Neonatal Admission Form (NICU) Template

A highly detailed template for babies admitted to the Neonatal Intensive Care Unit. It includes Apgar scores, birth details, neonatal conditions, treatments initiated, and investigations needed—critical for newborn care documentation.

Key Features

• Birth details (GA, mode of delivery, weight)

• Apgar scores at 1, 5, and 10 minutes

• Neonatal diagnosis (prematurity, jaundice, sepsis, etc.)

• Vital signs & initial findings

• Treatment interventions (oxygen, IV fluids, antibiotics, phototherapy)

Who Should Use It

NICUs, maternity hospitals, pediatricians, neonatal specialists.

• Version
• File Size 135.65 KB
• File Count 1