Newborn Discharge Checklist

how to know baby is ready to go home, AAP has addressed this issue

1. Nothing abnormal that would require continued hospitalization (somewhat obvious)
2. normal vital signs, and consistent stable for 12 hours, means able to maintain temperature, and normal breathing patterns
3. urinated and stooled at least once
4. at least 2 successful consecutive feedings
5. if circumcised, no significant bleeding. (most hospitals also require urination after circumcision?)
6. risk of developing significant jaundice has been evaluated, appropriate follow-up plans if necessary
7. evaluated and monitored for sepsis according to current guidelines, especially for group B streptococcal infection
8. maternal tests have been reviewed, especially hepatitis B and syphilis, and HIV according to state regulations
9. infant blood tests reviewed if indicated, such as blood type
10. Hepatitis B vaccine administered unless refused
11. metabolic and genetic screening sent to state
12. hearing screening performed
13. mother comfortable caring for infant, including
    1. breastfeeding or bottle feeding
    2. appropriate urination and stooling
    3. cord care, skin care, circumcision care
    4. ability to recognize problems, especially jaundice
    5. infant safety: proper car seat use, sleep position, room sharing, and smoke-free
14. Family and social risk factors identified, education about safe home environment
    1. drug abuse
    2. history of child abuse or neglect
    3. mental illness
    4. lack of social support, especially for first-time, single mothers
    5. homeless or live in shelter
    6. history of domestic violence
    7. contagious illness
    8. teen mother
15. Follow up arranged for 48-72 hours after discharge, or next day if indicated, medical home for baby
16. Barriers to medical care of infant identified, such as transportation, language barriers