f - Antibiotics received by the 1st Newborn Medication Medications given to newborn for Administration Record newborn for suspected neonatal sepsis including but not limited to: sepsis Nafcillin, Chloramphenicol Penicillin Any antibacterial drug that is given Penicillin G intravenous /IV or Ampicillin intramuscular/IM but not orally. Gentamicin, Kanamycin Cefotaxime Cefoxitin Vancomycin Acyclovir Amikacin, Ceftazidime Ceftriaxone Cefazolin g - Seizure or serious neurologic 1st Newborn H&P Seizures Tonic/Clonic dysfunction Clonus 2nd Physician Progress Notes Twitching Seizure any involuntary – repetitive, convulsive movement Eye rolling under - Neuro Exam or behavior. Rhythmic jerking Hypotonia Serious neurologic dysfunction Obtundation – severe alteration of alertness Stupor Coma Excludes (HIE) - Hypoxic-ischemic encephalopathy Lethargy or hypotonia in the • absence of other neurologic findings Symptoms associated with • CNS congenital anomalies
f - Antibiotics received by the newborn for suspected neonatal sepsis Any antibacterial drug that is given intravenous /IV or intramuscular/IM but not orally. 1st Newborn Medication Administration Record Medications given to newborn for sepsis including but not limited to: Nafcillin, Chloramphenicol Penicillin Penicillin G Ampicillin Gentamicin, Kanamycin Cefotaxime Cefoxitin Vancomycin Acyclovir Amikacin, Ceftazidime Ceftriaxone Cefazolin g - Seizure or serious neurologic dysfunction Seizure – any involuntary repetitive, convulsive movement or behavior. Serious neurologic dysfunction – severe alteration of alertness Excludes • Lethargy or hypotonia in the absence of other neurologic findings • Symptoms associated with CNS congenital anomalies 1st Newborn H&P 2nd Physician Progress Notes under - Neuro Exam Seizures Tonic/Clonic Clonus Twitching Eye rolling Rhythmic jerking Hypotonia Obtundation Stupor Coma (HIE) - Hypoxic-ischemic encephalopathy
Guide_MPM_BC_Facility_Worksheet_Guidelines.10.14.docx