NICU Admissions

• A Resource RN will be assigned each shift to the 2^nd floor, if staffing permits.
• If "new admit" is able to be assumed into existing assignment, Resource RN, Delivery RN, and/or Charge RN will aid in completing the admission process with the Bedside RN with open, existing assignment.
• If "new admit" will not be able to be assumed into existing assignment, Resource RN will admit patient into a vacant room, or into the "micropreemie/high acuity" neighborhood if criteria met, and continue patient care for remainder of shift.
• Resource RN duties may be assumed as follows, if needed to continue patient care of two admitted patients.
  

Resource Order:

1. 2^nd floor Resource RN
2. Delivery RN (3^rd floor Charge RN to attend deliveries)
3. 3^rd floor Charge RN (2^nd floor Charge RN to attend deliveries and charge duties of both floors )
   
    

• If "new admit" fits criteria for admission into "micropreemie/high acuity" neighborhood, placement in that neighborhood must be assured. Stable, existing occupants, not meeting "micropreemie/high acuity" criteria, will be transferred out, to meet placement/staffing needs. SBAR, OBTraceVue, and open communication between NICU/LDR/HROB will facilitate proper "micropreemie/high acuity" placement.
• Resource RN will facilitate admissions, until patient assignment is assumed.

Absorbing Assignments:

1. Resource RN
2. Delivery RN
3. 3^rd floor Charge RN
4. Bedside RN, if becomes available (i.e. discharges)