Table 2.
NICU provider preparedness assessment tool: Admission and Care of the Neonate.
| Infant Post Delivery Isolation |
| Transport in an isolette with doors closed. |
| Infant placement: Airborne Infection Isolation Room (AIIR) if requires respiratory support OR Neutral pressure room with HEPA filter if no respiratory support/ aerosol generating procedure expectedb |
| Clear signage outside the room regarding infection precautions needed before entering the room |
| Appropriate staff |
| Only essential personnel should enter the room |
| A log of every healthcare provider entering and exiting the patient room should be kept |
| Dedicated primary team as local resources permit |
| Limited sub-specialty team members for exams |
| Personal protective equipment (PPE) |
| Disposable patient examination gloves |
| Disposable isolation gown |
| Respiratory protection (N-95 or higher-level respirator), Face Mask appropriate if no aerosol generating procedures* |
| Appropriate eye protection (e.g. goggles or face shield) |
| Equipment |
| Dedicated or disposable noncritical patient-care equipment (e.g., blood pressure cuffs) |
| Environmental cleaning |
| Ensure proper cleaning and disinfection of environmental surfaces and equipment in the patient room |
| Maternal contact |
| Method to update mother identified and performed (telephone and video conferring preferred, in-person for significant updates / decisions) |
| Family members identified who can receive the updates |
| Feeding method identification |
| Expressed breast milk preferred. Donor breast milk or formula if can not give breast milk for any reason |
⁎
Once supply chain at institution allows, facilities should return to use of respirators (N95) for patients with known or suspected COVID-19.
b
AIIR preferred, if available. Adapted from Interim Infection Prevention and Control Recommendations for Patients with Suspected or Confirmed Coronavirus Disease 2019 (COVID-19) in Healthcare Settings https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.html and Interim Considerations for Infection Prevention and Control of Coronavirus Disease 2019 (COVID-19) in Inpatient Obstetric Healthcare Settings https://www.cdc.gov/coronavirus/2019-ncov/hcp/inpatient-obstetric-healthcare-guidance.html.