Results of Delphi Round 3
| Round 3 | ||
|---|---|---|
| Neonatal nursing standards of practice for Cambodia | Md | IR |
| A. Assessment | ||
| 1. Physical assessment | 5 | 0 |
| Chief complaints: most serious symptoms/signs of illness causing neonate to hospital | 5 | 1 |
| Check temperature, airway, breathing and circulation (TABC) | 5 | 0 |
| Assess growth status | 5 | 0 |
| Weight in gram | 5 | 0 |
| Length | 5 | 0 |
| Head circumference | 5 | 0 |
| Evaluate general appearance | 5 | 0 |
| Level of consciousness: state of alertness | 5 | 0 |
| Skin color: integrity and perfusion | 5 | 0 |
| Activity: range of spontaneous movement | 5 | 0 |
| Postures: muscle tone | 5 | 0 |
| Obtains maternal history | 5 | 0 |
| Apgar score | 5 | 0 |
| Gestational age | 5 | 0 |
| Mode of delivery | 5 | 1 |
| Medications used and feeding provided | 5 | 0 |
| Assess skin integrity, muscle, and skeleton | 5 | 0 |
| Skin color | 5 | 0 |
| Skin condition: rashes, pustule, peeling, plethora, dry, erythema, infected, edema, and injury | 5 | 1 |
| Muscle tone: spontaneous movement | 5 | 0 |
| Jaundice | 5 | 0 |
| Check head, face, and neck | 4 | 1 |
| Head: shape, size, scalp | 5 | 1 |
| Fontaneles: sutures | 5 | 1 |
| Eyes: size, position structure | 4 | 1 |
| Nose: position structure | 4 | 1 |
| Mouth: palate, teeth, gums, tongue, frenulum, jaw size | 4 | 1 |
| Assess chest and respiratory system | 5 | 0 |
| Chest: size, shape, symmetry, movement, breast tissue, and nipples | 5 | 0 |
| Respiratory system: lung sounds, signs of respiratory distress, breathing pattern, oxygen needs, level of FiO2, and SpO2 and chest retraction | 5 | 0 |
| Assess cardiovascular system | 5 | 0 |
| Heart rate/sounds | 5 | 0 |
| Pulse/femoral pulse and rhythm | 5 | 0 |
| Shun syndrome | 4 | 1 |
| Blood vessels | 4 | 1 |
| Assess abdomen and gastrointestinal system | 5 | 1 |
| Abdomen: size, shape, symmetry, palpate live, spleen, and kidneys | 4 | 1 |
| Abdominal condition: soft, firm, redness, mass, and lobe visible | 5 | 1 |
| Umbilicus: bleeding, discharge, detached, and smell | 5 | 1 |
| Breastfeeding/feeding frequency: sucking | 5 | 1 |
| Bowel movement: meconium or stool condition/color, vomiting, nausea | 5 | 1 |
| Assess genitourinary | 5 | 1 |
| Abnormality: open passage for urine and stool, any discharge | 5 | 1 |
| Anal position/imperforate | 4 | 1 |
| Assess neurological status | 5 | 1 |
| Behavior | 5 | 0 |
| Irritable crying | 5 | 0 |
| Posture: muscle tone, spontaneous movement | 5 | 0 |
| Reflexes, primitive/five reflexes/red reflex, Erb’s palsy, and seizure | 5 | 1 |
| Other assessment | 5 | 1 |
| Neonatal status | ||
| IV site: redness, swelling, edema, clean, and duration of IV insertion | 5 | 0 |
| Fluid management: cc/kg/day, electrolyte management: mg /kg/day | 5 | 0 |
| Blood sugar level | 5 | 0 |
| Intake and output | 5 | 0 |
| Breastfeeding frequency and effectiveness | 5 | 0 |
| Vaccination status | 5 | 1 |
| Development | 5 | 1 |
| Incubator and room temperature | 5 | 0 |
| Maternal status | ||
| Body weight, and condition of the mother before and after delivery | 5 | 1 |
| Nutrition, breasts/express breast milk, and colostrum | 5 | 1 |
| Drug used, alcohol use, and coping post-partum | 5 | 0 |
| 2. Psychological assessment | 4 | 1 |
| Assess mood of mother/caregiver to identify anxiety/worries/scary/depress | 4 | 1 |
| Observe face expression of mother/caregiver to identify feeling | 4 | 1 |
| Assess perception and belief of neonatal sickness or issue at home | 4 | 1 |
| 3. Social-economic and family assessment | 4 | 1 |
| Recognizes role of parents in decision making about neonate’s health | 4 | 1 |
| Assess whether the family able to taking care financial issue | 4 | 0 |
| Assess neglecting issue of the young mothers from their family | 4 | 1 |
| Assess mother knowledge in taking care of baby | 5 | 1 |
| B. Nursing diagnosis | ||
| 1. Actual nursing diagnosis | 5 | 0 |
| Hypothermia | 5 | 0 |
| Hyperthermia | 5 | 0 |
| Ineffective thermoregulation | 5 | 0 |
| Airway obstruction | 5 | 0 |
| Impaired gas exchange | 5 | 0 |
| Ineffective breathing pattern | 5 | 0 |
| Asphyxia | 5 | 0 |
| Pain | 5 | 0 |
| Umbilical cord infection | 5 | 0 |
| Necrotizing Enterocolitis | 5 | 0 |
| Neonatal Jaundice | 5 | 0 |
| Premature/low birth weight infant | 5 | 0 |
| Ineffective feeding | 5 | 0 |
| Ineffective breastfeeding | 5 | 0 |
| Interrupt breastfeeding | 4 | 1 |
| 2. Risk for nursing diagnosis | 5 | 0 |
| Risk for aspiration | 5 | 0 |
| Risk for infection | 5 | 0 |
| Risk for body temperature alteration | 5 | 0 |
| Risk for alter nutrition | 5 | 0 |
| Risk for fluid volume deficit | 5 | 0 |
| C. Planning | ||
| Set safety goals for neonate to overcome actual and risk for nursing diagnosis from admission to discharge | 5 | 1 |
| Provide interventions to fit with actual and risk for nursing diagnosis | 5 | 0 |
| D. Implementation | ||
| 1. Nursing intervention for ineffective thermoregulation | 5 | 1 |
| Reduce or eliminate the sources of heat loss | 5 | 0 |
| Evaporation | ||
| When a shower, prepare a warm environment | 5 | 0 |
| Wash and dry each section to reduce evaporation | 5 | 1 |
| Limit the time of contact with clothing or a wet blanket | 5 | 0 |
| Convection | ||
| Avoid the flow of air | 4 | 1 |
| Conduction | ||
| Warm all goods for care such as stethoscope, scales, hand caregivers, clothes, and bed linen | 5 | 1 |
| Radiation | ||
| Reduce the objects that absorb heat | 4 | 1 |
| Monitor neonate’s body temperature | 5 | 1 |
| If temperature is below normal | ||
| Use two blankets | 4 | 1 |
| Wear headgear | 5 | 1 |
| Assess environmental sources for heat loss | 5 | 1 |
| If hypothermia settled >1 hour, refer to physician | 5 | 0 |
| Review the complications of cold stress, hypoxia, respiratory acidosis, hypoglycemia, fluid/electrolyte imbalance, and weight loss | 5 | 0 |
| If temperature is above normal | ||
| Remove blanket | 5 | 1 |
| Remove headgear, when worn | 4 | 1 |
| Assess environmental temperature again | 4 | 1 |
| If temperature not reduce to normal >1 hour, report to physician | 5 | 1 |
| Teach caregivers why neonates are vulnerable to temperature | 5 | 1 |
| Demonstrate how to save heat during bathing | 5 | 0 |
| Teach to measure temperature | 5 | 1 |
| Teach caregiver why neonates are vulnerable to heat and cold weather | 5 | 1 |
| Refer to hypothermia and hyperthermia for prevention | 5 | 0 |
| 2. Nursing Interventions for neonate with airway and respiratory problems | 5 | 0 |
| Place neonate in semi-follower/comfortable position | 5 | 0 |
| Maintain free airway | 5 | 0 |
| Provides oxygen per prescription | 5 | 0 |
| Monitor dyspnea, tachypnea, breath sounds, increased respiratory effort, lung expansion, and weakness | 5 | 0 |
| Evaluate changes of level of consciousness, cyanosis, skin color, mucous membranes, and nails | 5 | 0 |
| 3. Nursing interventions for neonate with infection | 5 | 1 |
| Keep neonate in isolation room | 5 | 1 |
| Monitor vital signs every 2 hours, notify the physician if vital signs are abnormal | 5 | 0 |
| Maintain a good temperature for an incubator and room | 5 | 1 |
| Wash hands before and after touching the neonate | 5 | 0 |
| Make sure that caregivers wash hands before touching/holding neonate | 5 | 0 |
| Let neonate rest, avoid holding if unnecessary | 4 | 1 |
| Administer antibiotics per prescription | 5 | 0 |
| 4. Nursing interventions for impaired skin integrity | 4 | 1 |
| Assess skin color every 8 hours | 4 | 1 |
| Monitor direct and indirect bilirubin | 5 | 1 |
| Change position every 2 hours | 4 | 1 |
| Massage the skin | 4 | 1 |
| Keep clean skin and moisture | 5 | 1 |
| 5. Fluid volume deficit | 5 | 0 |
| Monitor signs of dehydration such as skin turgor/fontanel/eyes | 5 | 0 |
| Monitor intake output | 5 | 0 |
| Record the frequency and amount of urine and stools | 5 | 0 |
| Monitor fluid and electrolytes balance | 5 | 1 |
| Explain the mother to breastfed often | 5 | 0 |
| 6. Nursing interventions for interrupted breastfeeding | 5 | 1 |
| Assess mother’s perception and knowledge about breastfeeding | 5 | 0 |
| Give emotional support to mother and accept decision regarding cessation/continuation of breastfeeding | 4 | 1 |
| Demonstrate use of manual breast pump | 4 | 1 |
| Explain techniques for storage of expressed breast milk | 5 | 1 |
| Provide privacy, calm surroundings when mother breast feeds | 4 | 1 |
| Recommend for infant sucking on a regular basis | 5 | 1 |
| Encourage mother to obtain adequate rest, maintain fluid and nutritional intake, and schedule breast pumping every 3 hours while awake | 4 | 1 |
| 7. Nursing interventions: risk for altered nutrition | 5 | 1 |
| Weight neonate in gram daily | 5 | 0 |
| Assess maturity reflex, with regard to feeding such as sucking, swallowing and cough | 5 | 0 |
| Monitor input and output and calculate consumption of calories and electrolytes daily | 5 | 0 |
| Assess level of hydration, note fontanel, skin turgor, urine-specific gravity, condition of mucous membranes, and weight fluctuations | 5 | 0 |
| Assess signs of poor feeding, nervous, crying high tone, trembling, eyes upside down, and seizure activity | 5 | 0 |
| 8. Nursing interventions for pain | 4 | 1 |
| Encourage mother to provide breastfeeding | 5 | 1 |
| Repositioning, swaddling, and nesting | 5 | 1 |
| Facilitated tucking and containment holding | 4 | 1 |
| Decreasing environmental sensors | 4 | 1 |
| Change nappy as needed | 4 | 1 |
| Allowing neonate to grasp a finger | 4 | 1 |
| Kangaroo care | 5 | 0 |
| E. Evaluation | ||
| The neonate requiring intervention is promptly identified and is started early | 5 | 0 |
| The neonate’s metabolic and physiologic processes are stabilized, and recovery is proceeding without complications | 5 | 0 |
| Infant maintains temperature at 36.5°C to 37°C | 5 | 0 |
| Neonate maintains a respiratory rate of 30-60 breaths per minute | 5 | 0 |
| Neonate will exhibit no signs of infection | 5 | 0 |
| Fluid volume will be maintained: Oral mucosa moist and pink, skin turgor elastic, urine output at least 1-2 mL/kg/hr | 5 | 0 |
| Neonate will maintain adequate nutritional intake: Weight gain or maintenance occurs. Consumes adequate diet for age | 5 | 1 |
| Neonate will be in comfort and free from pain | 5 | 0 |
| F. Ethics | ||
| Advocate for equitable to healthcare consumer | 4 | 1 |
| Provide care follow guidelines/protocols so that the care nurse provides are safe for neonate | 5 | 0 |
| G. Evidence-based practice and research | ||
| Develop knowledge from routine jobs toward research work that would apply to nursing practice | 5 | 0 |
| Introduce important research finding and evidence-based practice to other nurses | 5 | 0 |
| Utilizes evidence-based practice and research finding to guide practice | 5 | 0 |
| Participate in nursing research according to educational level/role | 5 | 0 |
| Integrates research findings into the development of guidelines and standards of care | 5 | 0 |
| H. Health teaching and health promotion | ||
| Explain to family about treatment and procedures and follow-up | 5 | 1 |
| Tech parents about basic health information | 5 | 0 |
| Nutrition/breastfeeding | 5 | 0 |
| Reproductive health | 4 | 1 |
| Body hygiene | 5 | 0 |
| Hand hygiene correctly | 5 | 0 |
| Prevent hypothermia | 5 | 0 |
| Recognize signs of sick neonate | 5 | 0 |
| Schedule of vaccination and immunization | 5 | 0 |
| I. Continuing education | ||
| Participate in nursing education as appropriate to educational level and position | 5 | 1 |
| Participate in neonatal nursing training to update knowledge and competencies | 5 | 0 |
| Conduct self-directed learning, reading text books, and search internet | 5 | 0 |
| J. Communication | ||
| Make effective communication with families and members of healthcare team | 5 | 0 |
| Round 3 | ||
|---|---|---|
| Neonatal nursing standards of practice for Cambodia | Md | IR |
| 1. Physical assessment | 5 | 0 |
| Chief complaints: most serious symptoms/signs of illness causing neonate to hospital | 5 | 1 |
| Check temperature, airway, breathing and circulation (TABC) | 5 | 0 |
| Assess growth status | 5 | 0 |
| Weight in gram | 5 | 0 |
| Length | 5 | 0 |
| Head circumference | 5 | 0 |
| Evaluate general appearance | 5 | 0 |
| Level of consciousness: state of alertness | 5 | 0 |
| Skin color: integrity and perfusion | 5 | 0 |
| Activity: range of spontaneous movement | 5 | 0 |
| Postures: muscle tone | 5 | 0 |
| Obtains maternal history | 5 | 0 |
| Apgar score | 5 | 0 |
| Gestational age | 5 | 0 |
| Mode of delivery | 5 | 1 |
| Medications used and feeding provided | 5 | 0 |
| Assess skin integrity, muscle, and skeleton | 5 | 0 |
| Skin color | 5 | 0 |
| Skin condition: rashes, pustule, peeling, plethora, dry, erythema, infected, edema, and injury | 5 | 1 |
| Muscle tone: spontaneous movement | 5 | 0 |
| Jaundice | 5 | 0 |
| Check head, face, and neck | 4 | 1 |
| Head: shape, size, scalp | 5 | 1 |
| Fontaneles: sutures | 5 | 1 |
| Eyes: size, position structure | 4 | 1 |
| Nose: position structure | 4 | 1 |
| Mouth: palate, teeth, gums, tongue, frenulum, jaw size | 4 | 1 |
| Assess chest and respiratory system | 5 | 0 |
| Chest: size, shape, symmetry, movement, breast tissue, and nipples | 5 | 0 |
| Respiratory system: lung sounds, signs of respiratory distress, breathing pattern, oxygen needs, level of FiO2, and SpO2 and chest retraction | 5 | 0 |
| Assess cardiovascular system | 5 | 0 |
| Heart rate/sounds | 5 | 0 |
| Pulse/femoral pulse and rhythm | 5 | 0 |
| Shun syndrome | 4 | 1 |
| Blood vessels | 4 | 1 |
| Assess abdomen and gastrointestinal system | 5 | 1 |
| Abdomen: size, shape, symmetry, palpate live, spleen, and kidneys | 4 | 1 |
| Abdominal condition: soft, firm, redness, mass, and lobe visible | 5 | 1 |
| Umbilicus: bleeding, discharge, detached, and smell | 5 | 1 |
| Breastfeeding/feeding frequency: sucking | 5 | 1 |
| Bowel movement: meconium or stool condition/color, vomiting, nausea | 5 | 1 |
| Assess genitourinary | 5 | 1 |
| Abnormality: open passage for urine and stool, any discharge | 5 | 1 |
| Anal position/imperforate | 4 | 1 |
| Assess neurological status | 5 | 1 |
| Behavior | 5 | 0 |
| Irritable crying | 5 | 0 |
| Posture: muscle tone, spontaneous movement | 5 | 0 |
| Reflexes, primitive/five reflexes/red reflex, Erb’s palsy, and seizure | 5 | 1 |
| Other assessment | 5 | 1 |
| Neonatal status | ||
| IV site: redness, swelling, edema, clean, and duration of IV insertion | 5 | 0 |
| Fluid management: cc/kg/day, electrolyte management: mg /kg/day | 5 | 0 |
| Blood sugar level | 5 | 0 |
| Intake and output | 5 | 0 |
| Breastfeeding frequency and effectiveness | 5 | 0 |
| Vaccination status | 5 | 1 |
| Development | 5 | 1 |
| Incubator and room temperature | 5 | 0 |
| Maternal status | ||
| Body weight, and condition of the mother before and after delivery | 5 | 1 |
| Nutrition, breasts/express breast milk, and colostrum | 5 | 1 |
| Drug used, alcohol use, and coping post-partum | 5 | 0 |
| 2. Psychological assessment | 4 | 1 |
| Assess mood of mother/caregiver to identify anxiety/worries/scary/depress | 4 | 1 |
| Observe face expression of mother/caregiver to identify feeling | 4 | 1 |
| Assess perception and belief of neonatal sickness or issue at home | 4 | 1 |
| 3. Social-economic and family assessment | 4 | 1 |
| Recognizes role of parents in decision making about neonate’s health | 4 | 1 |
| Assess whether the family able to taking care financial issue | 4 | 0 |
| Assess neglecting issue of the young mothers from their family | 4 | 1 |
| Assess mother knowledge in taking care of baby | 5 | 1 |
| 1. Actual nursing diagnosis | 5 | 0 |
| Hypothermia | 5 | 0 |
| Hyperthermia | 5 | 0 |
| Ineffective thermoregulation | 5 | 0 |
| Airway obstruction | 5 | 0 |
| Impaired gas exchange | 5 | 0 |
| Ineffective breathing pattern | 5 | 0 |
| Asphyxia | 5 | 0 |
| Pain | 5 | 0 |
| Umbilical cord infection | 5 | 0 |
| Necrotizing Enterocolitis | 5 | 0 |
| Neonatal Jaundice | 5 | 0 |
| Premature/low birth weight infant | 5 | 0 |
| Ineffective feeding | 5 | 0 |
| Ineffective breastfeeding | 5 | 0 |
| Interrupt breastfeeding | 4 | 1 |
| 2. Risk for nursing diagnosis | 5 | 0 |
| Risk for aspiration | 5 | 0 |
| Risk for infection | 5 | 0 |
| Risk for body temperature alteration | 5 | 0 |
| Risk for alter nutrition | 5 | 0 |
| Risk for fluid volume deficit | 5 | 0 |
| Set safety goals for neonate to overcome actual and risk for nursing diagnosis from admission to discharge | 5 | 1 |
| Provide interventions to fit with actual and risk for nursing diagnosis | 5 | 0 |
| 1. Nursing intervention for ineffective thermoregulation | 5 | 1 |
| Reduce or eliminate the sources of heat loss | 5 | 0 |
| Evaporation | ||
| When a shower, prepare a warm environment | 5 | 0 |
| Wash and dry each section to reduce evaporation | 5 | 1 |
| Limit the time of contact with clothing or a wet blanket | 5 | 0 |
| Convection | ||
| Avoid the flow of air | 4 | 1 |
| Conduction | ||
| Warm all goods for care such as stethoscope, scales, hand caregivers, clothes, and bed linen | 5 | 1 |
| Radiation | ||
| Reduce the objects that absorb heat | 4 | 1 |
| Monitor neonate’s body temperature | 5 | 1 |
| If temperature is below normal | ||
| Use two blankets | 4 | 1 |
| Wear headgear | 5 | 1 |
| Assess environmental sources for heat loss | 5 | 1 |
| If hypothermia settled >1 hour, refer to physician | 5 | 0 |
| Review the complications of cold stress, hypoxia, respiratory acidosis, hypoglycemia, fluid/electrolyte imbalance, and weight loss | 5 | 0 |
| If temperature is above normal | ||
| Remove blanket | 5 | 1 |
| Remove headgear, when worn | 4 | 1 |
| Assess environmental temperature again | 4 | 1 |
| If temperature not reduce to normal >1 hour, report to physician | 5 | 1 |
| Teach caregivers why neonates are vulnerable to temperature | 5 | 1 |
| Demonstrate how to save heat during bathing | 5 | 0 |
| Teach to measure temperature | 5 | 1 |
| Teach caregiver why neonates are vulnerable to heat and cold weather | 5 | 1 |
| Refer to hypothermia and hyperthermia for prevention | 5 | 0 |
| 2. Nursing Interventions for neonate with airway and respiratory problems | 5 | 0 |
| Place neonate in semi-follower/comfortable position | 5 | 0 |
| Maintain free airway | 5 | 0 |
| Provides oxygen per prescription | 5 | 0 |
| Monitor dyspnea, tachypnea, breath sounds, increased respiratory effort, lung expansion, and weakness | 5 | 0 |
| Evaluate changes of level of consciousness, cyanosis, skin color, mucous membranes, and nails | 5 | 0 |
| 3. Nursing interventions for neonate with infection | 5 | 1 |
| Keep neonate in isolation room | 5 | 1 |
| Monitor vital signs every 2 hours, notify the physician if vital signs are abnormal | 5 | 0 |
| Maintain a good temperature for an incubator and room | 5 | 1 |
| Wash hands before and after touching the neonate | 5 | 0 |
| Make sure that caregivers wash hands before touching/holding neonate | 5 | 0 |
| Let neonate rest, avoid holding if unnecessary | 4 | 1 |
| Administer antibiotics per prescription | 5 | 0 |
| 4. Nursing interventions for impaired skin integrity | 4 | 1 |
| Assess skin color every 8 hours | 4 | 1 |
| Monitor direct and indirect bilirubin | 5 | 1 |
| Change position every 2 hours | 4 | 1 |
| Massage the skin | 4 | 1 |
| Keep clean skin and moisture | 5 | 1 |
| 5. Fluid volume deficit | 5 | 0 |
| Monitor signs of dehydration such as skin turgor/fontanel/eyes | 5 | 0 |
| Monitor intake output | 5 | 0 |
| Record the frequency and amount of urine and stools | 5 | 0 |
| Monitor fluid and electrolytes balance | 5 | 1 |
| Explain the mother to breastfed often | 5 | 0 |
| 6. Nursing interventions for interrupted breastfeeding | 5 | 1 |
| Assess mother’s perception and knowledge about breastfeeding | 5 | 0 |
| Give emotional support to mother and accept decision regarding cessation/continuation of breastfeeding | 4 | 1 |
| Demonstrate use of manual breast pump | 4 | 1 |
| Explain techniques for storage of expressed breast milk | 5 | 1 |
| Provide privacy, calm surroundings when mother breast feeds | 4 | 1 |
| Recommend for infant sucking on a regular basis | 5 | 1 |
| Encourage mother to obtain adequate rest, maintain fluid and nutritional intake, and schedule breast pumping every 3 hours while awake | 4 | 1 |
| 7. Nursing interventions: risk for altered nutrition | 5 | 1 |
| Weight neonate in gram daily | 5 | 0 |
| Assess maturity reflex, with regard to feeding such as sucking, swallowing and cough | 5 | 0 |
| Monitor input and output and calculate consumption of calories and electrolytes daily | 5 | 0 |
| Assess level of hydration, note fontanel, skin turgor, urine-specific gravity, condition of mucous membranes, and weight fluctuations | 5 | 0 |
| Assess signs of poor feeding, nervous, crying high tone, trembling, eyes upside down, and seizure activity | 5 | 0 |
| 8. Nursing interventions for pain | 4 | 1 |
| Encourage mother to provide breastfeeding | 5 | 1 |
| Repositioning, swaddling, and nesting | 5 | 1 |
| Facilitated tucking and containment holding | 4 | 1 |
| Decreasing environmental sensors | 4 | 1 |
| Change nappy as needed | 4 | 1 |
| Allowing neonate to grasp a finger | 4 | 1 |
| Kangaroo care | 5 | 0 |
| The neonate requiring intervention is promptly identified and is started early | 5 | 0 |
| The neonate’s metabolic and physiologic processes are stabilized, and recovery is proceeding without complications | 5 | 0 |
| Infant maintains temperature at 36.5°C to 37°C | 5 | 0 |
| Neonate maintains a respiratory rate of 30-60 breaths per minute | 5 | 0 |
| Neonate will exhibit no signs of infection | 5 | 0 |
| Fluid volume will be maintained: Oral mucosa moist and pink, skin turgor elastic, urine output at least 1-2 mL/kg/hr | 5 | 0 |
| Neonate will maintain adequate nutritional intake: Weight gain or maintenance occurs. Consumes adequate diet for age | 5 | 1 |
| Neonate will be in comfort and free from pain | 5 | 0 |
| Advocate for equitable to healthcare consumer | 4 | 1 |
| Provide care follow guidelines/protocols so that the care nurse provides are safe for neonate | 5 | 0 |
| Develop knowledge from routine jobs toward research work that would apply to nursing practice | 5 | 0 |
| Introduce important research finding and evidence-based practice to other nurses | 5 | 0 |
| Utilizes evidence-based practice and research finding to guide practice | 5 | 0 |
| Participate in nursing research according to educational level/role | 5 | 0 |
| Integrates research findings into the development of guidelines and standards of care | 5 | 0 |
| Explain to family about treatment and procedures and follow-up | 5 | 1 |
| Tech parents about basic health information | 5 | 0 |
| Nutrition/breastfeeding | 5 | 0 |
| Reproductive health | 4 | 1 |
| Body hygiene | 5 | 0 |
| Hand hygiene correctly | 5 | 0 |
| Prevent hypothermia | 5 | 0 |
| Recognize signs of sick neonate | 5 | 0 |
| Schedule of vaccination and immunization | 5 | 0 |
| Participate in nursing education as appropriate to educational level and position | 5 | 1 |
| Participate in neonatal nursing training to update knowledge and competencies | 5 | 0 |
| Conduct self-directed learning, reading text books, and search internet | 5 | 0 |
| Make effective communication with families and members of healthcare team | 5 | 0 |
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