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Newborn Nursery Doctor’s Treatment/Order Sheet Sutter Medical Center, Sacramento Patient Identification 00040 (11/17/08) ORDERS Authorization for therapeutic substitution is given unless checked here A Sutter Health Affiliate STAT MEDICATION SCANNED TO PHARMACY M.D. Signature _________________________________ Physician #________________ Office Ext/Phone _____________Private Line: ________ Date__________ Time__________ OTHER ADMISSION ORDERS: ____________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________ ROUTINE NURSERY CARE: On Admission/During Hospitalization A. Call exchange/M.D. upon admission of infant. Chart who/when notified. B. If cord pH <7.10, obtain ABG within 30 minutes after delivery. C. Obtain T(ax) PR, then T(ax) every 30 minutes until stable for 2 hours, then vital signs per unit protocol/standards. D. Monitor temperature per Protocol for Newborn: Thermoregulation. Notify M.D., if (R) > 38°C (100.5°F) or (R) < 36.3°C (97.4°F). E. Initiate Protocols: 1. Newborn: Care of AND if applicable, Newborn: Near Term Infant 2. Newborn: Glucose Intolerance: Actual or Potential. 3. Jaundice Screening and Management 4. Pain Management 5. Newborn Hearing Screening 6. Newborn Screening (State) F. On Rh negative or 0 + mother obtain group/type on infant’s cord blood.
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