, 22: 137-151. |

| | |Chang, M.H. (2007). Hepatitis B virus infection. |

| | |Seminars in Fetal and Neonatal Medicine. 12(3), |

| | |160-167. |

| | |Walker (2007). Congenital syphilis: a continuing but |

| | |neglected problem. Seminars in fetal and neonatal |

| | |medicine, 12(3), 198-206. |

|Week 4-6 |NEONATAL SEPSIS: Risk Factors, Immune |Gomella. Chapter 61 |

|Sept 11th, 18th, and 25th |Response, Early and Late Onset, Infection |Kenner and Lott Chapter 9 |

|Dr. Hoffman |Control in NICUs |Moore Chapter 3 |

| | | |

| |Human Development: Formation of the |Baker, C., Byington, C. & Polin, R. (2011). Policy |

| |bilaminar embryonic disc and chorionic sac: |statement – Recommendations for the prevention of |

| |The second wk |perinatal group B streptococcal (GBS) disease. |

| | |Pediatrics, 128:611-615. |

| | |Enright, A. M. & Prober, C. G. (2002). Neonatal herpes|

| | |infection: Diagnosis, treatment & prevention. |

| | |Seminars in neonatology 7, 283-291. |

| | |Garcia, R., Vonderheid, S., McFarlin, B., et al. |

| | |(2011). Cost and health outcomes associated with |

| | |mandatory MRSA screening in a special care nursery. |

| | |Advanced in Neonatal Care, 11: 200-207. |

| | |Kane, E. & Bretz, G. (2011). Reduction in |

| | |coagulase-negative staphylococcus infection rates in |

| | |the NICU using evidence-based research. Neonatal |

| | |Network, 30: 165-174. |

| | |Newby, J. (2008). Nosocomial infection in neonates: |

| | |inevitable or preventable? Journal of Perinatal |

| | |Neonatal Nursing, 22: 221-227. |

| | |Payne, N., Barry, J., Berg, W., et al. (2011). |

| | |Sustained reduction in neonatal nosocomial infections |

| | |through quality improvement efforts. Pediatrics, 129: |

| | |e165-e173. |

| | |Polin, R. and the Committee on Fetus and Newborn. |

| | |(2012). Management of neonates with suspected or |

| | |proven early-onset bacterial sepsis. Pediatrics, 129: |

| | |1006-1015. |

| | |Scheans, P. (2010). Is your nursery full of MDROs? |

| | |Neonatal Network, 29: 392-395. |

| | | |

| | |Supplemental Readings: |

| | |Clark, R., Powers, R., White, R. et al. (2004). |

| | |Prevention and treatment of nosocomial sepsis in the |

| | |NICU. Journal of Perinatology, 24, 446-453. |

| | |Kelley, C. (2010). A fatal case of neonatal adenovirus|

| | |infection. Neonatal Network, 29: 297-306. |

| | |Norris, S., Barnes, A., & Roberts, T. (2009). When |

| | |ventilator-associated pneumonias haunt your NICU – One|

| | |unit’s story. Neonatal Network, 28: 59-66. |

| | |Puopolo, K., Draper, D., Newman, T. et al. (2011). |

| | |Estimating the probability of neonatal early-onset |

| | |infections on the basis of maternal risk factors. |

| | |Pediatrics, 128: e1155-e1163. |

| | |Zhang, J., Lee, B., & Chen, C. (2011). Gram-negative |

| | |neonatal osteomyelitis: Two case reports. Neonatal |

| | |Network, 30: 81-87. |

|Week 7,8,10 |MANAGEMENT OF RESPIRATORY PROBLEMS I: |Gomella. Chapters 6, 9, and 67 |

|Oct 2nd, 9th, 23rd |Respiratory Function; Problem |Kenner and Lott. Chapter 1 |

|Dr. Parker |Identification, Management, and Evaluation; |Moore. Chapter 4 |

| |Respiratory Distress Syndrome; Meconium | |

| |Aspiration; TTN; Airleaks. |Aly, H. (2004). Respiratory Disorders in the Newborn: |

| | |Identification and Diagnosis. Pediatr. Rev. 25, |

| | |201-208. |

| |Human Development: Formation of germ layers |Donn, S. & Dalton, J. (2009). Surfactant replacement |

| |and early tissue and organ differentiation: |therapy in the neonate: Beyond respiratory distress |

| |The third week |syndrome. Respiratory Care, 54: 1203-1208. |

| | |Hermansen, C. & Lorah, K. (2007). Respiratory distress|

| | |in the newborn. American Family Physician, 76: 987-94.|

| | |Kirby C. & Trotter, C. (2005). Pneumothorax in the |

| | |neonate: Assessment and diagnosis. Neonatal Network, |

| | |24(5): 49-55. |

| | |Mordue, B. (2005). A case report of the transport of |

| | |an infant with a tension pneumopericardium. Advances |

| | |in Neonatal Care, 5(4): 190-200. |

| | |Wiedemann, J., Saugstad, A., Barnes-Powell, L., & |

| | |Duran, K. (2008). Meconium aspiration syndrome. |

| | |Neonatal Network, 27(2), 81-7. |

| | | |

| | |Supplemental Readings: |

| | |Peterson, S. (2009). Understanding the sequence of |

| | |pulmonary injury in the extremely low birth weight, |

| | |surfactant-deficient infant. Neonatal Network, 28(4): |

| | |221-229. |

| | |Wirbelauer, J. & Speer, C. (2009). The role of |

| | |surfactant in preterm infants and term newborns with |

| | |acute respiratory distress syndrome. Journal of |

| | |Perinatology, 29: S18-S22. |

|Week 9 |No Class: Work on Case studies |FANNP Conference |

|October 16th | | |

|Week 11, 12, 13 |PERINATAL ADAPTATION: Delivery Room |Kenner and Lott. Chapter 38 |

|Oct 30th, Nov 6th and 13th |Resuscitation, Transition to Extrauterine |Gomella. Chapter 2 |

|Dr. Parker |Life. |Moore Chapter 5 |

| | | |

| |Human Development: The organogenic period |Askin, D. (2009). Fetal-to-neonatal transition – what |

| | |is normal and what is not? Part 1: The physiology of |

| | |transition. Neonatal Network, 28(3): e33-e36. |

| | |Askin, D. (2009). Fetal-to-neonatal transition – what |

| | |is normal and what is not? Part 2: Red flags. Neonatal|

| | |Network, e37-e40. |

| | |Bradshaw, W. & Furdon, S. (2006). A nurse’s guide to |

| | |early detection of UVC catheter complications in |

| | |infants. Advances in Neonatal Care, 6(3), 127-138. |

| | |Davis, P. & Dawson, J. (2012). New concepts in |

| | |neonatal resuscitation. Current Opinion in Pediatrics,|

| | |24(2): 147-53. |

| | |Mavrogenis, A., Mitsiokapa, E., Kanellopoulos, A., et |

| | |al. (2011). Birth fracture of the clavicle. Advances |

| | |in Neonatal Care, 11(5): 328-331. |

| | |Raghuveer, T. & Cox, A. (2011). Neonatal |

| | |resuscitation: An update. American Family Physician, |

| | |83(8): 911-918. |

| | |Rubarth, L. (2012). The Apgar score: Simple yet |

| | |complex. Neonatal Network, 31(3): 169-176. |

| | |Synder, T., Walker, W., & Clark, R. (2010). |

| | |Establishing gas exchange and improving oxygenation in|

| | |the delivery room management of the lung. Advances in |

| | |Neonatal Care, 10(5): 256-260. |

| | | |

| | |Supplemental Readings: |

| | |AAP. The APGAR score. Advances in Neonatal Care. 6(4)|

| | |220-223. |

| | |Sansoucie, D. (1997). Transition from fetal to |

| | |extrauterine circulation. Neonatal Network, 16(2), |

| | |5-12. |

|Week 14, 15, 16 |PROBLEMS OF IMMATURITY: Nutritional |Gomella. Chapters 7, 8, 10. |

|Nov 20th, 27th, Dec 4th |Support, Health Maintenance, Apnea, PDA. |Kenner and Lott Chapter 15 |

|Dr. Hoffman | | |

| | |Chow, J.M. & Douglas, D. (2008). Fluid and |

| | |electrolyte management in the premature infant, |

| | |Neonatal Network, 27(6), 379-385. |

| | |Stokowski, L.A. (2005). A primer on apnea of |

| | |prematurity. Advances in Neonatal Care. 5(3), |

| | |155-170. |

| | |Hamrick, S. & Hansmann, G. (2010). Patent ductus |

| | |arteriosus of the preterm infant. Pediatrics, 125: |

| | |1020-1028. |

| | |Hantroll, G. (2003). Basic principles and practical |

| | |steps in the management of fluid balance in |

| | |the newborn. Seminars in neonatology, 8, 307-313 |

| | |Lorch, S., Srinivasan, L., & Escobar, G. (2011). |

| | |Epidemiology of apnea and bradycardia resolution in |

| | |preterm infants. Pediatrics, 128: e366-e373. |

| | |Morgan, C. (2011). Optimising parenteral nutrition for|

| | |the very preterm infant. Infant, 7: 42-6. |

| | |Mulholland, P. & Patel, A. (2010). Electrolyte and |

| | |neonatal parenteral nutrition. Infant, 6: 159-61. |

| | |National Association of Neonatal Nurses. (2011). NANN |

| | |Position statement 3052: The use of human milk and |

| | |breastfeeding in the neonatal intensive care unit. |

| | |Advanced in Neonatal Care, 12: 56-60. |

| | |Noori, S. (2012). Pros and cons of patent ductus |

| | |arteriosus ligation: Hemodynamic changes and other |

| | |morbidities after patent ductus arteriosus ligation. |

| | |Seminars in Perinatology, 36: 139-145. |

| | |Taylor, S., Kiger, J., Finch, C., & Bizal, D. (2010). |

| | |Fluid, electrolytes, and nutrition. Advanced in |

| | |Neonatal Care, 10: 248-255. |

| | | |

| | |Supplemental Readings: |

| | |Evans, N. (2003). Current controversies in the |

| | |diagnosis and treatment of patent ductus arteriosus in|

| | |preterm infants. Advances in Neonatal Care. 2003, |

| | |3(4):168-77. |

| | |Kuzma-O’reilly (2003). Evaluation, development and |

| | |implementation of potentially better practices in |

| | |neonatal intensive care nutrition. Pediatrics, |

| | |111(4). E461-E470. |

|Week 17 |Finals week | |

|Week of Dec 10th | | |

Student Attendance Sheet

Name:

| | | | | | | |

| |Hours in |# of |# of moderately ill|# of |# of convalescing | |

| |Clinical |Critically |infants |Stable Patients|infants |Preceptor |

|Date |Unit |Ill Patients | | | |Signature |

| | | | | | | |

| | | | | | | |

| | | | | | | |

| | | | | | | |

| | | | | | | |

| | | | | | | |

| | | | | | | |

| | | | | | | |

| | | | | | | |

| | | | | | | |

| | | | | | | |

| | | | | | | |

| | | | | | | |

| | | | | | | |

| | | | | | | |

| | | | | | | |

| | | | | | | |

| | | | | | | |

Definitions for types of patients cared for

1. Convalescing infant: An infant requiring minimal care. Examples: infants on full feedings, newborn infants, full term infants on antibiotic therapy, late preterm infants working on po feedings, stable infants with uncomplicated hyperbilirubinemia

2. Stable infants: An infant requiring critical care but is stable. Examples: Infants on nasal cannula, infants on nasal cannula and TPN.

3. Moderately ill infants: An infant requiring significant amounts of critical care: post op infants, infants admitted with significant illness. Examples: infants on CPAP, infants on stable vent settings

4. Critically ill infants: An infant requiring extensive care. Examples: infants on ventilators requiring frequent vent changes, infants on pressor support, infants with rapidly changing clinical status

Procedure Log

|Procedure |Date/preceptor initial |

|Intubation | |

| | |

|UAC placement | |

| | |

|UVC placement | |

| | |

|CT insertion | |

| | |

|Needle aspiration of pneumothorax | |

| | |

|Suprapubic bladder aspiration | |

| | |

|Delivery room attendance | |

| | |

|PICC line placement | |

| | |

|Lumbar puncture | |

| | |

|PAL placement | |

| | |

|Arterial blood draw | |

| | |

[pic]

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download