Mothers and Newborns Affected by Opioids – Neonatal Resources
Clinical Quick Start Resources
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ILPQC MNO Prenatal Consultation Guidelines – Checklist for neonatal/pediatric providers to complete prenatally with pregnant patients with OUD including NAS information, the importance of breastfeeding, and engaging in non-pharmacologic care of the newborn
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Identify Newborns at Risk for NAS Decision Tree – tool from the IDPH Neonatal Advisory Council
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MNO Discharge Checklist – For every mom/baby dyad a team should (1) ensure infant meets clinical discharge criteria, (2) provide education and anticipatory guidance to the mother/family, and (3) complete the Collaborative Discharge Plan together with the care team, mother/family, and community PCP.
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Collaborative Discharge Plan – Plan to be completed with the care team, mother/family, and community PCP to identify and facilitate warm handoffs to community organizations to optimize care for opioid exposed newborns
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Breastfeeding Traffic Light Resource – a compilation of clinical recommendations for breastfeeding contraindications to support women with OUD to breastfeed their newborn
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MNO-Neonatal Clinical Debrief Form – Use this form to review missed opportunities in caring for Mothers and Newborns affected by Opioids with the clinical care team. This form will facilitate review of: prenatal consult, non-pharmacologic care, breastfeeding, and coordinated discharge
Toolkit
- MNO-Neonatal Sustainability (2021+)
- OUD and NAS Clinical Reports and Policy Statements
- MNO-Neonatal Key Documents
- Standardize Identification, Monitoring, and Assessment of SEN’s
- Provide Family & Care Team Education
- Improve Infant Nutrition and BreastFeeding
- Optimize Non-Pharmacologic Care
- Standardize Pharmacologic Treatment
- Coordinate and Communicate Safe Discharge
MNO-Neonatal Sustainability (2021+)
ILPQC Data System Sustainability Data Forms:
- MNO-Neo Monthly Patients with OUD Data Collection Form
- Combined MNO-OB & Neonatal Monthly Patients with OUD Data Collection form
Sustainability Info:
National NAS Resources
- AAP: Pediatrics On Call Podcast – Acknowledging Stigma and Embracing Empathy When Treating Opioid Withdrawal Syndrome.
- AAP: Communication Campaign – Share Your Knowledge about Neonatal Opioid Withdrawal Syndrome.
- ASTHO: Infographic series – Supporting Pregnant and Postpartum Women with Opioid Use Disorder
MNO-Neonatal Folder:
OUD and NAS Clinical Reports and Policy Statements
AAP Policy and Clinical Reports
- Neonatal Opioid Withdrawal Syndrome (10/2020)
- AAP Policy Statement: A Public Health Response to Opioid Use in Pregnancy
- AAP Clinical Report: Families Affected by Parental Substance Use
- AAP Clinical Report: Promoting Optimal Development: Identifying Infants and Young Children With Developmental Disorders Through Developmental Surveillance and Screening
- AAP Clinical Report: Neonatal Drug Withdrawal
MNO-Neonatal Key Documents
Standardize Identification, Monitoring, and Assessment of SEN’s
Provide Family & Care Team Education
Family Education
- Neonatal Abstinence Syndrome (NAS): What You Need to Know/Be with your baby: You are the treatment! Half‐ Page Card
- Neonatal Abstinence Syndrome (NAS): What you need to know booklet
Care Team Education
- MNO-Neonatal Key Messages and Strategies Poster
- Mothers are the Best Treatment Option Poster
- Supporting Breastfeeding Poster
- Coordinated Discharge Key Elements Poster
- ILPQC Infant Bedside Sheet
- Breastfeeding Traffic Light Resource
- MNO Discharge Checklist
- Collaborative Discharge Plan
Improve Infant Nutrition and BreastFeeding
Optimize Non-Pharmacologic Care
- MNO-Neonatal Missed Opportunities Debrief Review Form: To be completed with every dyad affected by opioids to review successes and identify opportunities to optimize care
- Eat-Sleep-Console Simulation & Debrief Video
- Engaging Mom in Non-Pharmacologic Care Simulation & Debrief Video
- Non‐Pharmacologic Care Definitions
- ILPQC Newborn Care Diary
- Baystate Children’s Hospital: Sample Rooming‐In policy for mother‐infant dyad impacted by in‐utero opioid exposure
Standardize Pharmacologic Treatment
- SSM Health St. Mary’s Hospital Guidelines for Pharmacologic Treatment when using ESC Method
- NNEPQIN: Sample ESC‐Based Pharmacologic Treatment Regimens: Boston Medical Center NAS Pharmacologic Treatment Algorithm & Children’s Hospital at Dartmouth‐ Hitchcock NAS Management Algorithm
- BMC: Sample NAS Primary & Secondary Agent Algorithms
Coordinate and Communicate Safe Discharge
Coordinated Discharge Materials
- MNO-Neonatal Discharge Checklist
- MNO-Neonatal Collaborative Discharge Plan
- MNO-Neonatal Discharge Resources Mapping Tool
Pediatrician Communication Tools
- Sample letter from inpatient team updating community pediatricians about MNO-Neonatal Initiative, what to expect
- Sample educational 1-pager about common terminology for Eat Sleep Console to share with community pediatrician
Additional Discharge Resources
**Key Resource
The following material is an example only and not meant to be prescriptive. The resources provided in this toolkit are for informational purposes only. The exclusion of a resource, program, or website does not reflect the quality of that resource, program or website. Note: websites and URLs are subject to change.
Webinars
2022 Webinars
September 2022: Sustainability Call
2021 Webinars
January 2021: Sustainability Call
June 2021: Adapting to the changing landscape in 2021
2020 Webinars
February 2020: Opportunities for and Barriers to Achieving Success (2.17.2020)
March 2020: MNO-Neonatal Key Strategies Round Robin, Part 1 (3.16.2020)
April 2020: MNO-Neonatal Key Strategies Round Robin, Part 2 (4.20.2020)
June 2020: Crossing the Finish Line with Coordinated Discharge (6.15.2020)
July 2020: Breastfeeding and Non-Pharmacologic Care
August 2020: Optimizing non-pharmacologic care to support and reduce pharmacologic treatment of NAS symptoms
September 2020: Coordinated Discharge…it begins at admission
2019 Webinars
MNO-Neonatal Teams Call: Standardizing Pharmacologic Treatment of OENs (2.18.2019)
MNO-Neonatal Teams Call: Safe Discharge Planning and Linking to Community Resources (3.18.2019)
MNO-Neonatal Teams Call: Empowering Mothers & Caregivers to Participate in Newborn Care Part 1 (4.15.2019)
MNO-Neonatal Teams Call: Optimizing Breastfeeding & Nutrition for opioid-exposed newborns (5.20.2019)
MNO-Neonatal Teams Call: Changing Culture: Optimizing Non-pharmacologic bundle as first line of treatment (7.15.2019)
MNO-Neonatal Teams Call: How to Succeed with Coordinated Discharge Planning in the MNO-Neonatal Initiative (8.19.2019)
MNO-Neonatal Teams Call: WHOOO Is in Charge After Infant Discharge? (10.21.2019)
MNO-Neonatal Teams Call: Strategies for Success: Creating MNO-Neo Folders for Success and Launching a MNO-Neo Education
Campaign (12.16.2019)
2018 Webinars
January 2018: MNO Wave 1 Team Launch Call
February 2018:
March 2018:
- MNO Neonatal Workgroup Call and MNO Neonatal Wave 1 Teams call (3/19/2018)
- MNO OB & Neonatal Wave 1 Team Updates (3/23/2018)
April 2018:
- MNO Kick-off Webinar (4/23/2018)
June 2018:
- MNO-Neonatal Teams Call: Pre-Delivery Care (6/25/2018)
July 2018:
- MNO-Neonatal Teams Call: Standardizing Toxicology Testing of Opioid-Exposed Newborns (7/16/2018)
- View July 2018 Recording Here
- MNO-Neonatal Teams Call: Systematically Addressing Stigma & Bias Education for Providers, Nurses, and Staff (8.20.2018)
- View August 2018 Recording Here
- MNO-Neonatal Teams Call: Standardizing Assessment & Monitoring of Opioid-Exposed Newborns Part 1: Assessment Tools (Eat-Sleep-Console & Finnegan Scoring) (9.17.2018)
- View September 2018 Recording Here
- MNO-Neonatal Teams Call: Unpacking the Non-Pharmacologic Care Bundle (10.15.2018)
- View Recording Here
- MNO-Neonatal Teams Call: Annual Conference Recap, Preparing for 2019 (11.19.2018)
- View Recording Here
December 2018:
- MNO-Neonatal Teams Call: Rooming-In (12.17.2018)
- View Recording Here