NIPE Screening Dr Rachel Anderson and Dr Rebecca Rhodes

Slides:



Advertisements
Similar presentations
Health and Wellness for all Arizonans azdhs.gov Dr Bradley Golner, MD Phoenix Pediatrics Az EHDI Chapter Champion.
Advertisements

Routine postnatal care of women and their babies
Neonatal Quality Standards
Tuberculosis in Children: Prevention Module 10C - March 2010.
Congenital Malformation - Scope of the Problem Charles J. Macri MD Head, Division of Reproductive and Medical Genetics National Naval Medical Center.
Maryland Patient Safety Center 3Rs: Risks, Referrals and Readmissions.
Newham CCG Latent Tuberculosis Screening and Treatment Programme 28 th March 2014 Dr Margaret Chirgwin – Programme Director Primary Care Strategy.
Acute Oncology Service (Insert relevant service name)
1 Meeting with Contacts for TB Assessment. Learning Objectives After this session, participants will be able to: 1.Explain why contact assessments are.
Hannah Shore Consultant Neonatologist Leeds
Pediatric and Adolescent Clinic, Tripunithura / A Unit of ValueHealth Ventures.
Integrated Health Programs for Women and Children: Lessons from the Field Dr. Ambrose Misore Project Director, APHIA II Western, PATH’s Kenya Country Program.
NUR 213 Ventral Septal Defect
Pediatric Dysplastic Hip Dislocation James Saunders September 2013 Dr. Cameron and Dr. Lewis.
Female Genital Mutilation
Retinopathy of Prematurity: A Neglected Public Health Issue Krishnendu Sarkar Professor Regional Institute of Ophthalmology Kolkata.
Child Health Eight week check Elaine Burfitt July 2010.
University of Hawai’i Integrated Pediatric Residency Program Continuity Care Program Medical Home Module Case 2.
Lesson Objectives To know the main healthcare professionals involved during birth and in post natal care. To understand the role of midwives, health visitors.
Eye problem in patients with Diabetes. Retina Cornea Lens Macula Optic Nerve DIFFERENT PARTS OF THE EYE.
Discharge Planning in the NICU
The 6-8 Week Examination Dr Lesley McDonald Community Paediatrician Achamore Child Development Centre.
Priory Fields Patient Participation Group Survey December 2011.
Six week baby check By Catherine Locke GPST1. Aims Background Physical examination – important diagnoses and referral options Review of development –
1 Management, Care for infants who were born from infected mothers HAIVN Harvard Medical School AIDS Initiatives in Vietnam.
Getting to grips with testing children: protocols and procedures Justin Daniels North Middlesex Hospital December 2008.
ANTENATAL CARE OF DIABETES IN PREGNANCY: AUDIT Rachael Read ST2 O&G Supervisor: Mr E Njiforfut Consultant.
ACUTE APPENDICITIS IN PREGNANCY : HOW TO MANAGE? HAMRI.A, AARAB.M,NARJIS.Y, RABBANI.K, LOUZI.A,BENELKHAIAT.R, FINECH.B SERVICE DE CHIRURGIE DIGESTIVE MARRAKECH.
Step By Step Guide to Examination of the Newborn Anne Lomax.
Epidemiological measureas. How do we determine disease frequency for a population?
Unit 1 Child development from conception to seven years
Croydon Health Services
Macmillan Ipswich Diagnostic Assessment Service (MIDAS)
l asthma nnovation in quality improvement of care in children
Arrhythmia in babies and children
Indicators and Outcomes Framework – relevance to patients and commissioners Parul Desai NHS England, London : 7 June 2016.
Infant born with mother Tuberculosis
The role of Intensive Home Treatment for Maternal Mental Illness
Primary Care Stratified Follow-up of Stable Prostate Cancer Patients
OVER VIEW OF COMMUNITY MIDWIFERY IN NHS HIGHLAND
Paediatric Orthopaedic MSK Pathways Pamela Holland
Health Insurance in Saudi Arabia
CQUINS and Dementia GOAL:
FORM FOR REFERRING WOMEN WITH BREAST CANCER FOR GENETICS ASSESSMENT
Screening Hips of Newborns In Scotland
Multidisciplinary counselling reduces rate of abortion and improves clinical outcomes of prenatally diagnosed congenital heart disease patients.
Proposed Cataract Pathway
Supplementary Prescribing in a neonatal ICU
The Late Preterm Infant
Silverdale Medical Practice
Pregnancy diagnosis, Prenatal care & Genetic counseling
RISK R isk of Perinatal and Early Childhood Infection
Your unborn baby has been diagnosed with a heart problem
SCREENING AND MANAGEMENT OF ASYMPTOMATIC NEWBORNS
Levine RA, DO. Miladinovic B, PhD. Nardell K, MD. Galas J, MD
National Neonatal Audit Programme 2016
Dr Graham Wardman Consultant in Public Health (S&I) 29 Nov 2016.
You have been referred to fetal cardiology for a specialist opinion regarding your baby’s heart. The clinics are held in the Fetal Medicine Unit and in.
Obstetric / Specialist / Mother & Baby Care
TRAK CHILD HEALTH RECORD
Dr Margaret Chirgwin – Programme Director Primary Care Strategy
Newly Diagnosed Type 2 Diabetes Mellitus
Service Delivery Group – January 2019
The National Cervical Screening Programme
AINTREE UNIVERSITY HOSPITAL, HEALTHY BOWEL CLINIC: FUNCTIONAL BOWEL DYSFUNCTION CARE PATHWAY This ‘Pathway’ is an example used in the NICE medical technology.
Chapter 5 Diarrhoea Case I
28 Day Faster Diagnosis Standard
MECS Peer Discussion.
Breech Presentation Dr Madhavi Kalidindi
Presentation transcript:

NIPE Screening Dr Rachel Anderson and Dr Rebecca Rhodes (City Hospital NICU) 12th March 2019

Objectives Share Current Practice Current Key Performance Indicators for NIPE Quiz on NIPE and common problems Refresher on performing a NIPE

Four Questions?? How do you invite patients for screening? When do you invite them and does it correlate with maternal postnatal checks? Who performs the NIPE screening checks? What do you include in your NIPE screening appointment?

A QUICK DEMONSTRATION (Video provided by Dr James Law)

The Screening bit Eyes: approximately 2 or 3 in 10,000 babies have problems with their eyes that require treatment. The prime purpose of screening is to identify congenital cataracts. Heart: approximately 4 to 10 in 1,000 babies have a heart problem. Hips: approximately 1 or 2 in 1,000 babies have hip problems that require treatment. Testes: approximately 1 in 100 baby boys have problems with their testes that require treatment.

Current KPI’s NP1-Percentage of babies who have a NIPE performed within 72hrs of birth NP2-The proportion of babies who have a positive screening test on newborn physical examination and undergo assessment by specialist hip ultrasound within 2 weeks of age. The 6-8 week check is not currently a key performance indicators.

What is expected? All eligible babies are offered screening (including those who move into the area). The examination takes place between 6 and 8 weeks of age. Any required referrals are made within the timescales outlined below. Follow-up of referrals to ensure appropriate interventions have taken place as required. If the baby is screen positive for any element of the newborn examination, the practitioner undertaking the 6 to 8 week examination should check the progress along the care pathway to ensure required actions take place.

Quiz 1. What is the normal RR in a new born baby?

2. What is the diagnosis?

3. What is this?

4. What is this?

5. What is this?

6. What will you do?

8. You can only feel one testicle 8. You can only feel one testicle. Does this require an urgent or routine surgical referral?

9. Name 3 risk factors that require a hip screen (other than clicky hips)

10. Babies are eligible for BCG vaccination if there parents or grandparents were born in a country whose incidence for TB is more than ……..per 100000

11. Injury to what causes this?

12. Does this need a surgical referral at the 6-8 week check?

13. What is the most important thing to check?

14. What is the diagnosis?

15. What must you tell the parents NOT to do?

16. What is the diagnosis?

17. You identify an inguinal hernia at a 6-8 week check, what is the appropriate next step?

18. What investigation will this baby need?

Tie Breaker What number is Elsie in the list of top 100 girls names for 2018?

Special Mention

Heart Murmurs Any other symptoms? What is the growth like? Any feeding concerns? Refer for outpatient review and ECHO unless concerning features in which case speak to on call Registrar at QMC.

Sacral Dimples Is it in the midline? Is it in the natal cleft? Is there any skin change or other associated feature?

Troubleshooting Feeding Nottingham Guidelines: Probably the most common issue and a huge topic Use other services as able Nottingham CMPA guideline and reflux gudieline are useful resources Nottingham Guidelines: Referral Information New born examination protocol

Any Questions?

Summary -Reviewed current practise -Reminder of what should be included in a 6-8 week check -Touched on some common problems -If in doubt consult the guideline