Printable Newborn Physical Exam Template OBJECTIVE VITALS WEIGHTS BW Today s weight GEN Normal general appearance NAD HEAD NCAT No cephalohematoma AFOSF EENT Red reflex present
All templates autotexts procedure notes and other documents on these pages are intended as examples only for educational purposes Your documentation in the medical record should always reflect precisely your specific interaction with an individual patient Physical Exam Step Competent Competent with Concerns Not Competent Washes hands Head Palpates fontanelles Palpates sutures Appreciates any abnormalities caput cephalohematoma lesions etc Eyes Examines red reflex using ophthalmoscope Appreciates any abnormalities position epicanthal folds etc Ears Uses otoscope to inspect TM Looks for external
Printable Newborn Physical Exam Template
Printable Newborn Physical Exam Template
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Step by Step Guide Newborn Physical Exam Template For Comprehensive
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Newborn Exam Checklist Learnpediatrics Written by Dr D Louie EXAMINATION OSCE ITEMS Initial Inspection ABCs Distressed Well vs unwell looking Level of consciousness Measure and Plot on Growth Chart Weight Crown heel length Head circumference Vital Signs Blood pressure Heart rate Respiratory rate O2 Sat Temperature General Appearance Learn about newborn assessments and download Carepatron s free PDF example to thoroughly assess a newborn baby s health and well being
OSCE Checklist Newborn Baby Assessment NIPE Introduction 1 Wash your hands and don PPE if appropriate 2 Introduce yourself to the patient including your name and role 3 Con rm the patient s name and date of birth 4 Brie y explain what the examination will involve using patient friendly language 5 Gain consent to proceed with the examination NEONATAL PHYSICAL EXAM Developed by Dr Lea Restivo General observations Assess the general appearance of the baby Can use Pediatric Assessment Triangle Appearance What position have they adopted while laying unstimulated Are they lying in a frogged leg position does their tone appear to be low What their tone
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Newborn Physical Exam Template
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Printable Pediatric Physical Exam Template Printable Templates
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NEWBORN PHYSICAL ASSESSMENT The baby should have a complete physical examination within 24 hours of birth as well as within 24 hours before discharge Family Centred Maternity Newborn Care National Guidelines 2000 Principles of Examination 1 Provision should be made to prevent neonatal heat loss during the physical assessment 2 A Physical Assessment of the Newborn Part 2 The S T A B L E Program 2013 Handout may be reproduced for educational purposes 6 K Karlsen 2013
The newborn physical exam template is typically filled out by healthcare professionals such as doctors pediatricians or nurses who conduct the examination of a newborn baby This document helps record and assess the baby s health status shortly after birth Table 1 shows the normal ranges for newborn vital signs at 40 weeks gesta tion 2 4 The new Ballard score http www ballardscore was designed to assess a newborn s gestational age through a scoring system that combines physical characteristics
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Newborn Physical Assessment
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OBJECTIVE VITALS WEIGHTS BW Today s weight GEN Normal general appearance NAD HEAD NCAT No cephalohematoma AFOSF EENT Red reflex present
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All templates autotexts procedure notes and other documents on these pages are intended as examples only for educational purposes Your documentation in the medical record should always reflect precisely your specific interaction with an individual patient
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Creating An Effective Newborn Physical Exam Template A Comprehensive Guide
Printable Newborn Physical Exam Template - NEONATAL PHYSICAL EXAM Developed by Dr Lea Restivo General observations Assess the general appearance of the baby Can use Pediatric Assessment Triangle Appearance What position have they adopted while laying unstimulated Are they lying in a frogged leg position does their tone appear to be low What their tone