Postnatal ward
Roles on
the unit
Quick Links
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Hand hygiene policy
Roles & Responsibilities
Survival tips
Postnatal ward induction
Tricks & tips on IT apps
Structure of the day
Meetings
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Postnatal ward
Shift hours
09:00 - 17:00
Contacts
PNW: 0681
Ldc:0682
Gosia's ext: 88663
Midwifery Huddle
Daily at 11am
Mon & Thurs 3pm
Venue: PNW room
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PNW Ward Round
LDc, SCBU nurse in charge, Midwife in Charge and Gosia to attend
Admin
Day to day documentation: Badgernet Maternity
(use “Baby specialist review”)
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Admit to TC, discharge from TC (use “baby internal transfer”)
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Use “baby management plan” and “baby task lists”
Discharge summary - Brief information in transfer of care
NIPE examination (before 72 hours of life) on both NIPE and BadgerNet
Heart murmur
Wait for 24 hrs,it may
disappear.
feeding well
weight loss below 10%
not jaundiced
After 24hrs- If likely significant- review by SpR
– may require urgent cardio assessment.
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If likely innocent- GP to check at 6-8 weeks
check (fill in additional discharge information)
and advise to refer to cardiologists if still
present at 6-8 weeks
Prematurity and IUGR
These babies are to stay in for at least 72 hours.
To be weighed on day 4 of life, discharged if:
Mon to fri
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9 -11am
Phototherapy at home
Phlebotomy service
Neonatal Outreach team provide
Phototherapy at Home for babies whose jaundice is stable and is likely to need prolonged treatment
Hips Ultrasound
1. Abnormal Barlow or Ortolani:
– Scan on EPR at 2 weeks
– Email referral to :EvelinaBabyHipClinic
2. Risk factors:
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– Scan at 4-5 weeks
Just order on EPR. We don’t chase the results radiologists refer to orthopaedics if abnormal.
Clicky hip is not abnormal if the hip is stable!!!!
Weight loss
10-12.5% - management can be expectant
if baby well
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12.5% - check Na, recommend breastfeeding
assessment and support and top ups
with EBM or formula.
Calculate 120mls/kg/day for top ups
Antibiotics on PNW
Say who you refer to:
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Give baby’s name and Hospital ID
Type the clinical details of referral letter
in the body of the email.
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The secretary will copy and paste what you have written, create referral letter on EPR Letter Maker and send to you for authorisation before sending to the
appointment centre, GP, parents and filing on EPR.
Follow up from PNW
Cefotaxime civas of 100mg/ 0.5ml,
for 2.3-4.5kg
(otherwise calculate as per formulary).
Prescribe for 10am and 10pm.
Abx are given by midwives.
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Give the first dose when doing
septic screen; treat as additional
dose