NURSERY ROTATION

This rotation is supervised by the ambulatory attending and resident.

OBJECTIVES:

1. To learn how to evaluate the normal newborn and his family from both a medical and psychosocial perspective.
2. To know how to identify both medical and social high risk factors in newborns and how to proceed with appropriate follow-up.
3. To develop some expertise in talking with families about anticipatory guidance and well child care.
4. To be introduced to the care of the sick newborn through weekly two hour seminars with the neonatology attending.

PERFORMANCE REQUIREMENTS:

1. To see (at least) one mother-infant pair daily and continue daily follow-up of the pair while they remain in the hospital.  The assessment of the infant and the mother should include the following:

• Examine infant as soon as possible after birth (preferably in transitional nursery), assign gestational age, plot infant on intrauterine growth curve.

• Conduct initial interview with family as soon as possible after birth.

• Write-up a complete H&P based upon information obtained from maternal OB records, intrapartum record, transitional record, interview with mother, physical exam.

• Formulate a problem list:  write an assessment and plan of management for each problem listed.

• Write daily progress notes (which need to be countersigned by a resident).

• Write discharge note, make discharge plans after discussing with resident or attending.

       2.  Discuss your patients on a daily basis with the ambulatory attending or the house officer.

       3.  At discharge, consider appropriate follow-up plans for your patient and discuss the rationale for these               plans with your attending.