NICU DAILY UPDATE SHEET Name: Hospital No: DoB: NICU DAILY UPDATE SHEET Corrected gestational age Gestational age (Age in days ) Birth weight (g) Current weight (g) (weight gain in g/kg/day) Current Problems Birth history Previous problems Events and concerns overnight Night obs HR BP mean RR Toe/core gap Ventilation Lines in situ Mode: Rate: FiO2: Pressure/flow: Amount used: UVC UAC Peripheral venous line Site: Peripheral arterial line Site: Long line Site: Latest gas Fluids and feeding (cap/art/ven) pH pCO2 pO2 Lact HCO3- BE Glucose Total fluids: ml/kg/day PN Type: Supplements: PN volume: Na: Enteral Type: K: Enteral volume: Ca: Infusions total volume: Glucose load: Bowels opened: yes/no Urine output:

Antibiotics: Medication: Infusions: Benzylpenicillin Day Gentamicin Day Tazocin Day Vancomycin Day Meropenem Day Other____________Day Fluconazole prophylaxis yes/no Caffeine citrate Abidec Folic acid Ferrous fumarate Sodium acid phos Sodium chloride Other Morphine Dopamine Dobutamine Insulin Other: Neurology: Last CrUSS Date: Postnatal age Next CrUSS due date: Findings: Radiology: CXR: AXR: Other: Proforma completed by: Sign: Ward round: Consultant: Parents present and updated: yes/no Time: Comments: Examination: HS I + II + Plan: Ward round obs HR BP mean RR Toe/core gap CNS: Name: Sign: