1. 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:

2. 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: