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Newborn Care Curriculum
The goal of the rotation is to improve
resident's and Fellows understanding and comfort with newborn care. Our
objective is to provide opportunities to experience and study the care of
healthy newborns and sick or premature infants.
Important information: please review two
weeks before starting this rotation.
There are two main elements to the rotation, and
four smaller elements. The two main elements are rounding in the Special Care
Nursery to learn the care of sick infants, and carrying the resuscitation pager
to learn to resuscitate and admit newborns. The four smaller elements are:
Learning the routine Newborn Exam with Dr. Uman; Circumcision Clinic with Dr.
Nielson; Lactation consultation; and Nutrition consultation.
Requirements:
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NALS certification
required prior to start of rotation.
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This is a morning
rotation, so continuity clinics must be scheduled in the afternoon.
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Documentation of all
procedures and inpatients required
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Pre and post test
available online
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Rotation Evaluation
online
Special Care
Nursery
All mornings will begin at 8:00 AM with rounds
with the Neonatologist in the Special Care Nursery. Usually this is with Dr.
Paula Raschko, but can vary. She will help you chose three sick infants to
round on each morning. Hand-write a note on the chart, and hand-write orders.
Babies that you admit while you are carrying the resuscitation pager are good
patients to follow.
Newborn Resuscitation
The entire time you are in the hospital you will carry the Newborn Resuscitation
pager, and respond to all calls. This takes priority over all other activities
except your own continuity OB. Pagers are kept in the Gumby Lounge. When you
start the rotation, obtain the pager in Gumby, and leave it there when the
rotation is completed. Place a call to the operator when starting the rotation
to test the pager. This pager should be set to receive all three levels of
pages. Wear this pager anytime you are physically on campus during the two
weeks, and document all procedures and resuscitations.
Additional
Sessions:
Circumcision Clinic
Tuesdays at 10:00, attend the circumcision clinic with Dr. Nielson. Contact him
prior to the rotation to tell him you will be there. He will have you observe
several, and do several under supervision. He also has slides that allow you to
learn when to not perform circumcisions and potential problems and pitfalls.
Newborn Exam
Dr. Uman is available on Tuesday, Wednesday and Thursday to teach the Newborn
Exam. You must contact him by phone or email (see contact information below)
and arrange at least two teaching sessions with him. Infants on the Special
care nursery will be examined. The goals of this aspect of the rotation
are:
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Learn how to perform a
systematic exam of newborns
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Learn the
evidence for each element of the exam
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Know the normal variants
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Know the abnormalities
screened for by the exam, and how to proceed if one is discovered
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Session with Joy Coale. Joy is the
nutritionist for the SCN and has very useful information regarding
newborn nutrition. Please contact her early in your rotation to arrange
a meeting. Contact: Pager: 541-7241; voice mail: 386-2051 can
leave msg.;
joy.coale@swedish.org
Attendance at a single session is required.
Read on Enteral feeding of Newborns.
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Morning with the lactation consultant. The
lactation consultants visit all of the newborns at Swedish and rounding
with them to see common breast-feeding questions and answers. Ms. Moore
needs 48 hours arrange the schedule. Call on your first day and set this
up towards the end of the rotation. Contact: Linda Moore: 386-3325 or
Linda.moore@swedish.org
Attendance at a single session is required.
Guidelines for Lactation consultation.
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Newborn Exam with
Dr. Howard Uman. Dr. Uman is usually available to teach this skill on
Tuesday, Wednesday and Thursday at 8:30. He will often have a 1st
year resident as well, and the Second Year resident should assist in the
teaching of the exam. A minimum of two teaching session need to be documented. The Newborn Exam module on the Online
Curriculum is good to review prior to the first exam.
Dr. Uman
can be reached at his pager: 405-6557 and by email: Howard.Uman@swedish.org
Newborn Care Module
Medical Knowledge
Patient Care
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*Resuscitations: |
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Carry resuscitation pager entire time that you are in
house. (Pager will be clipped to the patient board in L&D.) Attend all
resuscitations and round on all babies subsequently admitted to the Step
Down Unit. Document all resuscitations and intubations. |
Interpersonal and Communications Skills
Demonstrate clear communication with patient regarding their medical
issues in a culturally sensitive manner
Demonstrate team oriented communication and foster working
relationships with other member of the care team or specialist colleagues
Professionalism
Demonstrate a high degree of professional responsibility in managing
patients with
Neonatal Outpatient Pediatrics-related problems by referral coordination, direct management
and follow up.
Demonstrate professional demeanor, attire and appearance in all
settings.
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Topic |
Web resources |
Text |
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Attend the scheduled activities listed below. |
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Continue to participate in didactics, continuity clinic, clinic
call and continuity deliveries. |
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Complete reading list and online activities. |
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Obtain evaluation from Dr. Sweeney and RNP Coit. |
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Practice-Based Learning
Assess the practice models on this rotations for evidence of
practice-based learning and identify opportunities that would be appropriate for
the this medical area.
Identify a learning opportunity within your clinic practice that
could be studied to improve the care for patient with Neonatal Outpatient
Pediatrics-related
problems.
Systems-Based Practice
Learn how to access the appropriate services for patients with
Neonatal Outpatient Pediatrics-related
problems and the impact of utilization management for these patients.
Demonstrate understanding of the role of the PCP in the immediate
and after-care of patients with
Neonatal Outpatient Pediatrics-related diagnoses.
Attendance
Please document
number of half-days attended below.
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Required Attendance |
Number of Half Days Attended |
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5 mornings with Pediatric Nurse Practitioner |
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5 mornings with Neonatologist in the Special Care Nursery |
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2 circumcision clinics with Dr. Nielson |
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Instructions to Preceptor:
1.
Review
this document with the resident at the start of the rotation.
2.
At the end
of the rotation evaluate the resident in each competency using the
following rating system, and give this completed evaluation to the
resident on their last day.
(+)
Plus sign indicates PROFICIENCY
( - )
Minus
sign indicates the resident NEEDS IMPROVEMENT
( )
Leave
blank if NOT OBSERVED
3.
Feel free
to add summary comments if you wish. You may email any confidential
comments to
Joe.Shamseldin@Swedish.org
Instructions to Resident:
(All five
steps are required to pass this rotation)
1.
Review
this document with the preceptor at the start of the rotation.
2.
Obtain the
completed evaluation from the preceptor on the last day of the rotation.
3.
Complete
the self-evaluation by placing a plus sign (+) next to the
competencies in which you can demonstrate proficiency.
4.
Review the
completed evaluation with your advisor.
Instructions to Advisor:
1.
Review the
completed evaluation with your advisee after the end of the rotation.
2.
Give a
copy of this evaluation to the Associate Director of Curriculum.
3.
Place a
copy in the resident's file.
Instructions to Associate Director of Curriculum:
1.
Review this evaluation with the Curriculum Committee and Faculty to
determine effectiveness of the rotation. |
Online Rotation Evaluation
This list is
representative of the goals of this rotation and should not be considered
comprehensive
Guidelines:
Please
complete a single assessment for both months.
Reading
List:
1.
Issues in newborn care. Clemons RM -
Prim Care - 01-Mar-2000;
27(1): 251-67
2.
Preventive Care for Newborns and Infants. Clinics in Family Practice,
Volume 2 Number 2 June 2000
3.
Neonatal jaundice and kernicterus. -
Pediatrics - 01-Sep-2001;
108(3): 763-5
4.
Neonatal skin care. Darmstadt GL -
Pediatr Clin North Am -
01-Aug-2000; 47(4): 757-82
5.
Delivery room management of the apparently vigorous meconium-stained neonate:
results of the multicenter, international collaborative trial. Wiswell TE -
Pediatrics -
01-Jan-2000; 105(1 Pt 1): 1-7
6.
Resuscitation of newborns-Annals of Emergency Medicine Volume 37 Number 4
April 2000
7.
Severe meconium aspiration syndrome is not caused by aspiration of meconium-American
Journal of Obstetrics and Gynecology Volume 185 Number 4 October 2000
8.
Blood Disorders in the Newborn-Behrman: Nelson Textbook of Pediatrics, 16th
ed., Chapter 99
9.
Perinatally Acquired Infections (GBS, TORCH) Johns Hopkins: Harriet Lane
Handbook, 15th ed.
10.
Newborn examination and anticipatory guidance learning module
11.
Labour and delivery protocols for newborn care (Sepsis risk,
Neonatal hypoglycemia, Screening, etc.)
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