guidelines
chorioamnionitis
All babies exposed to maternal chorio need an evaluation by NICU. Please write note “.nicuchorionote” and sign out to the resident/attending covering newborn nursery.
If chorio is diagnosed after delivery (fever up to 1 hour after delivery), and NICU is not notified, nursery may ask NICU to evaluate the baby once this mistake is noticed. Be prepared to do a NICU consult and write a note (“.nicuchorionote” is acceptable).
All other yellow risk babies do NOT need an evaluation or note by NICU, but nursery may ask for a NICU consult. In this event, please evaluate baby and write a note. Please support our nursery colleagues with these higher risk babies.
Remember, stable babies who are red on the sepsis calculator can still stay with their mothers at LLUCH and get their antibiotics in post-partum, but not at RUHS. At RUHS, they will need to be moved to the NICU.
Please continue to verify the sepsis score in EPIC by doing the calculations yourselves. If there is a discrepancy, verify that the info in EPIC calculator was placed correctly. If the info in the sepsis calculator is inaccurate, update the Newborn Sepsis Calculation values and recalculate the score in Epic. (See image below.) Remember, when recalculating the score, ALL values need to be put into the calculator again.