Babies in NICU
|Reviewed by Clinical
on Admission to NICU
All babies are to have a weight on
admission to NICU.
- Infants who have been weighed in NWH theatre
or delivery unit do not need to be reweighed on admission to NICU within the
first 24 hours
- All infants who are more than 24 hours old
must have a new weight taken on admission to NICU
- Involve parents in weighing their infant, the weight can be performed
when they are providing the cares
- Ensure that the infant is well contained during the weighing process to
avoid them becoming disorganised and limit heat loss
Level 3 Infants
- Infants are weighed from day 5 unless requested earlier by medical staff.
- Level 3 infants are to
be weighed on alternate days unless a specific order for daily weighs is initiated after discussion on ward round.
- Infants are weighed from day 5 unless requested earlier by medical
- Infants are not weighed routinely if they
- chest drains in situ
- are being ventilated on High Frequency
The nursing weight chart is not required unless a specific
medical request to document each weight.
Level 2 Infants
- Infants are weighed from day 3 unless requested earlier by medical staff.
- Infants are weighed from day 3 unless requested earlier by medical
- To be weighed twice weekly on Sundays and Wednesdays unless a specific order for alternate day or daily weighs is initiated after discussion on ward round
- All infants discharged after 24hrs in the NICU (including those
discharges to the postnatal ward) need to have a discharge weight taken and
recorded in the discharge letter by the registrar/NS-ANP. This is part of
appropriate discharge process and it is not acceptable to pass this task on
to the postnatal ward staff.
- When there are concerns over weight gain/weight loss for any baby in the service, a nursing weight chart will be completed showing each weight clearly. This chart will be an important document for both medical and nursing carers.
Tyer, N., Srinivasan, R., Evans, K., Ward,
L., Cheung, W-Y. & Matthew, J. Impact of an early weighing policy on
neonatal hypernatraemic dehydaration and breastfeeding. Archives of
Disease in Childhood 2008. 93, 297-299. |
Leven, L. & Macdonald, P. Reducing the
incidence of neonatal hypernataemic dehydration. Archives of Disease in
Childhood 2008. 93, 811. |