Abstract
Introduction: Given wide variation in care practices for infants with Neonatal Abstinence Syndrome (NAS) many clinicians aim to improve care through standardization. The Eating, Sleeping, Consoling (ESC) Care Tool standardizes both non-pharmacologic and pharmacologic care based on assessment of functional symptoms of opioid withdrawal and has been associated with a decrease in length of stay and pharmacologic treatment. Goal: Decrease the median percent of newborns who receive methadone postnatally for NAS by 30% between July, 2018 and January, 2019 by implementing the ESC Care Tool. Setting: At UVMCH, opioid exposed infants are routinely monitored on Labor and Delivery and the Newborn Nursery …
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