Normal Newborn Nursery (MBU) Rotation Curriculum
Goal 6: Assess and manage common infections in the normal newborn nursery.
Objectives
1. Identify common and important perinatal infections and initiate their management.
2. Discuss methods for screening and, where appropriate, preventive treatment of mother and infant (chlamydia, CMV, gonorrhea, group B strep, hepatitis B, hepatitis C, HSV, HIV, tuberculosis, HPV, parvovirus, rubella, syphilis, toxoplasmosis, and varicella).
3. Identify newborns at risk for bacterial sepsis by history, physical exam, and laboratory studies and initiate appropriate treatment.
4. Recognize and manage common infectious conditions in the newborn including newborns with signs of sepsis, infant born to mother with fever, infant born to mother with a history of a perinatal infectious disease (e.g., group B strep, chlamydia, syphilis, HSV) andnfant born to mother with prolonged rupture of membranes
Instructional Strategies
Direct Patient Care
Daily patient care rounds
Formal and informal lectures
Rotation readings
Learner Evaluation
Resident global evaluation
Direct observation of patient care
Verbal feedback on rounds
Competencies
Addressed
MK ICS
P PC
PBLI SBP
Goal 7: Recognize and manage jaundice in the newborn period.
Objectives
1. Interpret maternal history for factors contributing to jaundice (Rh, blood type, gestational age, infection, family history of jaundice in infants, etc.).
2. Interpret infant's history for possible etiologies of jaundice (e.g., infrequent or ineffective feeding, poor urine or stool output, acholic stool, blood type, risk factors for infection, metabolic disease).
3. Perform a physical exam to assess for jaundice or other evidence of hepatic dysfunction (e.g., skin color, sclerae, bruising, cephalhematoma, organomegaly).
4. Obtain laboratory tests judiciously for management of the jaundiced infant and correctly interpret test results to evaluate jaundice in the clinical setting.
5. Counsel parents about types of jaundice (physiologic, insufficient breastfeeding, breast milk, hemolytic, etc.) and their natural history, counsel parents about when to be concerned about jaundice.
6. Discuss the current AAP practice parameters regarding diagnosis and management of the jaundiced infant, including reference to normative data based on age in hours , the indications for phototherapy and exchange transfusions and describe the use of phototherapy in both the hospital and the home and explain risks (e.g., dehydration, eye injury, and disruption of breastfeeding routines).
Instructional Strategies
Direct Patient Care
Daily patient care rounds
Formal and informal lectures
Rotation readings
Learner Evaluation
Resident global evaluation
Direct observation of patient care
Verbal feedback on rounds
Competencies
Addressed
MK ICS
P PC
PBLI SBP