Outpatient Specialty Care and Primary Care Clinical Pathway for Newborns
with Norwood Physiology or Shunt-dependent Pulmonary Blood Flow
Monitoring
Parent/Caregiver
- Daily weight
- Twice daily oxygen saturation and heart rate
- Feeding log
- Red Flags
- Minimum 1 call per week with ISVMP APN
Visiting Home Nurse
Frequency of visits
determined by need
Frequency of visits
determined by need
- Weight
- Oxygen saturation
- Mode of feeding
- Formula type, amount
- RN assessment
- Other concerns
- Red Flags
Pediatrician
Scheduled well-baby visits
and visits as needed
Scheduled well-baby visits
and visits as needed
- Weight
- Vital signs including heart rate, respiratory rate, oxygen saturation
- Immunizations per CDC recommendations, including Beyfortus
- Other concerns
- Red Flags
Cardiology
Norwood patients, every 2 wks
patients, monthly
- Vital signs including heart rate, respiratory rate, oxygen saturation, and 4 extremity BP for infants with arch reconstruction
- Screening Echo Protocol
- Other concerns
- Red Flags
- Feeding Advancement Protocol
Cardiac Kids Developmental Follow-up Program
Scheduled per team recommendations
Scheduled per team recommendations
Second Operation Planning
Stage II
Submit surgical request for Stage II by 2 months of age
Preoperative Labs
include BNP with standard pre-operative labs
include BNP with standard pre-operative labs
Biventricular Repair
Timing, Pre-Op Studies
Determined by Primary Cardiologist
Determined by Primary Cardiologist