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Examination of the Newborn Post-examination Chris Kingsnorth.

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Presentation on theme: "Examination of the Newborn Post-examination Chris Kingsnorth."— Presentation transcript:

1 Examination of the Newborn Post-examination Chris Kingsnorth

2 Before We Begin

3 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

4 Overview Documentation (what and where) Referral Further reading

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

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

7 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

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

9 NIPE Screening And Reporting Tools (SMART)

10 Body Maps

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

12 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

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

14 Newborn Examination Checklist

15 What Now? Download slides + checklist Online MCQ: https://www.goconqr.com/en- GB/p/3906519-Examination-of-the-Newborn-- 4--Post-examination-quizzeshttps://www.goconqr.com/en- GB/p/3906519-Examination-of-the-Newborn-- 4--Post-examination-quizzes Request a Podcast/ ask a question

16 References NIPE Screening And Reporting Tools (SMART) screenshot: http://cpd.screening.nhs.uk/nipe- smarthttp://cpd.screening.nhs.uk/nipe- smart PCHR image: http://www.liverpoolecho.co.uk/news/local- news/health-matters-lots-think-little-9144493 http://www.liverpoolecho.co.uk/news/local- news/health-matters-lots-think-little-9144493 Referral summary table adapted from: http://cpd.screening.nhs.uk/induction- resource/nipe#fileid11785 http://cpd.screening.nhs.uk/induction- resource/nipe#fileid11785

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