Download or read book An Evidence based Approach to Managing Neonatal Abstinence Syndrome written by Kimberly Larsen Kusak and published by . This book was released on 2008 with total page 58 pages. Available in PDF, EPUB and Kindle. Book excerpt: Neonates born to mothers addicted to opiates may develop neonatal abstinence syndrome (NAS). An infant exposed to opiates in-utero causes the neonate to withdraw from the substance after birth. Neonates with NAS are at risk for adverse outcomes including seizures and death along with many adverse symptoms related to neurological excitability and gastrointestinal dysfunction as described by the American Academy of Pediatrics (1998). As mentioned by Hunt et al. (2008), neonates exposed to opiates are at higher risk for prematurity, low birth weight and adverse neurodevelopment. These risk factors are directly related to increased death and adverse outcomes for this population. Variability exists regarding the treatment of NAS. The project intention is to propose an evidence-based practice recommendation for the treatment of neonates with NAS, thus providing consistency in care. A thorough literature search was done using several search engines including Medline, Pubmed, Cochran Library, CINAHL, National Guidelines Clearinghouse, Medline via First Search, and individual journal searches. The evidence was compiled and reviewed for strong research technique including type of randomization, inclusion and exclusion criteria, population representation, bias, confounding variables, and loss to follow-up. Protocol recommendations include evidence based recommendations for the care of NAS including medication treatment protocols. The protocol's focus is on increased positive patient outcomes and safety. Specifically, the goal is to avoid adverse outcomes such as seizures and death along with decreased duration of treatment, hospital stay, and nursing care. Overall, the practice recommendations raise multidisciplinary team awareness, increases care consistency, and provides a method for early intervention.
Download or read book Significance of Non Pharmacologic Treatment on Infants with Neonatal Abstinence Syndrome written by Kristin Klutz and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The incidence of Neonatal Abstinence Syndrome (NAS) is increasing across the United States (Davidson and Schub, 2014). Researchers who performed a retrospective analysis of national hospital discharge data found that the annual rate of maternal opioid use increased nearly fivefold, and the incidence of NAS increased nearly threefold during the period 2000 to 2009 (Davidson and Schub, 2014). The onset of withdrawal symptoms in infants is dependent on what substances the infant was exposed to in utero as well as the amount. Infants that experience Neonatal Abstinence Syndrome require specialized care that includes pharmacologic and nonpharmacologic management. The current practice at Winchester Medical Center is to care for these infants on the post- partum unit while they room in with their mothers. Once the infant scores high enough to be started on pharmacologic treatment, they are then moved into the newborn nursery. This standard of practice is not beneficial to the infant because of the negative effects it has on the infant. Current research shows that non- pharmacologic management is just as important in the recovery of infants with Neonatal Abstinence Syndrome as pharmacologic management. Davidson and Schub (2014) discussed the importance of reducing sensory stimulation, which included dimming the lights, swaddling, and prone positioning. Their study showed that breastfeeding for at least 72 hours after birth reduces the severity of Neonatal Abstinence Syndrome symptoms and decreases the need for pharmacologic treatment (Davidson and Schub, 2014). This project will attempt to determine the effects of pharmacologic versus nonpharmacologic treatment on infants with Neonatal Abstinence Syndrome. The implementation will begin by educating patients and all staff affected by this change. Regular meetings will be held with management and staff, as well as the implementation team in order to ensure all questions are answered. Doing so will ensure that all questions are addressed and suggestions are able to be made. The practice change of improving the environment of infants with Neonatal Abstinence Syndrome will then take effect with constant monitoring and evaluation by the implementation team. Results will be evaluated each month and changes will be made as necessary to guarantee that the unit is following best- practice.
Download or read book Medications for Opioid Use Disorder Save Lives written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-06-16 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€"like evidence-based medicationsâ€"are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.
Download or read book Implementation of an Inter observer Reliability Program Using Finnegan Neonatal Abstinence Scoring Tool to Improve Nurses Consistency in Withdrawal Assessments written by Elnora Cokley and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: There has been an increasing incidence of infants being born with neonatal abstinence syndrome (NAS) secondary to exposure of maternal drug use, particularly opioids. Most of these neonates require pharmacological treatment to manage their withdrawal symptoms therefore increasing their length of hospitalization anywhere from one week to several months. Nurses routinely perform assessments on the severity of the infant's withdrawal using clinical assessment tools to provide scores that help direct the management of these neonates. This highlights the importance of the consistency between the nurses in utilizing these assessment tools to help guide non-pharmacological interventions and pharmacological treatment in infants with NAS and decreasing the length of hospital stay. The objective of this paper is to improve the management of infants with NAS by implementing standardized evidence-based practice guidelines and education around NAS, the Finnegan Neonatal Abstinence Scoring Tool, and the inter-observer reliability program to increase accuracy in withdrawal assessments. The inter-observer reliability program will provide the education and skill set required to provide accurate and consistent assessment scores using the FNAST and for managing these neonates. A literature search and critical review was performed using eighteen articles that supported the establishment of practice guidelines, inter-observer reliability, and education to improve the management and care of infants with NAS. This approach will provide nurses the skill and knowledge needed to consistently and accurately assess neonates for signs and symptoms of withdrawal to guide the management of these infants and therefore possibly lead to a reduction in length of hospital stay.
Download or read book Opioid Use Disorders in Pregnancy written by Tricia E. Wright and published by . This book was released on 2018-05-10 with total page 155 pages. Available in PDF, EPUB and Kindle. Book excerpt: Gain guidance and support when treating the high-risk population of women confronting (or battling) opioid-use disorders during pregnancy.
Download or read book Guidelines for the Identification and Management of Substance Use and Substance Use Disorders in Pregnancy written by World Health Organization and published by . This book was released on 2015-04-20 with total page 37 pages. Available in PDF, EPUB and Kindle. Book excerpt: These guidelines have been developed to enable professionals to assist women who are pregnant, or have recently had a child, and who use alcohol or drugs or who have a substance use disorder, to achieve healthy outcomes for themselves and their fetus or infant. They have been developed in response to requests from organizations, institutions and individuals for technical guidance on the identification and management of alcohol, and other substance use and substance use disorders in pregnant women. They were developed in tandem with the WHO recommendations for the prevention and management of tobacco use and second-hand smoke exposure in pregnancy.
Download or read book Neonatal Abstinence Syndrome written by Cynthia Woods and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Neonatal Abstinence Syndrome (NAS) is a condition affecting neonates who have been exposed to illicit or prescription drugs while in the womb. NAS, also known as newborn withdrawal syndrome, is a serious concern as the incidence of drug abuse in pregnancy is increasing, with a corresponding rise in infant withdrawal cases. The symptoms of NAS range from excessive crying and irritability to seizures and death; the average hospital stay is from one week to several months, depending upon the gravity of the symptoms. There is a lack of evidence-based practices and standardized protocols to guide the management of care for these babies. Nonpharmacological nursing interventions, in addition to pharmacological treatments, are vital in the care of these infants. Non-pharmacological nursing interventions have been shown to decrease the severity of neonatal abstinence syndrome and reduce the amount of days in the hospital. Non-pharmacological treatments include: providing a quiet, dimly lit environment; swaddling; the use of pacifiers; holding the infant vertically when rocking; rubbing the baby instead of patting; kangaroo mother care; breastfeeding; and encouraging the rooming in of mother and child whenever feasibly possible. Establishing standardized nursing intervention protocols and providing appropriate training for the nursing staff are effective ways to treat NAS infants resulting in the positive outcome of decreased days in the hospital.
Download or read book Interprofessional Healthcare Provider Education on Neonatal Abstinence Syndrome written by Mary L. Puchalski and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "The rapidly increasing incidence of Neonatal Abstinence Syndrome (NAS) in the U.S. has been identified as a national healthcare crisis. An evidence-based practice change project, "Interprofessional Healthcare Provider Education on NAS" (IHPEN) was designed to implement a protocol to increase consistency in treatment for infants with NAS and provision of healthcare provider education to increase knowledge regarding NAS, as well as sensitivity to the signs and symptoms of withdrawal. The target population included all healthcare providers in the Neonatal Intensive Care Unit and Mother/Baby Unit of a large, urban, not-for-profit perinatal center. The project was developed in response to a need for an organized, structured, systematic, and collaborative approach to assessment and treatment. This need was based on the following observations: (a) increasing numbers of patients admitted to the NICU who were diagnosed with NAS, (b) long lengths of stay for infants with NAS, (c) an inconsistent approach to the pharmacologic treatment and weaning of medications because of a lack of a protocol for infants with NAS, (d) frustration expressed by all neonatal healthcare providers as how to "best" handle infants with NAS, and (e) a need for staff education on the topic of NAS. 141 healthcare providers participated in the educational intervention. 32% of the participants reached the benchmarked level of improvement of 10% from pretest to posttest, and 53% percent of the participants improved their pretest to posttest score. A paired-sample t-test was conducted to compare the differences in pretest and posttest score and found to be significant pretest (p = 0.000164). Thus, the outcomes of this evidence-based educational intervention supported the importance of providing comprehensive, interprofessional training on the assessment and treatment of infants with NAS in order to enhance healthcare provider knowledge." -- Abstract.
Download or read book Nursing Care of Newborn Infants with Neonatal Abstinence Syndrome Increasing Knowledge Through Education written by Jeanne Franza and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Neonatal Abstinence Syndrome (NAS) is a multisystem disorder that occurs in newborns after birth when the mother has been taking addictive drugs, usually opiates, during pregnancy. These infants experience withdrawal symptoms and require prolonged hospital stays. When and infant with NAS requires treatment with medication, the length of stay is greatly prolonged due to the need to slowly taper the medication before discharge. Patrick et al. (2012) found that the incidence of NAS increased from 1.2 per 1000 live births in 2000 to 3.39 per 1000 live births in 2009, and the mean hospital cost for an infant with NAS increased from $39,400 in 2000 to $53,4000 in 2009. NAS has become a costly epidemic. Nurses who care for these infants require specialized knowledge. The RNs and APRNs in a community hospital expressed uncertainty regarding assigning Finnegan scores, which indicate the level of withdrawal symptoms. Many of these nurses were very experienced but had not had recent education focused on NAS or addiction, or experience in addiction medicine or behavioral health. The nurses required tools to be able to establish a therapeutic relationship with mothers who have addiction issues. A recently updated clinical practice guideline was in place, but education had not been provided to the RNs and APRNs regarding the updated guideline for the care of these infants, achieving accuracy in Finnegan scoring, or the establishment of a therapeutic relationship with the mother. The purpose of this evidence-based practice change was to increase nurses' knowledge in the care of these infants and their mothers. The plan included an educational program consisting of three parts; a PPT presentation on NAS, an interactive DVD session to achieve reliability in Finnegan scoring, and journal club style discussions focused on establishing a therapeutic relationship with mothers who have addiction issues. A pre/post test survey was done to measure increase in knowledge. All participants showed an increase in knowledge, with a change in score of 36.21%, well over the 10% increase benchmark. This change represents 71.92% growth. This outcome is statistically significant. The RNs and APRNs also overwhelmingly agreed in the program evaluations that they had increased confidence in their ability to care for infants and communicate effectively with their mothers, as a result of the educational program. The outcome of this project supports the provision of education focused on NAS for RNs and APRNs who care for these infants and their mothers. " -- Abstract.
Download or read book Developing Training to Address Neonatal Nurse Knowledge Practice and Perceived Attitude for Neonatal Abstinence Syndrome written by and published by . This book was released on 2020 with total page 60 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract Background: Neonatal abstinence syndrome (NAS) is increasing in the United States as a result of increased opioid-use disorder among women of childbearing age. NAS affects three out of four babies who are exposed to chronic use of opioids during the mother's pregnancy. Caring for infants with NAS is challenging. Researchers have identified a deficit of knowledge and skills, and have discovered judgmental attitude of nurses caring for babies with NAS. Globally, nurses caring for infants with NAS need education on current evidence-based practice to improve quality of care. The purpose of this project was to create an educational intervention based on assessed, localized, educational needs for NICU staff nurses caring for babies experiencing NAS. Methods: This project used the design thinking implementation framework and IHI Psychology of Change framework to assess the needs of NICU nurses caring for infants experiencing NAS and develop related education. A baseline survey of the nurses' knowledge, attitudes, and practices was done. Similarly, nurse stakeholder interviews were completed and themes were analyzed using thematic content analysis to further specify localized needs. Educational materials were prototyped in subsequent interviews with the nurses until the materials were found useful. Findings/Results: RNs correctly identified symptoms and treatment for NAS. RNs overall felt empathy for infants with NAS, but less empathetic towards the infant's mothers and blamed them for the infant's health problems. The RNs were confident in their knowledge to provide adequate care for the infants but self-identified a need for improvement in knowledge, care, and documentation. RNs appropriately use nonpharmacological treatment, but desire more education in the interventions. Other areas for needed improvement were medication treatment, in-home and outpatient care, and parameters for breastfeeding. RNs identified educational needs through interviews and provided feedback on the two prototypes created using empathy mapping. Conclusions: The proposed next step is to implement the designed educational intervention and study related outcomes. The IHI Psychology of Change Framework and the design thinking process, when combined, offer a strong method for participant engagement. The design thinking process may be important to timely and effective care in-so-much that it allows flexibility to change as the context changes.
Download or read book Network Meta Analysis for Decision Making written by Sofia Dias and published by John Wiley & Sons. This book was released on 2018-03-19 with total page 484 pages. Available in PDF, EPUB and Kindle. Book excerpt: A practical guide to network meta-analysis with examples and code In the evaluation of healthcare, rigorous methods of quantitative assessment are necessary to establish which interventions are effective and cost-effective. Often a single study will not provide the answers and it is desirable to synthesise evidence from multiple sources, usually randomised controlled trials. This book takes an approach to evidence synthesis that is specifically intended for decision making when there are two or more treatment alternatives being evaluated, and assumes that the purpose of every synthesis is to answer the question "for this pre-identified population of patients, which treatment is 'best'?" A comprehensive, coherent framework for network meta-analysis (mixed treatment comparisons) is adopted and estimated using Bayesian Markov Chain Monte Carlo methods implemented in the freely available software WinBUGS. Each chapter contains worked examples, exercises, solutions and code that may be adapted by readers to apply to their own analyses. This book can be used as an introduction to evidence synthesis and network meta-analysis, its key properties and policy implications. Examples and advanced methods are also presented for the more experienced reader. Methods used throughout this book can be applied consistently: model critique and checking for evidence consistency are emphasised. Methods are based on technical support documents produced for NICE Decision Support Unit, which support the NICE Methods of Technology Appraisal. Code presented is also the basis for the code used by the ISPOR Task Force on Indirect Comparisons. Includes extensive carefully worked examples, with thorough explanations of how to set out data for use in WinBUGS and how to interpret the output. Network Meta-Analysis for Decision Making will be of interest to decision makers, medical statisticians, health economists, and anyone involved in Health Technology Assessment including the pharmaceutical industry.
Download or read book Current Therapy in Neonatal Perinatal Medicine 2 written by Nicholas M. Nelson and published by Mosby Incorporated. This book was released on 1990 with total page 506 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Establishing a Research Friendly Environment written by Dorothy Y. Brockopp and published by Jones & Bartlett Learning. This book was released on 2018-09-20 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: As the Magnet Recognition Program® continues to influence hospital-based nursing, the need to educate clinical nurses on how to conduct research is more important than ever. Establishing a Research-Friendly Environment: A Hospital-Based Approach is a unique text that helps clinical nurses conduct or participate in research that leads to better health care in hospitals. Each chapter includes an introduction, working definitions of key concepts, and resources required for success. The text also features numerous case examples that serve to highlight research done by nurses and health professionals in the field.
Download or read book Breastfeeding Neonatal Abstinence Syndrome Newborns Improves Infant Outcomes written by Amber Barry and published by . This book was released on 2014 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Neonatal Abstinence Syndrome (NAS) is a current and increasing problem many neonatal intensive care units (NICU) are facing. Controversial to NAS is whether the opioid dependent mother should breastfeed. Research proves that breastfeeding the NAS infant is very beneficial and safe. Breastfeeding provides a decrease in the severity of symptoms caused by NAS, is linked to a decreased hospitalization, and aids in health and bonding. The proposal for research is to allow for breastfeeding as an option at Banner Good Samaritan Medical Center where the current policy in place does not support it. As infants are admitted to the NICU for NAS, breast milk along with pharmacotherapy treatment is shown through evidence-based practice that the infant's length of stay is shorter compared to infants that receive formula. Family-centered care theory is greatly affected when opioid dependent mothers are denied support services and education regarding breastfeeding and their withdrawing infant. To gauge for change and effectiveness nursing staff, neonatologist, neonatal nurse practitioners, LAMB committee, and policyholders will be given new researched information on the benefits of breastfeeding NAS babies and their outcomes.
Download or read book Comprehensive Neonatal Nursing Care written by Carole Kenner, PhD, RN, FAAN, FNAP, ANEF and published by Springer Publishing Company. This book was released on 2013-08-21 with total page 1022 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This book provides a complete look at neonatal healthcare delivery. This edition includes discussions of contemporary topics of interest, such as informatics, genetics, global health, and family-centered care, which are vital to providers caring for neonates today. The case studies and the evidence-based practice dialogues at the end of each chapter provide great opportunities for further reflection. The book is useful to a wide audience in nursing, including undergraduate and graduate nursing students, practicing neonatal and pediatric nurses, and advanced practice nurses who care for neonates." Score: 92, 4 Stars.--Doody's Medical Reviews This 'classic' has been thoroughly updated to incorporate the most up-to-date research findings and strategies for providing cost-effective and evidence-based care. New chapters address emerging infections, the late preterm infant, and neonatal care from a global perspective. Included are updated neonatal care protocols and procedures, neuroprotective risk factors, new treatments, and new trends in developmental care. Text integrates the Institute of Medicine's (10M) five competencies, reflects the Affordable Healthcare Act and the Robert Wood Johnson and 10M report "The Future of Nursing." The text continues to provide neonatal care from a physiologic and pathophysiologic approach, with a major emphasis on nursing management at the bedside and advanced practice level. Each neonatal body system is presented, along with E-B interventions to assist in understanding the 'why' behind what is seen in the clinical area. Integrative management is threaded through the text along with extensive research findings to support practice strategies and rationales for sound clinical decision-making. Topics of recent interest include iatrogenic complications, neonatal pain, use of computers or other technology in neonatal care, and neonatal AIDS. Case studies enhance understanding of both common and rare neonatal conditions. New to the Fifth Edition: New chapters: emerging infections, the late preterm infant, and neonatal care from a global perspective Updated neonatal care protocols and procedures, neuroprotective factors, new treatment modalities and new trends in developmental care Tackles the UN Millennium Development Goals (MDGs) Addresses the expansion of the nurse's role in the US and worldwide Provides case studies that lead the reader through the identification, diagnosis, treatment, and evaluation of common and rare neonatal conditions
Download or read book Rooming in and Neonatal Abstinence Syndrome written by Tamara Jacobs-Byrne and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Aim: The purpose of this systematic review was to critically examine the literature about the effectiveness of rooming-in compared to traditional care settings such as the Neonatal Intensive Care Unit (NICU) for newborns with Neonatal Abstinence Syndrome (NAS). Background: NAS is a multi-system disorder observed in newborns experiencing withdrawal following in-utero opioid exposure. Rooming-in may be beneficial to newborns with NAS as outcomes may reduce the need for pharmacologic treatment, the duration of pharmacologic treatment, and shorten length of stay (LOS). Although the studies support rooming-in, information in this area of research is limited. Based on the little evidence known, rooming-in may provide beneficial outcomes for newborns with NAS symptoms. Therefore examining the outcomes of NAS and rooming-in may be insightful to the contribution of research in this area of NAS. Method: A systematic search exploring the effects of rooming-in and NAS in newborns was conducted using the following electronic databases: Pubmed, Proquest, PsychoInfo, OVID Joanna Briggs Institute of systematic reviews, CINAHL, Nursing and Allied Health, Evidence-Based Medicine, Web of Science, Cochrane Database of Systematic Review, DARE and Medline (EMBASE). Studies were eligible for inclusion in the review if they fulfilled the following criteria: (1) reported outcome data for newborns with NAS and rooming-in care, (2) primary studies, (3) quantitative studies with a comparison group, (4) peer-reviewed, and (5) were published in English. Selected studies were assessed by two appraisers using the JBI Standardized critical appraisal checklist for cohort studies. Findings: The search identified two hundred sixteen (n = 216 studies). An additional two studies were retrieved through a forward citation search. Following removal of studies that did not meet the inclusion criteria, six studies remained for the systematic review. The results from this review suggest that rooming-in has the potential to improve NAS outcomes including: a decreased need for pharmacologic treatment, a shorter duration of pharmacologic treatment, a reduction in hospital stay, and healthcare cost savings. These findings support the need for rooming-in to care for newborn with NAS symptoms. Conclusion: The findings from this systematic review suggest that rooming-in for newborns with NAS was effective in reducing the duration of pharmacologic treatment, need for pharmacologic treatment, and length of hospital stay compared to traditional care settings. Rooming-in should be explored as a care model for select newborns however further investigation is required with larger sample sizes and a more detailed description of rooming-in in order to gain further insight.
Download or read book Neonatal Nursing Care Handbook Third Edition written by Carole Kenner, PhD, RN, FAAN, FNAP, ANEF and published by Springer Publishing Company. This book was released on 2021-10-28 with total page 721 pages. Available in PDF, EPUB and Kindle. Book excerpt: This benchmark handbook for neonatal nurse practitioners describes the most common conditions and procedures in an easy-to-access streamlined format. This thoroughly revised third edition continues to promote the foundational principles of evidence-based nursing practice worldwide, while taking the resources and requirements of different practice settings into account. It delivers updated information on trauma-informed care and offers new sections on parent perspectives about transition to home, neonatal opioid withdrawal syndrome (NOWS), and therapeutic hypothermia. Designed with a logical organization, Neonatal Nursing Care Handbook, Third Edition features brief narratives and plentiful illustrations and charts. This quick reference is easily used by English-as-second-language nurses and can be conveniently stored in a pocket for on-the-go referral. Part I uses a systems approach to address management of disorders related to each body system. All chapters include a brief definition of the neonatal problem, followed by diagnostic tests and labs. Part II encompasses special care considerations such as nutrition, surgical care, and palliative care. Part III discusses widely seen procedures and diagnostic tests, complete with lab values. Appendices contain additional useful content on weights and temperatures, common abbreviations, and pertinent web resources. New to the Third Edition: Addresses trauma-informed care Additional Content On: Generalized nursing care regarding respiratory, cardiovascular, gastrointestinal, renal, and hematologic/immune systems Bottle feeding Oral/Nasogastric/Gastrointestinal Tube Feedings Parent perspective on the transition home/primary care High frequency ventilation and new techniques Neonatal Abstinence Syndrome (NAS) and Neonatal Opioid Withdrawal (NOW) Total body cooling/therapeutic hypothermia Key Features: Written by neonatal nurses and other health professionals for neonatal nurses Assists neonatal nurses in making sound clinical decisions Provides streamlined, well-organized format for quick information retrieval Written in brief narratives supported by illustrations, diagrams, and flow charts Easily understandable to English-as-second-language nurses Covers diagnostic tests and lab values and includes medication guide
