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
- ME 2.2 Elicit an accurate, relevant history including pertinent antenatal, perinatal and/or postnatal information
- ME 2.2 Perform all elements of the newborn physical examination
- ME 2.2 Recognize normal variants and abnormal findings on the neonatal physical examination
- COM 3.1 Share information and explanations that are clear and accurate
- COM 3.1 Use plain language and avoid medical jargon
Part B: Discharge assessment
- ME 2.2 Perform a focused clinical assessment to assess readiness for discharge
- ME 4.1 Establish plans for ongoing care
- HA 1.3 Provide counselling and anticipatory guidance for common neonatal issues, including breastfeeding, safe sleeping, car seat safety, and postpartum depression
- ME 1.3 Apply knowledge of newborn screening protocols
- COM 3.1 Provide the parent (s) with information about newborn screenings, and associated processes for results and follow-up
- COM 3.1 Convey information to the family clearly and compassionately
- COM 3.1 Use plain language and avoid medical jargon
- COM 3.1 Use strategies to verify and validate the understanding of the patient and/or family
- COM 4.3 Answer questions from the family