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- Normal Newborn Order Set Changes
As of September 18, 2025, a number of changes will go live that affect Normal Newborn order sets. The changes will break existing personalization, so prescribers will need to re-personalize their affected order sets.
The following changes apply to the Normal Newborn Nursery Admission order set and, for the last two changes, also to the Normal Newborn Nursery Medications and Immunizations order set (click here for screenshots):
- Admit Order: Updated to “Admit to Nursery” with "Level of care" defaulted to “Newborn Healthy”, to support hospital billing processes.
- Vital Signs – Assisted Birth: Renamed to “Vital Signs for Infants at Risk of Subgaleal Hemorrhage”, to align with the new guideline Monitoring Infant for Subgaleal Hemorrhage.
- Vital Signs Frequency – All Vital Signs: All references to “Every Shift” have been changed to “Every 8 Hours”.
- Vital Signs – Infants less than 37 Weeks Gestation: This order is now pre-selected if the patient is less than 37 weeks gestation.
- Weight Orders: Simplified to two options:
- Weigh at birth. Switch to daily weights if the newborn is at risk (e.g., SGA, less than 37 weeks, hyperbilirubinemia/ phototherapy, feeding difficulties beyond typical newborn feeding).
- Weigh at 48 hours of age if the infant remains admitted.
- Head Circumference Orders: Updated to align with the Monitoring Infant for Subgaleal Hemorrhage guideline.
- Glucose Meter POCT Orders: Split into two separate orders, to clarify testing for symptomatic vs. at-risk neonates.
- Congenital Heart Defect Screening Order (optional order): Updated for clarity.
- EHDI Hearing Screening Order: Removed due to an alternate workflow for identifying infants needing screening.
- Oral Sucrose Dosing: Changed from 1 mL to 0.2 mL.
- Hepatitis B Vaccine Orders: Frequency changed to “during hospitalization”, to align with pharmacy workflow and prevent automatic dispensing. “Administer as soon as possible within 12 hours of birth” has been added to the comments.
For questions or concerns regarding these changes, contact ClinicalSystemImprovement@ahs.ca. Note parallel changes will also be made to the Nursing/Allied Health – Well Newborn Admission Protocol order set.
If you need help re-personalizing the order set, please call the AHS Help Desk or submit a ticket within Connect Care requesting assistance.
