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Indiana State Department of HealthNewborn Withdrawal: Guidelines for Families In the Hospital and At Home Your baby has been diagnosed with newborn withdrawal or neonatal abstinence syndrome (NAS).

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How to fill out newborn withdrawal guidelines for

01

Obtain the newborn withdrawal guidelines form from the healthcare provider or hospital.

02

Start by filling out the basic information of the newborn, such as name, date of birth, and gender.

03

Provide the details of the mother and father, including their names, contact information, and any relevant medical history.

04

Indicate the reason for the newborn's withdrawal, whether it is due to maternal substance abuse or any other medical condition.

05

Specify the type of withdrawal symptoms observed in the newborn, such as tremors, irritability, or feeding difficulties.

06

Document any medications or interventions given to manage the withdrawal symptoms.

07

Include the names and contact information of any healthcare professionals involved in the care of the newborn.

08

Attach any relevant medical reports or test results that support the diagnosis and withdrawal guidelines.

09

Review and verify all the information filled out on the form for accuracy.

10

Submit the completed newborn withdrawal guidelines form to the appropriate healthcare authority.

Who needs newborn withdrawal guidelines for?

01

Healthcare providers working in neonatal intensive care units (NICU) need newborn withdrawal guidelines to accurately diagnose and manage withdrawal symptoms in newborns.

02

Parents or guardians of newborns who are at risk of or undergoing withdrawal from maternal substance abuse need these guidelines to understand the necessary steps for their child's care.

03

Medical professionals involved in the perinatal care of high-risk pregnancies or maternal substance abuse cases may also require newborn withdrawal guidelines.

04

Researchers studying the effects and management of newborn withdrawal may refer to these guidelines for background information and standard protocols.

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What is newborn withdrawal guidelines for?

Newborn withdrawal guidelines are used to track and monitor newborns who may be at risk for withdrawal symptoms after being exposed to certain substances in utero.

Who is required to file newborn withdrawal guidelines for?

Healthcare providers who are caring for newborns at risk for withdrawal symptoms are required to file newborn withdrawal guidelines.

How to fill out newborn withdrawal guidelines for?

Newborn withdrawal guidelines can be filled out by documenting the newborn's symptoms, any substances the newborn was exposed to in utero, and any treatment provided.

What is the purpose of newborn withdrawal guidelines for?

The purpose of newborn withdrawal guidelines is to ensure proper monitoring and care for newborns at risk for withdrawal symptoms.

What information must be reported on newborn withdrawal guidelines for?

Information such as the newborn's symptoms, substance exposure history, and treatment plan must be reported on newborn withdrawal guidelines.

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