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NICU Neonatal Safety & Care Audit

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Safety audit for neonatal intensive care units covering patient identification of newborns, human milk management, thermoregulation, alarm and equipment safety, and NICU level of care designation.

AAP Guidelines for Perinatal CareFGI GuidelinesTJC NPSG.01.01.01CMS 42 CFR 482.60

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Newborn Identification

Are at least two patient identifiers used, with distinct-naming conventions for newborns to prevent misidentification? *
Are matching ID bands applied to the infant and parent/caregiver, and verified at each care handoff? *
Are safeguards in place to prevent mix-ups among multiples (twins/triplets)? *

Human Milk & Feeding Safety

Is expressed breast milk labeled, stored, and independently double-checked against the correct infant before administration? *
Are breast milk and formula stored at monitored temperatures with expiration tracking? *
Is there a documented process for managing a breast milk misadministration event? *

Thermoregulation & Environment

Are infants maintained in a neutral thermal environment with continuous temperature monitoring? *
Does the NICU environment support developmental care (light and noise control) per FGI guidance? *

Medication & Equipment Safety

Are neonatal medications dosed by weight with standardized concentrations and independent double checks? *
Are alarms on monitors, ventilators, and infusion pumps set to appropriate neonatal parameters and managed to reduce fatigue? *
Is emergency resuscitation equipment sized for neonates immediately available and checked? *

Level of Care & Staffing

Is the NICU's level of neonatal care (I-IV) designated consistent with AAP definitions and available services? *
Are nurse-to-patient ratios matched to acuity per AWHONN/AAP staffing guidelines? *

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