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Application of the NICU Practice Guidelines to Treat an Infant in a Level III NICU

Purpose: The purpose of this case report was to determine how current physical therapy (PT) practice in the neonatal intensive care unit (NICU), with 1 infant, adhered to the neonatal PT decision-making framework that was developed as part of the NICU practice guidelines for clinical care. Summary of Key Points: Most PT interventions implemented in this NICU were supported by the algorithm, with some steps more readily implemented than others. Conclusions: This case report highlights the utility of the NICU clinical decision-making algorithm for not only assisting with developing an evidence-based PT plan of care for an infant at high risk but also its usefulness in revealing NICU programmatic and policy strengths and areas for improvement. Recommendations for Clinical Practice: The NICU developmental and therapeutic teams are encouraged to conduct similar endeavors to assess the quality of PT care in their NICUs.