FOD 3: Providing well newborn care

Key Features

• This EPA includes providing care to healthy newborns and includes the routine screening newborn exam, and discharge counselling.
• This EPA is divided into two parts: initial assessment of newborns; and, discharge assessment.
• The discharge assessment aspect of this EPA includes planning follow-up and providing anticipatory guidance and counselling for healthy newborn care.

Assessment Plan

Part A: Newborn exam

Direct observation by supervisor, senior resident, nurse practitioner, or advanced care nurse

Use Form 2. Form collects information on:

• Setting: delivery room; postpartum unit/mother-baby unit; special care nursery; NICU; community practice; inpatient pediatric unit

Collect 5 observations of achievement

• At least 2 different observers

Part B: Discharge assessment

Direct observation, case presentation or review of written documentation by supervisor, senior resident, nurse practitioner, or advanced care nurse

Use Form 1. Form collects information on:

• Setting: delivery room; postpartum unit/mother-baby unit; special care nursery; NICU; community practice; inpatient pediatric unit
• Anticipatory guidance: late preterm; term

Collect 5 observations of achievement.

• At least 2 different observers

CanMEDS milestones

Part A: Initial assessment

1. ME 2.2 Elicit an accurate, relevant history including pertinent antenatal, perinatal and/or postnatal information
2. ME 2.2 Perform all elements of the newborn physical examination
3. ME 2.2 Recognize normal variants and abnormal findings on the neonatal physical examination
4. COM 3.1 Share information and explanations that are clear and accurate
5. COM 3.1 Use plain language and avoid medical jargon

Part B: Discharge assessment

1. ME 2.2 Perform a focused clinical assessment to assess readiness for discharge
2. ME 4.1 Establish plans for ongoing care
3. HA 1.3 Provide counselling and anticipatory guidance for common neonatal issues, including breastfeeding, safe sleeping, car seat safety, and postpartum depression
4. ME 1.3 Apply knowledge of newborn screening protocols
5. COM 3.1 Provide the parent (s) with information about newborn screenings, and associated processes for results and follow-up
6. COM 3.1 Convey information to the family clearly and compassionately
7. COM 3.1 Use plain language and avoid medical jargon
8. COM 3.1 Use strategies to verify and validate the understanding of the patient and/or family
9. COM 4.3 Answer questions from the family