neonatal bp's

Specialties Ob/Gyn

Published

do you routinely do bp's on all healthy term newborn's? if you do are they 1 extremity or all 4? any input on this is appreciated. we are in the process of changing our policy. now we just do 1 random bp and our manager would like to see us do 1 set of all 4. according to her aap reccomends no bp for neonates. where i worked before, we did bp's w/ babies who had murmurs or were supected volume depletion. do you guys feel these bp's are necessary for all newborns? i know we could miss a coarc and this is our manager's thinking.::confused: :o

Never do it on healthy term babies. I really don't think it's necessary routinely. We are trying to get away from being so monitor/VS obsessed and look at the whole picture. Had the same problem with healthy term babies having BGMs done in the nursery, which they have stopped.

i tend to gree w/ you. i also think if you collect this data and it's not interpreted correctly or ignored, you make yourself liable. i can see taking them based on risk factors, but then again, i am not the manager. thankfully! i'd like to see if what is the standard around the country. i get tired of trying to make all of our healthy kids nicu babies.

We never do them on regular healthy kids, only if they start acting sick.

We don't do them either.

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

not on routine healthy neonates.

Specializes in NICU.

Not on healthy babies, only on icn admits or if one is specially ordered by the doc after a heart murmer has been heard.

We do 1 random BP on admission. If a murmur is detected, we do BP's x 4 extremities.

Not in Well Baby nursery. And only on extremities x4 if ordered. ie; Only 1 on a diabetic mom admit, x4 on preemie.

We don't do them on healthy newborns.

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