Newborn Critical Care Center (NCCC) Clinical Guidelines
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
- Feeding Guidelines and Pathways
- Nutrition Guidelines (Parenteral and Enteral)
- Amino Acid Solutions
- Breastfeeding Guidelines and Use of Donor Human Milk
- Breastfeeding Contraindications including Medications
- Feeding Referrals
- Gastrostomy Tube Guidelines
- Oral Immune Therapy
- TPN Cycling Guidelines
- TPN Cycling Spreadsheet
- Alprostadil (Prostin) Infusion Guidelines
- Acute Symptomatic Seizures Antiseizure Medication Pathway
- Caffeine Therapy for Apnea of Prematurity
- Systemic Postnatal Steroids for Chronic Lung Disease
- Hydrocortisone Stress Dosing
- Intravenous KCl Administration
- Neuromuscular Blockade
- Opioid Weaning and Narcotic Conversion
- Vitamin A Guidelines
- Vitamin D Guidelines
- Adrenal Insufficiency – ACTH Stimulation Test
- Acute Kidney Injury Guidelines
- Acute Symptomatic Seizures Antiseizure Medication Pathway
- Congenital Diaphragmatic Hernia Pre-Operative Management Guidelines
- Gastroschisis Guidelines
- HIV Clinical Guidelines
- Hyperglycemia and the Use of Insulin
- Hypoglycemia and the Use of Dextrose Gel in NBN
- Hypoglycemia IVF Management Algorithm
- Hyperkalemia Guidelines
- Hypoxic Ischemic Encephalopathy Body Cooling Protocol
- Myelomeningocele Guidelines
- Necrotizing Enterocolitis (NEC) Guidelines
- Neonatal Abstinence Syndrome Guidelines (Eat, Sleep, Console)
- Post-hemorrhagic Hydrocephalus Guidelines
- Consult Guidelines for Antepartum Patients
- Counseling and Management of Extremely Preterm Infants
- Joint OB and NCCC Antenatal Counseling for Anticipated Periviable Deliveries
- Joint OB and NCCC Antenatal Counseling for Anticipated 30-34 week Deliveries
- Joint OB and NCCC Antenatal Counseling for Anticipated 34-36 week Deliveries
