MORT et al v. LAWRENCE COUNTY CHILDREN AND YOUTH SERVICES et al

Filing 58

Second AMENDED COMPLAINT against JANE GAJDA, SANDY COPPER, LAWRENCE COUNTY CHILDREN AND YOUTH SERVICES, LAWRENCE COUNTY, CHRISSY MONTAGUE, JAMESSON HEALTH SYSTEM, INC. filed by ELIZABETH MORT, ALEX RODRIGUEZ. (Attachment: # 1 Exhibit) (Dodge, Patricia) Modified on 11/14/2011. (jsp)

EXHIBIT "A"

4'

JAMESON HOSPITAL
MATERNITY CARE CENTER
SUBJECT:

To identify newborns at risk for drug withdrawal
Policy:

All obstetrical patients admitted to the maternity care center will have a urine drug screen
(UDS) done. This testing is performed in order to identify those newborns with potential
to demonstrate symptoms of drug withdrawal and to require special observation and
treatment. Any newborn of a mother with a positive urine drug screen will have a
Finnegan’s scoring initiated (see attached).
Procedure:

1. The nurse or the unit secretary will order a urine drug screen (UDS) in the
Invision system STAT.
2. The nurse will collect the urine specimen, label it and send it to the lab.
3. If the UDS is positive the lab will send the specimen for confirmatory testing. The
nurse will log the positive test in the Test Log Book. Jameson Hospital
Drug
social service department will be notified of the positive UDS. The lab will
notify the maternity care center when they receive the results of the confirmatory
tests. This information will be recorded in the Testing Log Bookby the
Drug
maternity staff.
4. If the confirmatory is positive, the MCC staff will notify Jameson Hospital social
service department. Social service will then notify Children and Youth Services
of the positiveconfirmatory test results.
5. Social service will notify CYS prior to the receipt of the confirmatory result if the
following is present:
1. Prenatal history indicating prior drug use or children in foster care.
2. Positive urine drug screen at any time in the pregnancy.
3. Physician suspect ie signs and symptoms upon admission, known
methadone patient.
4. Unusual patient behavior
5. Noncompliant prenatal care.
6. Any positive drug screen of the 013 patient will be communicated to the OB and
Pediatric physicians.

scoring assessment will be initiated on the infant based on the
7. A Finnegan's
screen.
positive urine drug
If the OBpatient's UDS is positive the nurse or the unit secretary will order a
8.
urine and meconium drug test on the newborn.
9. Results of the positive newborn test will be communicated to the pediatrician.

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