Every admission is the same, regardless of size, age. We get the kid, check the bands, sign off the transfer note, weight the kid, put on RW and place on monitor, BP cuff, pulseox, start an IV unless the baby needs lines. We do our admission VS Q15 minutes x4, then Q30 minutes x4 then Q1 hour x2. If intubated they stay at Q1 hour x 24 hours, if not intubated, then Q2 hours. If they are feeding, then it is with their feeds (like the big kids we get from the nursery). We check glucose on admission, then 2 hours later then 4 hours later (more frequent if it warrants it). For most of our kids they get a septic workup (CBC/Diff, type and cross, blood cultures), started on Amp and Gent. Most kids get an IV, we usually start with D10 with 1.5 Ca Gluc unless they are really small and need more Ca to the bag. Full Termers usually just get D10. If they need lines, the docs place those and then we order the x-rays.
As far as paperwork, we do an admission assessment (we have a form that goes from head to toe...we just check and fill out what we need to), put down our nursing problems, make sure we do a pain check, and do a psycho-social sheet (this is when we also get the name of the SO, and visiting grandparents), this has to be down within the first 24 hours unless mom is really sick and there is no SO. We fill out the Kardex also. We have preprinted admission orders, so the docs just fill in the antibiotics (they are responsible for sending the order to pharmacy...we have to have them administered within one hour of admission), check off what we need to do. ONce we get all this settled we put the kid to bed, always in the same spot he/she is admitted to.