Newborn Clinical Network
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Purpose of the Network
The purpose of the New Zealand Child & Youth Newborn Clinical Network (the Network) is to establish a national multi-disciplinary network that will support clinicians working across primary, secondary and tertiary services to deliver high quality, cost effective and integrated newborn treatment programmes for babies and their whanau. The aim of the Network is to provide clinical leadership in the development and maintenance of a sustainable nation-wide, clinical service for newborns as close to home as is practicable. This will be achieved by a multi-prong approach with the appointment of a national, multi-disciplinary Clinical Reference Group consisting of Medical and Nursing Clinical Leaders. The Group will provide advice on service and treatment issues to the Paediatric Society of New Zealand and to the Ministry of Health (MOH).
- Acuity tool for neonatal admissions. Standardising definitions for level of care provided in Level 3 / intensive care and level 2 / special care does not address the group of high dependency babies that fit between these two groups. Once level of care is agreed alongside an acuity tool we will recommend that the service specifications be updated with the MOH.
- Transport. A set of guidelines for the interhospital transfer of neonatal infants in New Zealand has now been developed. Read or download a pdf of the guidelines here.
- Use of Oral dextrose Gel for newborn hypoglycaemia. A guideline for the use of gel has now been completed.
- Oxygen saturation targets for preterm newborns who need supplemental oxygen. Standardisation of saturation targets and alarm limits for preterm and term neonates can be found in the practice recommendations for oxygen saturation targets for newborns cared for in neonatal units, New Zealand.
- Retinopathy screening - standard of care. These have been developed in association with the Paediatric Ophthalmology Group. As ex very preterm infants often move back to level 2 units a standard approach is planned.
- Nursing Workforce -A clinical nurse specialist role in level 2 units is supported and work involves network members and Neonatal Nurse leaders to enhance the delivery of care.
- Guideline for Cooling in Hypoxic Ischaemic Encephalopathy. This is a recommendation of the 8th PMMRC annual report. The chair of the Neonatal Encephalopathy working group is also on the newborn network and will lead this guideline.
- Measurement of oxygen saturations with the newborn examination. This guideline is in development and will improve early detection of congenital heart disease as well as babies with mild respiratory difficulties in the first 24 hours. Work is in progress.
Newborn Clinical Network Guidelines for Inter-hospital transfer of neonatal infants in New Zealand
Newborn Clinical Network Practice Recommendation for the treatment of hypoglycaemia with dextrose gel, within the first 48 hours after birth in late pre-term and term infants
The Newborn Clinical Network in collaboration with the Paediatric Ophthalmology Interest Group have produced a consensus statement for screening for Retinopathy of Prematurity
Includes guidelines for the recognition, management and follow up of neonatal encephalopathy
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