Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content ++ Able to maintain normothermia in an open crib.Normal saturations in room air or completed arrangements and parental teaching for any supplemental oxygen or equipment neededNo apnea/bradycardia for 5 days before dischargeTolerating feeds by mouth or other means without respiratory distressAppropriate weight gain for gestational ageHome health service in place if neededParental comfort with routine care, medications, any equipment needed, and any procedures neededParental infant CPR instructionAppropriate follow-up arranged, including a primary physician comfortable with managing the level of care required and able to see patient within 2 days of discharge +++ Discharge Planning ++ Discharge planning should be started early, especially for infants with complex medical needs. ++Table Graphic Jump Location|Download (.pdf)|PrintPlanningCriteriaTimingFollow-upState newborn screenAll infantsEach state is different in terms of timing of screening and which disorders are screened for; check with your state on the timing and sample preparationIn Texas, two screens are done: First at 24–48 h of life; second at 7–14 d of lifeSome states only require one screenSecond screen is usually to evaluate for false-negative results on the first screenSome states only require one screening test, and others require two; check with your state on the number and timing of state screenings requiredCranial USInfants born at <32 wk PMA or birthweight <1500 gAt 7 to 10 d of age or earlier at the discretion of the attending physicianNo hemorrhage on initial screen:If GA <28 wk, repeat at 4 wk chronological age and 36 wk PMA (or sooner if discharged <36 wk PMA)If GA >28 wk, repeat at 4 wk chronological age or 36 wk PMA (or sooner if discharged earlier than 36 wk PMA)If grade II IVH or greater:Weekly cranial US to follow for development of post-hemorrhagic hydrocephalus; more frequently if clinically indicated Ophthalmologic screenAll infants <30 wk PMA or <1500 g birthweightorInfants 1500–2000g birthweight if the infant is at high risk for developing ROP31–33 wk PMABased on findings of initial screen (may be within a few days for pre-threshold disease to every 1–3 wk for immature retinas at risk of progressing to ROP)Audiology screenAll newbornsInfants admitted to the level II nursery or NICU for ≥5 d require screening with an ABR≥34 wk PMAAs needed for failed initial screenCar seat testingAll infants born <37 wk PMA or older infants with disorders that may impact the airway (eg, hypotonia)Can be tested immediately before discharge homeVaccinationsSee Chapter 19 (Infectious Diseases) for vaccination guidelinesOccupational therapy or physical therapyInfants who meet one of the following:Birth at ≤28 wk PMABirthweight <1000 gNeurologic injury (IVH, PVL)Any disorder that impacts movementOrthopedic impairmentAs soon as possible during the hospitalizationAs recommended by consulting therapistEarly Childhood Intervention (programs are ... Your Access profile is currently affiliated with [InstitutionA] and is in the process of switching affiliations to [InstitutionB]. Please select how you would like to proceed. Keep the current affiliation with [InstitutionA] and continue with the Access profile sign in process Switch affiliation to [InstitutionB] and continue with the Access profile sign in process Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Error: Incorrect UserName or Password Username Error: Please enter User Name Password Error: Please enter Password Sign in Forgot Password? Forgot Username? Sign in via OpenAthens Sign in via Shibboleth You already have access! Please proceed to your institution's subscription. Create a free profile for additional features.