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Perinatal Quality Collaborative of North Carolina

Page One

NAS Phase II Snapshot

3. Where are infants with known NAS cared for in your hospital? (check all that apply) *This question is required.
4. Is it possible for NAS babies to be hospitalized in a single room at your facility, even if not currently the standard at your hospital (NICU, Pediatric Ward, other)? *This question is required.
5. Is there universal screening of all mothers at some point during the delivery admission for maternal drug use? *This question is required.
6. Do you have an agreed upon formal multidisciplinary guideline for the care of NAS infants developed by key stakeholders (RNs, MDs, Peds, FP, NICU as applies) *This question is required.
7. Indications for screening for infants at risk for withdrawal? *This question is required.
7. Which of the following are included in your indications for screening for infants at risk for withdrawal? (check all that apply) *This question is required.
7. Definition of a preferred screening method for infant drug exposure? *This question is required.
7. If yes, method is: *This question is required.
7. A minimum period of observation for infants at high risk for NAS based on AAP guidelines?
7. A single med recommended as the primary drug for NAS pharmacologic treatment?
7. If yes, what is your primary medication? *This question is required.
7. Clear support for breast-feeding unless there are contraindications, as per the AAP recommendations for care of NAS infants? *This question is required.
7. Guidelines for instituting, escalating and weaning pharmacologic therapy?
Looking now at other NAS practices at your facility -
7. What percentage of the nursing staff has completed the Neo Advances Neonatal Abstinence Inter Observer Reliability Program?
8. Has your hospital instituted a 2nd staff nurse scoring an infant that has either scored at a specified level (8-12) or met criteria for escalation or rescue dosing of medication?
9. Do parents participate in scoring of their infants?
10. Do you have designated cuddlers (volunteers) who regularly hold infants with NAS when the parents/caregivers are not at the bedside?
11. Is there a required education curriculum for NAS families that may be video or paper based that includes: (mark all that apply)
12. Do you require monitors for NAS babies?