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Perinatal Quality Collaborative of North Carolina

Page One


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5. Highest level of newborn care available at your facility? *This question is required.
6. What leadership team oversees the staff in the SCN/NICU? *This question is required.
7. Is there a nurse driven standardized algorithm to guide clinical management of asymptomatic newborns at-risk for hypoglycemia at your facility? *This question is required.
Current approach to management of the asymptomatic at-risk hypoglycemic newborn aligns with?
8. Is there an IV weaning protocol in your unit for infants who receive continuous IV therapy solely for the treatment of hypoglycemia? 
9. Do you currently use glucose gel as a treatment method for the asymptomatic newborns with hypoglycemia? *This question is required.
10. What risk factors do you use to identify newborns at-risk for hypoglycemia? (select all that apply)
  *This question is required.
11. Do all providers use the same glucose level to define a newborn as hypoglycemic? *This question is required.
What glucose level is used to define hypoglycemia? *This question is required.
12. Is it common practice to confirm low glucose levels obtained at the bedside, which has deemed a newborn hypoglycemic, by sending an additional specimen to the lab prior to starting IV infusion treatment or prior to transfer to higher level of care?  *This question is required.
13. Is separation of the infant from mother, within the first 2 hours of life, required to assess, screen or treat the asymptomatic newborn for hypoglycemia? *This question is required.
14. If infant requires IV therapy for hypoglycemia, does the infant require transfer to a higher level of care? *This question is required.
15. Does your unit promote skin to skin immediately following delivery? *This question is required.
16. Are hypoglycemia order sets integrated in the EMR? 
17. Is your team currently providing educational resources regarding hypoglycemia (check all that apply)? *This question is required.
18. Is there documentation in the EMR/chart that the parent or family was educated regarding hypoglycemia? *This question is required.
19. Has your facility completed the Baby Friendly Certification? *This question is required.