The UNC Newborn Critical Care Center (NCCC) guidelines are intended to assist providers with the clinical management of patients in the neonatal intensive care unit.
These guidelines serve as reference guides and are provided only to assist providers make clinical decisions regarding the management of patients. These guidelines do not establish a standard of care and do not substitute for the individual professional judgment necessary for each specific clinical presentation.
The ultimate judgment regarding the management of a specific patient must be made by the provider and the patient, taking into account such factors as characteristics of the individual patient, healthcare resources, and regional experience with diagnostic and therapeutic modalities. These guidelines are reviewed and updated on a revolving schedule and are current to the date noted at the end of each guideline.
For additional consultation contact the UNC NCCC directly at (984) 974-3481
To transport a neonatal patient to the UNC NCCC call the Transfer Center at (800) 806-1968
* Some of the hyperlinks embedded within the documents below will not work outside the UNC Healthcare firewall
Respiratory
Bronchopulmonary Dysplasia
Nutrition and Feeding
- Amino Acid Solutions
- Breastfeeding Contraindications including Medications
- Breastfeeding Guidelines and Use of Donor Human Milk
- Feeding Referrals
- Gastrostomy Tube Guidelines
- NICU Feeding Pathways
- Nutrition Guidelines (Parenteral and Enteral)
- Oral Immune Therapy
- TPN Cycling Guidelines
- TPN Cycling Spreadsheet
Infectious Disease
Hematology
Medication
Guidelines for ELBW Infants
Neonatal Resuscitation
Healthcare Maintenance
Special Screening
Discharge & Developmental Follow-up
Procedural Guidelines
Parenteral Access
Diagnosis Specific Guidelines
- Acute Kidney Injury Guidelines
- Acute Symptomatic Seizures Antiseizure Medication Pathway
- Adrenal Insufficiency – ACTH Stimulation Test
- Congenital Diaphragmatic Hernia Pre-Operative Management Guidelines
- Gastroschisis Guidelines
- HIV Clinical Guidelines
- Hyperglycemia and the Use of Insulin
- Hyperkalemia Guidelines
- Hypoglycemia and the Use of Dextrose Gel in NBN
- Hypoglycemia IVF Management Algorithm
- Hypoxic Ischemic Encephalopathy Body Cooling Protocol
- Myelomeningocele Guidelines
- Necrotizing Enterocolitis (NEC) Guidelines
- Neonatal Abstinence Syndrome – ESC Algorithm
- Neonatal Abstinence Syndrome – ESC Epic Documentation
- Neonatal Abstinence Syndrome – ESC Parent Handout (English)
- Neonatal Abstinence Syndrome Guidelines (Eat, Sleep, Console)
- Perinatal UTD – AAP Guidance
- Persistent Pulmonary Hypertension Guidelines
- Post-hemorrhagic Hydrocephalus Guidelines
Consults & Communication
Special Protocols
Prenatal Counseling
- Consult Guidelines for Antepartum Patients
- Counseling and Management of Extremely Preterm Infants
- Joint OB and NCCC Antenatal Counseling for Anticipated 30-34 week Deliveries
- Joint OB and NCCC Antenatal Counseling for Anticipated 34-36 week Deliveries
- Joint OB and NCCC Antenatal Counseling for Anticipated Periviable Deliveries