Category

First 4 Hours

4-8 Hours Past Birth

8-24 Hours Past Birth

Discharge planning/ home care—

Plan discharge call with parent or guardian in 24 hr to 2 days

Assess parents’ discharge plans, needs, and support systems

Obtain birth certificate information

Give written copy of discharge instructions Newborn photographs

Set up appointment for follow-up PKU test Have car seat available before discharge All discharge referrals made, follow-up appt, scheduled

Expected Outcomes:

Infant discharged home with family; mother verbalizes follow up appt, time/date

Family involvement

Facilitate early investigation of baby’s physical characteristics (maintain temp during unwrapping), hold infant en face

Dim lights to help infant keep eyes open

Assess parents’ knowledge of newborn behaviors, such as alertness, suck and rooting, attention to human voice, response to calming techniques

Assess mother-baby bonding/interaction Incorporate father and siblings in care Enhance parent-infant interaction by sharing characteristics and behavioral assessment

Support positive parenting behaviors

Identify community referral needs and refer to community agencies

Expected Outcomes:

Demonstrates caring and family incorporation of infant