Newborn nursery Log

[broncopooh]

I work in a for profit small 75 bed rural hospital. We average 55 to 60 deliveries a month. We are all trained for l&d, pp and nsy. Our unit has a new manager who is adding lots of extra paperwork and logs for everything. We have always had a delivery log and emtala log. She has added a rhogam log, telephone log and circ log. The newest log that has been added is a nursery log. We log in every baby, the sex, weight, breast or bottle, if the baby had a circ or not, if baby has any problems such as IV, feeding problems, O2, and about 10 other things. We feel these things are already in the chart but our manager is telling us this is a jcaho requirement. Do any other nurseries fill these out? Also, if so who fills them out. We have been told that the RN's will fill them out that they are not a unit clerk responsibility. Thanks

[crissrn27, RN]

When I did nursery, we had a PKU log that every baby was logged into. It listed name, sex, PKU #, med-rec #, and I think weight. Then we had an emtala log for in and out babies. And a hep b log that had name, weight, DOB, and date of shot. But nothing like you are describing. That seems a little much.

Oh, by the way, we had about 1200 births a year. The emtala log that we used dated back to 1971, the year the hospital opened!

[Elvish, BSN, DNP, RN, NP]

We have an enormous log book.

It contains:

Baby's sex, MR#, mom's name, DOB, HepB, PKU draw, circ/no circ,O2 sat test, birth weight and d/c weight, type of feeds, mom & baby blood type, and I can't remember what else at the moment. It's a bunch of stuff. Sounds a little like yours.

Our nursery techs do them most of the time. And we average ~500births/mo.

[littleneoRN]

The only thing I know for sure is that a circ log is required by JCAHO. This is because of it's surgical nature.

[jhhrn68]

We have lots of logs but not a circ log that i know of. we have one book divided into sections to log all the Hep B, rhogam and Miravax and Adacel vaccines. We have a nursery admission book for date and time, sex, weight, GBS status of mom. This is where we document PKU's also. Now that I think about it, all the rest of the charting is part of the medical record.

[33-weeker]

I work in Houston, TX. Every hospital here that I've ever worked in has a newborn log. L&D keeps one on their patients and we keep one on the babies. We don't do one for circs, and only a couple of hospitals had one for Hep B Vaccines, but there is a column on ours for Hep B.

Date, time, room, name, phone, weight, length, OB, Pedi, ID bracelet #, Gravida/para, gender, apgar, dates, hBsaG, coombs, mom's blood type, GBS, Hep B vaccine, breast/bottle, type of delivery & comments.

If the baby goes to level II, we color the line with a yellow highlighter.

(We don't do a blood type on the baby unless coombs is + or mom is rh-)

We number them unless it's a re-admit (like for Bili) - they get entered in the log, but don't get a number.

[NurseNora, BSN, RN]

We do about 1100 deliveries a year and we do have a nursery log. It has most of the same information as the delivery log, only in a different order and also includes infant blood type, ID band #, Hep B, measurments and gestational age by Ballard exam. The delivery nurse is responsible for filling out both the Delivery and Newborn log books.