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  • Title: Development of a clinical pathway for near-term and convalescing premature infants in a Level II nursery.
    Author: Campbell MA.
    Journal: Adv Neonatal Care; 2006 Jun; 6(3):150-64. PubMed ID: 16750809.
    Abstract:
    A subcategory of premature infants, those born near term at 34 to 36 and 6/7 weeks gestation, may represent a previously unrecognized at-risk neonatal population. Evidence-based practice guidelines, crafted specifically for this population, are needed to effectively manage their care. In an effort to meet the needs of the near-term infant (NTI) population, and concurrently address the needs of the convalescing premature infants reverse transported to a Level II nursery setting, a multidisciplinary team of clinicians designed tools to provide a more consistent approach to care for and discharge these infants. This article describes the design, implementation, and evaluation of an evidence-based multidisciplinary clinical pathway specific to the needs of the NTI, including care plans, a standardized physician admission and discharge order set, evidence-based interventions, parent education, and recommendations for follow-up after hospital discharge that were developed for use in a Level II nursery. The use of the premature and near-term infant pathway has now been expanded to NTIs cared for in the newborn nursery, thereby ensuring safe, consistent, quality care for this population, regardless of their setting.
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