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href="/publications/weekly-news-briefs" >Neonatal News</a></li><li class="item-777"><a href="/publications/nanncast" >NANNcast</a></li></ul></li></ul> </nav> </div> </header> <div class="content interior-ct border"> <section class="artInfo"> <div class="enews"> </div> <article class="art-ct"> <h1>Position and Consensus Statements and APRN Publications</h1> <p>As the professional voice of neonatal nursing, the National Association of Neonatal Nurses is looked to as a resource on substantive issues that affect neonatal patients, their families, and the neonatal nurses and APRNs who care for them. Each statement discusses the background and significance of the topic and offers succinct recommendations and conclusions, along with references from the scholarly literature. Each statement is carefully reviewed and updated at established intervals. NANN offers additional content relevant to advanced practice registered nurses, such as executive summaries and standards.</p> <h2>Position and Consensus Statements</h2> <ul> <li><a href="/uploads/About/PositionPDFS/Trauma_Informed_Care_in_the_NICU_2022.pdf" target="_blank">Trauma-Informed Care in the NICU (October 2022)</a></li> </ul> <p>As the professional voice of neonatal nurses, NANN recommends that all clinicians serving babies and families in crisis embrace and operationalize a trauma-informed approach to care in the NICU and beyond.</p> <ul> <li><a onclick="ga('send','event','Position_PDF','click','RN Staffing in the NICU Sept 2021');" href="/uploads/updated_RN_nicu_staffing.pdf">RN Staffing in the NICU (September 2021)</a></li> </ul> <p>The National Association of Neonatal Nurses (NANN) recommends staffing be based on the acuity of the population served and that the principles of staffing and finance be shared with frontline nurses who then have a say in the development of staffing policies. <a onclick="ga('send','event','Position_graphic_PDF','click','RN Staffing in the NICU Infographic');" href="/uploads/RN_Staffing_in_the_NICU_Position_Statement.pdf">Download the RN Staffing in the NICU infographic.</a></p> <ul> <li><a onclick="ga('send','event','Position_PDF','click','Medication Safety in the NICU June 2021');" href="/uploads/About/PositionPDFS/FINAL%202021_Medication%20Safety%20in%20the%20NICU.pdf" target="_blank">Medication Safety in the NICU (June 2021)</a></li> </ul> <p>The National Association of Neonatal Nurses (NANN) recommends a comprehensive approach to medication safety in the NICU that integrates technology, focused healthcare provider medication safety education, standardized medication process, and robust medication error reporting and prevention efforts. NANN recommends an array of medication safety practices to those caring for the neonatal population. <a onclick="ga('send','event','Position_graphic_PDF','click','Medication Safety in the NICU Infographic');" href="/uploads/About/PositionPDFS/Final_MedicationInfo.pdf" target="_blank">Download the Medication Safety in the NICU infographic.</a></p> <ul> <li><a onclick="ga('send','event','Position_PDF','click','COVID19 Vaccination Position Statement May 2021');" href="/uploads/About/PositionPDFS/COVID%2019%20Vaccination%20Position%20Statement.pdf" target="_blank">COVID-19 Vaccination Position Statement (May 2021)</a></li> </ul> <p>Regarding COVID-19 vaccination, the National Association of Neonatal Nurses (NANN) recommends that nurses get vaccinated; that nurses keep abreast of the most updated information regarding vaccination; that nurses convey accurate information about the vaccines; and that nurses develop strategies to reinforce confidence in vaccination. <a onclick="ga('send','event','Position_graphic_PDF','click','COVID19 Vaccination Infographic');" href="/uploads/About/PositionPDFS/COVID%2019%20Vaccination%20Infographic.pdf" target="_blank">Download the COVID-19 Vaccination Infographic.</a></p> <ul> <li><a onclick="ga('send','event','Position_PDF','click','Essential Care in the NICU');" href="/uploads/About/PositionPDFS/Consensus_Statement_AWHONN_NANN_NPA_final.pdf" target="_blank">Essential Care in the NICU during the COVID-19 Pandemic (January 2021)</a></li> </ul> <p>In this consensus statement, the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN), the National Association of Neonatal Nurses (NANN), and the National Perinatal Association (NPA) recognize the unique challenges facing healthcare providers in reducing the risks of COVID-19 transmission while encouraging parent presence and engagement in care. AWHONN, NPA, and NANN believe that NICU parents are "essential caregivers." <a onclick="ga('send','event','Position_graphic_PDF','click','Essential Care in the NICU');" href="/uploads/About/PositionPDFS/graphic_parents_are_essential_statement.pdf" target="_blank">Download the Essential Care in the NICU during the COVID-19 Pandemic infographic.</a> </p> <p><a onclick="ga('send','event','Position_PDF','click','press release related to the Essential Care in the NICU during the COVID19');" href="/uploads/About/PositionPDFS/Press_Release_final_AWHONN_NPA_NANN.pdf" target="_blank">Read the press release related to the Essential Care in the NICU during the COVID-19 Pandemic consensus statement.</a> </p> <ul> <li><a onclick="ga('send','event','Position_PDF','click','Marijuana, Breastfeeding');" href="/uploads/About/PositionPDFS/Marijuana_Breastfeeding_and_the_Use_of_Human_Milk_Position_Statement_FINAL.pdf" target="_blank">Marijuana, Breastfeeding, and the Use of Human Milk (September 2020)</a></li> </ul> <p>In its most recent position statement, the National Association of Neonatal Nurses (NANN) recommends women abstain from marijuana consumption during pregnancy and while breastfeeding. NANN lists 14 recommendations for providers when addressing maternal marijuana use and the potential negative impact on neonates and infants. <a onclick="ga('send','event','Position_graphic_PDF','click','Marijuana, Breastfeeding');" href="/uploads/About/PositionPDFS/Marijuana__Breastfeeding_Infographic_FINAL.pdf" target="_blank">Download the Marijuana, Breastfeeding, and the Use of Human Milk infographic.</a> </p> <p><a href="/uploads/About/PositionPDFS/2020_Marijuana_and_Breastfeeding_Press_Release.pdf" target="_blank">Read the press release related to the Marijuana, Breastfeeding, and the Use of Human Milk position statement.</a></p> <ul> <li><a onclick="ga('send','event','Position_PDF','click','Racial Disparity in the NICU');" href="/uploads/About/PositionPDFS/Racial_Dispariy_in_the_NICU_-_FINAL_6.12.20.pdf" target="_blank">Racial Disparity in the NICU (June 2020)</a></li> </ul> <p>The National Association of Neonatal Nurses Board of Directors reviews the statistics concerning racially-related health disparities for premature infants and includes nine recommendations for how to endorse healthcare equality for all infants in the NICU regardless of race, parental economic or educational status, or geographic area. <a onclick="ga('send','event','Position_graphic_PDF','click','Racial Disparity in the NICU');" href="/uploads/About/PositionPDFS/Infographic-Racial%20Disparity%20in%20the%20NICU.pdf" target="_blank">Download the Racial Disparity in the NICU infographic</a>.</p> <ul> <li><a onclick="ga('send','event','Position_PDF','click','Mothers with COVID-19');" href="/uploads/About/PositionPDFS/Position%20Statement%20COVID-19_NPA%20and%20NANN.pdf" target="_blank">Mothers with COVID-19 and Their Newborn Infants (May 2020)</a></li> </ul> <p>In conjunction with the National Perinatal Association, the National Association of Neonatal Nurses review and discuss the most current literature findings and recommendations from the American Academy of Pediatrics, the Centers for Disease Control and Prevention, and the World Health Organization regarding mother/newborn infant postpartum care in the hospital if a mother is COVID-19+. <a onclick="ga('send','event','Position_graphic_PDF','click','Mothers with COVID-19');" href="/uploads/About/PositionPDFS/flyer_%20NANN%20%20NPA%20position%20statement.pdf" target="_blank">Download our Mothers with COVID-19 and Their Newborn Infants infographic</a>. </p> <p><a onclick="ga('send','event','Position_PDF','click','Mothers with COVID19 and Their Newborn Infants');" href="/uploads/About/PositionPDFS/NPA%20and%20NANN%20Press%20Release.pdf" target="_blank">Read the press release related to the Mothers with COVID-19 and Their Newborn Infants position statement.</a></p> <ul> <li><a onclick="ga('send','event','Position_PDF','click','NICU Nurse Involvement in Ethical Decisions 2015');" href="/uploads/About/PositionPDFS/NICU%20Nurse%20Involvement%20in%20Ethical%20Decisions.pdf" target="_blank">NICU Nurse Involvement in Ethical Decisions (Treatment of Critically Ill Newborns) (reaffirmed 2021)</a></li> <li><a title="PDF" onclick="ga('send','event','Position_PDF','click','Effect of Staff Nurses Shift Length and Fatigue on Patient Safety and Nurse's Health 2015');" href="/uploads/About/PositionPDFS/1.4.1_Effect%20of%20Staff%20Nurses%20Shift%20Length%20and%20Fatigue%20on%20Patient%20Safety%20and%20Nurses%20Health.pdf" target="_blank">The Effect of Staff Nurses' Shift Length and Fatigue on Patient Safety and Nurse's Health (2015)</a></li> <li><a title="PDF" onclick="ga('send','event','Position_PDF','click','Use of Human Milk and Breastfeeding in the NICU 2015');" href="/uploads/About/PositionPDFS/1.4.3_Use%20%20of%20Human%20Milk%20and%20Breastfeeding%20in%20the%20NICU.pdf" target="_blank">The Use of Human Milk and Breastfeeding in the Neonatal Intensive Care Unit (2015)</a> - under review for update</li> <li><a title="PDF" onclick="ga('send','event','Position_PDF','click','Palliative and End-of-Life Care for Newborns and Infants 2015');" href="/uploads/About/PositionPDFS/1.4.5_Palliative%20and%20End%20of%20Life%20Care%20for%20Newborns%20and%20Infants.pdf" target="_blank">Palliative and End-of-Life Care for Newborns and Infants (2015)</a> - under review for update</li> <li><a title="PDF" onclick="ga('send','event','Position_PDF','click','Prevention of Acute Bilirubin Encephalopathy and Kernicterus in Newborns 2010');" href="/uploads/About/PositionPDFS/1.4.10_Prevention%20of%20Acute%20Bilirubin%20Encephalopathy%20and%20Kernicterus%20in%20Newborns.pdf" target="_blank">Prevention of Acute Bilirubin Encephalopathy and Kernicterus in Newborns (2010)</a></li> </ul> <h2>APRN Publications</h2> <p>As the professional voice of neonatal nursing, NANN and its advanced practice registered nurses division, the <a href="/membership/nannp">National Association of Neonatal Nurses Advanced Practice</a>, are looked to as a resource on substantive issues that affect neonatal patients, their families, and the neonatal nurses, neonatal nurse practitioners, and neonatal clinical nurse specialists who care for them. The publications below are specific to the unique needs of neonatal advanced practice registered nurses.</p> <h3>Workforce Survey</h3> <ul> <li><a title="2020 NNP Workforce Executive Summary" onclick="ga('send','event','Position_PDF','click','2020 NP Workforce Survey');" href="/uploads/2020_Neonatal_Nurse_Practitioner_Workforce_Survey_.12.pdf" target="_blank">2020 NNP Workforce Survey Executive Summary</a> (2021)</li> <li><a onclick="ga('send','event','Position_PDF','click','2016 Neonatal Nurse Practitioner Workforce Survey');" href="/uploads/Membership/2016_Neonatal_Nurse_Practitioner_Workforce_Survey_.4.pdf" target="_blank">2016 Neonatal Nurse Practitioner Workforce Survey Executive Summary (2017)</a></li> <li><a onclick="ga('send','event','Position_PDF','click','NNP Workforce White Paper');" href="/uploads/NNPWorkforceWhitePaper.pdf" target="_blank">NNP Workforce Survey Paper (2018)</a> </li> <li><a onclick="ga('send','event','Position_PDF','click','NNP Workforce');" href="/uploads/About/PositionPDFS/NNP_Workforce_Position_Statement_01.22.13_FINAL.pdf" target="_blank">NNP Workforce Survey Paper (2013)</a></li> </ul> <h3>NNP Education Standards</h3> <ul> <li><a onclick="ga('send','event','Position_PDF','click','nnp_curriculum_guidelines');" href="/uploads/Education/NNP_Curriculum_Guidelines_and_Education_Competencies_080323.pdf" target="_blank">Education Standards: NNP Curriculum Guidelines and Education Competencies for Neonatal Nurse Practitioner Programs (2023)</a> <strong>(Please note: "Education Standards" has been added to this title for clarifiction.)</strong></li> <li><a href="/uploads/About/PositionPDFS/NANNP_DNP_FINAL-reaffirmed_2022.pdf" target="_blank">Doctor of Nursing Practice (DNP): Entry Into Practice (2018) (Reaffirmed 2022)</a></li> </ul> <h3><a id="profdoc"></a>Professional Documents for Neonatal APRNs</h3> <ul> <li><a href="/uploads/About/PositionPDFS/APRN_Scope_FINAL_May2024.pdf" target="_blank">Advanced Practice Registered Nurses Practicing Within the Neonatal Population: Role, Preparation, and Scope of Practice (2024)</a></li> <li><a href="/uploads/About/PositionPDFS/Impact_of_Advanced_Practice%20_Shift%20Length_and_Fatigue_2022.pdf" target="_blank">The Impact of Advanced Practice Registered Nurses' Shift Length and Fatigue on Patient Safety (updated 2022)</a><br /> - <a href="/uploads/About/PositionPDFS/The_Impact_of_APRN_Shift_Length_NANN-AP_Action_Plan_FINAL.docx" target="_blank">The Impact of Advanced Practice Registered Nurses’ Shift Length and Fatigue on Patient Safety (2024)</a> This actionable guide is designed to help you implement effective changes in your unit and prioritize patient safety.</li> <li><a href="/uploads/About/PositionPDFS/State_of_Neonatal_APRN_Role_and_Action_2022.pdf" target="_blank">State of Neonatal APRN Role and Action for the Future (2022)</a></li> <li><a onclick="ga('send','event','Position_PDF','click','Quality Metrics 2016');" href="/uploads/About/PositionPDFS/Quality_Metrics_Position_Statement_Reaffirmed_2021.pdf" target="_blank">Nurse Practitioner Quality Metrics (reaffirmed 2021)</a></li> <li><a onclick="ga('send','event','Position_PDF','click','Neonatal Parnteral Enteral Resource Guide');" href="https://apps.nann.org/store/product-details?productId=96114048" target="_blank" rel="noopener">Neonatal Parenteral and Enteral Nutrition: A Resource Guide for the Student and Novice Neonatal Nurse Practitioner (2020)</a></li> <li><a onclick="ga('send','event','Position_PDF','click','Should I stay');" href="/uploads/About/PositionPDFS/SSS_White_Paper_FINAL.pdf" target="_blank">Should I Stay, or Should I Go? Retaining Expert-Level Senior NNP Workforce at the Bedside: NANNP-Recommended Solutions and Guidelines (2018)</a></li> <li><a href="/uploads/Membership/NANNP_Pubs/Standard_for_Maintaining_the_Competence_of_NNPs6-RETIRED_2023.pdf" target="_blank">Standard for Maintaining the Competence of Neonatal Nurse Practitioners (2015) (Retired, 2023)</a> </li> <li><a onclick="ga('send','event','Position_PDF','click','APRN Role Preparation');" href="/uploads/Membership/NANNP_Pubs/APRN_Role_Preparation_position_statement_FINAL.pdf" target="_blank">Advanced Practice Registered Nurse: Role, Preparation, and Scope of Practice (2014)</a> </li> <li>The Future of Neonatal Advanced Practice Registered Nurse Practice (2014) (Retired; please see <a href="/uploads/About/PositionPDFS/State_of_Neonatal_APRN_Role_and_Action_2022.pdf" target="_blank">State of Neonatal APRN Role and Action for the Future (2022)</a></li> </ul> <h3>Clinical Practice Guidelines</h3> <ul> <li><a onclick="ga('send','event','Position_PDF','click','CPG Hypotension retired 2020');" href="/uploads/Membership/NANNP_Pubs/Hypotension_Guideline_RETIRED.pdf" target="_blank">The Management of Hypotension in the Very-Low-Birth-Weight Infant: Guideline for Practice (2011)</a> <strong>(Retired, November 2020)</strong></li> </ul> <p> </p> </article> </section> <aside class="sideNav"><ul class="nav menu mod-list"> <li class="item-254"><a href="/about/history" >History</a></li><li class="item-255"><a href="/about/code-of-ethics" >Bylaws & Ethics</a></li><li class="item-288"><a href="/about/what-is-neonatal-nursing" >What Is Neonatal Nursing?</a></li><li class="item-256 current active"><a href="/about/position-statements" >Position Statements</a></li><li class="item-257 parent"><a href="/about/advocacy" >Advocacy</a></li><li class="item-258 parent"><a href="/about/awards" >Awards</a></li><li class="item-260 parent"><a href="/about/our-leadership" >Our Leadership</a></li><li class="item-259"><a href="/about/our-staff" >Our Staff</a></li><li class="item-376 parent"><a href="/about/national-neonatal-nurses-week" >National Neonatal Nurses Week</a></li><li class="item-513"><a href="/about/nann-privacy-policy" >NANN Privacy Policy</a></li><li class="item-779"><a href="/about/nann-in-the-news" >In The News</a></li></ul> </aside></div>  <footer> <div class="socialMedia"> <ul> <li><a href="https://www.youtube.com/neonatalnurses" target="_blank"><img src="/templates/nann/images/youTubeIcon.png" alt="Follow us on You Tube" /></a></li> <li><a href="https://www.instagram.com/neonatalnurses/" target="_blank"><img src="/templates/nann/images/instagramIcon.png" alt="Follow us on Instagram" /></a></li> <li><a href="https://twitter.com/neonatalnurses" target="_blank"><img src="/templates/nann/images/twitterIcon.png" alt="Follow us on Twitter" /></a></li> <li><a href="https://www.facebook.com/neonatalnurses" target="_blank"><img src="/templates/nann/images/facebookIcon.png" alt="Follow us on Facebook" /></a></li> <li><a href="https://www.linkedin.com/company/national-association-of-neonatal-nurses-nann-?trk=tyah&trkInfo=clickedVertical%3Acompany%2CentityType%3AentityHistoryName%2CclickedEntityId%3Acompany_10474159%2Cidx%3A0" target="_blank"><img src="/templates/nann/images/linkedinIcon.png" alt="Follow us on Linkedin" /></a></li> </ul> <a class="mynann" href="http://my.nann.org/home">Visit MyNANN</a><br><a class="privacy-link" href="/about/nann-privacy-policy">Privacy Policy</a> </div> <p><strong>© National Association of Neonatal Nurses</strong><br> 1061 American Ln Suite 310<br> Schaumburg, IL 60173-4973<br> <a href="mailto:info@nann.org">info@nann.org</a><br> 800.451.3795</p> </footer> </div> <a id="scrollup">Jump to Top</a>   <script src="/templates/nann/js/app.js"></script>  <script type="text/javascript"> window._mfq = window._mfq || []; (function() { var mf = document.createElement("script"); mf.type = "text/javascript"; mf.defer = true; mf.src = "//cdn.mouseflow.com/projects/2a466c8d-5560-4bc4-8bf2-030cb2f0685c.js"; document.getElementsByTagName("head")[0].appendChild(mf); })(); </script><script type="text/javascript"> window._mfq = window._mfq || []; (function() { var mf = document.createElement("script"); mf.type = "text/javascript"; mf.defer = true; mf.src = "//cdn.mouseflow.com/projects/2a466c8d-5560-4bc4-8bf2-030cb2f0685c.js"; document.getElementsByTagName("head")[0].appendChild(mf); })(); </script>  <script> (function() { var cx = '003343885103922116661:ii1ge1dwkjy'; var gcse = document.createElement('script'); gcse.type = 'text/javascript'; gcse.async = true; gcse.src = (document.location.protocol == 'https:' ? 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