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Nursery Charting

The document summarizes the nursing charting for a newborn baby delivered via normal spontaneous delivery and attended by Dr. [Name]. It notes the baby was pink, crying loudly, and had active reflexes at birth. It describes the initial care including drying, cord clamping/cutting, applying eye ointment and vitamin K, taking measurements, and administering the HepB vaccine. It also outlines the health teaching provided to the mother. A second section summarizes the nursing charting for a newborn delivered via LSCS with similar initial care described.

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4K views3 pages

Nursery Charting

The document summarizes the nursing charting for a newborn baby delivered via normal spontaneous delivery and attended by Dr. [Name]. It notes the baby was pink, crying loudly, and had active reflexes at birth. It describes the initial care including drying, cord clamping/cutting, applying eye ointment and vitamin K, taking measurements, and administering the HepB vaccine. It also outlines the health teaching provided to the mother. A second section summarizes the nursing charting for a newborn delivered via LSCS with similar initial care described.

Uploaded by

RI NA
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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NURSERY CHARTING DATE AND TIME BGH FOCUS NURSE CHARTING >Born an alive baby B/G via NSD

attended by Dr.__________________________ with the presence of NCU nurse / staff _____________________________ >With minimal vernix caseosa over the body noted >With loud cry upon delivery, pinkish in color, active flexion of extremities noted >Placed on the left/right side lying on mothers abdomen by Dr.__________________________ >Immediate wiping of secretion and drying of blood done >Cord clamping and cutting done by Dr.__________________ after pulsation ceased >Name tag verified, complete and placed on the right ankle by NCU nurse / staff _____________________________ >Placed on prone position on mothers chest for skin to skin contact >Maintained warmth by proving blanket and bonnet >Initial vital signs taken as follows CR=___per min, RR=___per min, T=___C >Trans out to DR RR with mother per stretcher while maintaining skin to skin contact >Rooting reflex noted, initiated breastfeeding, with

good sucking reflex upon latching on mothers breast >Monitored vital signs every 15min. and recorded >Health teaching instructed to the mother as follows: >a) breastfed the baby per demand and burp after feeding, b) information regarding selfcare, infant care, cord care and safety considerations, c)importance of immunization , new born screening and hearing test. >Brought to newborn care area cuddled by NCU nurse/ staff _____________________________ >Placed under radiant warmer >Erythromycin eye ointment applied aseptically on both eyes from inner to outer canthus >Vitamin K 0.1ml given IM at right vastus lateralis >Anthropometric measurement taken as follow: wt=___kgs, L=___cm, HC=___cm, CC=___cm, AC=___cm, Arm C=___cm >Cleaned both ears and checked patency of anus >Vital signs taken as follows: T= ___C, RR=___per min, CR=___per min. >Hepa B vaccine 0.5ml given IM at left vastus lateralis by NCU nurse >Clothed and wrapped baby with blanket >Roomed in to mother at DR-RR >Brought to OB ward cuddled by mother per wheelchair

NEW BORN FROM LSCS

>Received from OR to newborn care area cuddled by ROD _____________________________ >Placed under radiant warmer. >Pinkish in color, with loud cry and active flexion of extremities noted. >With name tag attached on the right ankle >Erythromycin eye ointment applied aseptically on both eyes from inner to outer canthus. >Vitamin K 0.1 ml. given IM at rightvastus lateralis. >Anthropometric measurement taken as follows: wt.-___kgs, L -___cm, HC___cm, CC-___cm, AC-___cm, Arm C -___cm >Cleaned both ears and checked patency of anus >Vital signs taken as follows: T-___C, RR-___per min, CR-___per min >Hepa B vaccine 0.5ml given IM at leftvastus lateralis by NCU nurse / staff _____________________________ >Clothed and wrapped baby with blanket >Monitored vital signs and recorded >Bought back to mother at OR RR cuddled by NCU nurse / staff _____________________________

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