Examination of the Newborn Post-examination Chris Kingsnorth.

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Presentation transcript:

Examination of the Newborn Post-examination Chris Kingsnorth

Before We Begin

Overview 4 presentations: 1.Introduction and pre-examination 2.Examination part 1: Eyes, heart, hips and testes 3.Examination part 2: Top-to-toe 4.Post-examination and summary

Overview Documentation (what and where) Referral Further reading

What to Document Date and time Age of baby Location of examination Problems identified Referrals made Healthcare professionals involved Discussions with parents

Where to Document Personal Child Health Record (‘Red Book’) NIPE Screening And Reporting Tools (SMART) program Body map

Personal Child Health Record ‘Red book’ Main record of child's health and development Parent/carer retains the PCHR Updated each time child seen in healthcare setting Sections inc. newborn reviews, immunisations and growth charts

Personal Child Health Record Download a PDF copy: n.com/?page_id= n.com/?page_id=2079

NIPE Screening And Reporting Tools (SMART)

Body Maps

Referral Dependent on anomaly suspected Differs slightly depending on local protocol National targets for 4 main NIPE focus areas (eyes, heart, hips and testes)

Referral Summary (Newborn Examination) Suspected problem with:Who to refer to:Timescale: EyesPaediatric ophthalmologistBefore 2 wks of age Heart Senior paediatrician +/- paediatric cardiologist ASAP Hips USS +/- Paediatric orthopaedic surgeon Before 3 wks of age Testes Bilateral Senior paediatrician Within 24hrs of examination UnilateralGP to R/V at 6-8 wk check OtherSenior paediatricianASAP

Summary Once examination complete, document thoroughly and refer appropriately If in doubt, seek advice from a senior paediatrician

Newborn Examination Checklist

What Now? Download slides + checklist Online MCQ: GB/p/ Examination-of-the-Newborn-- 4--Post-examination-quizzeshttps:// GB/p/ Examination-of-the-Newborn-- 4--Post-examination-quizzes Request a Podcast/ ask a question

References NIPE Screening And Reporting Tools (SMART) screenshot: smarthttp://cpd.screening.nhs.uk/nipe- smart PCHR image: news/health-matters-lots-think-little news/health-matters-lots-think-little Referral summary table adapted from: resource/nipe#fileid resource/nipe#fileid11785