Examination of the NewbornPost-examination

Chris Kingsnorth

Before We Begin

Overview

• 4 presentations:

1. Introduction and pre-examination2. Examination part 1: Eyes, heart, hips

and testes3. Examination part 2: Top-to-toe4. 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: http://www.healthforallchildren.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:

Eyes Paediatric ophthalmologist Before 2 wks of age

Heart Senior paediatrician +/- paediatric cardiologist ASAP

Hips USS +/- Paediatric orthopaedic surgeon Before 3 wks of age

TestesBilateral Senior paediatrician Within 24hrs of examination

Unilateral GP to R/V at 6-8 wk check

Other Senior paediatrician ASAP

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:

https://www.goconqr.com/en-GB/p/3906519-Examination-of-the-Newborn--4--Post-examination-quizzes

• Request a Podcast/ ask a question

References

• NIPE Screening And Reporting Tools (SMART) screenshot: http://cpd.screening.nhs.uk/nipe-smart

• PCHR image: 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