Fever and Sepsis Evaluation in the Infant (Ages 29-60 days) Clinical Pathway Fever is a common reason for visits to the Emergency Department (ED) and for admission to the hospital. Nationally, there are 500,000 ED visits annually for children ≤ 60 days of age with fever. Though most febrile illnesses in infants less than 90 days of age are caused by viral
Nasogastric Tube Discharge Home Clinical Pathway Factors that may contribute to extended hospital stays for premature infants include inability to feed fully by mouth and differences in approaches for discharge home with partial nasogastric (NG) feeds across hospital subspecialties. Once discharged, these families may
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Partnering for Family Support: Connecticut Newborn Screening Network and Alexion Charitable Foundation By Debra Ellis, NBS, RN: The Connecticut Newborn Screening Network (the Network), a program within the Office for Community Child Health , provides crucial support to families of infants who receive out-of-range newborn screening (NBS) results. Our goal is to ensure that every family—regardless of their
Fever and Sepsis Evaluation in the Neonate (0-28 days) Clinical Pathway Neonates presenting with fever are at high risk of having and/or developing a serious bacterial infection. In addition, neonates can present with extensive HSV disease. Early identification and management is critical for improved outcomes. The AAP released a new clinical practice
Gastroenteritis and Dehydration Clinical Pathway Acute gastroenteritis in children is most commonly caused by viral pathogens, accounting for 1.7 million Emergency Department visits and 200,000 hospitalizations annually. Complications of gastroenteritis, include dehydration and/or electrolyte abnormalities and acid base
Hemangioma Management Clinical Pathway Infantile hemangiomas are common benign tumors that can cause significant complications such as permanent disfigurement, ulceration, bleeding, visual compromise, airway obstruction, and congestive heart failure. They affect up to 2-5% of all infants and up to 30% of premature
High Flow Nasal Cannula Use in Patients Outside of the Intensive Care Unit Clinical Pathway High flow systems are designed to heat and humidify gas mixtures for safe delivery at flow rates that meet or exceed a patient’s inspiratory flow demands, thereby decreasing work of breathing in the setting of respiratory illness. In addition to the benefits of avoiding more
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Is Your Baby on Track for Motor Milestones? If They’re Under 6 Months Old, Here’s How to Help By Kim Hrapchak, PT, MSPT: Babies are changing by the day, and every new “motor milestone” is a thrill – like the first time they hold a toy, roll, sit up alone, and crawl. These milestones depend on lots of factors, including some that aren’t under anyone’s control. But there are a few ways to help your
HIV Non-Occupational Post-Exposure Prophylaxis (nPEP) Following Sexual or High-Risk Encounter Clinical Pathway It is essential that patients who are exposed to Human Immunodeficiency Virus (HIV) receive prompt and appropriate antiretroviral therapy to decrease the risk of becoming infected with the virus and developing Acquired Immunodeficiency Syndrome (AIDS). In 2016, the Centers for
Hyperbilirubinemia in the Neonate Clinical Pathway Neonatal jaundice is a common diagnosis in pediatrics. In 2004 the AAP released guidelines for care of infants >/= 35 weeks gestation with hyperbilirubinemia in order to avoid severe hyperbilirubinemia and bilirubin encephalopathy. This Clinical Practice Guideline was updated in
Intestinal Failure and Central Venous Catheter (CVC) Patient with Fever Clinical Pathway Patients with Intestinal Failure (IF) often require central venous catheter (CVCs) for extended periods of time used for administration of parenteral nutrition (PN), which is required to maintain adequate growth and hydration. This puts them at a risk of recurrent central-line