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NURSERY CHARTING

DATE AND TIME BGH FOCUS

NURSE CHARTING

>Born an alive baby B/G viaNSD attended byDr.__________________________with the presence of NCUnurse / staff_____________________________>Withminimal vernix caseosa overthe body noted>With loud cry upon delivery,pinkish in color,active flexion of extremities

noted>Placed on theleft/right side lying onmothersabdomen byDr.__________________________>Immediate wiping ofsecretion and drying of blooddone>Cord clamping and cuttingdone by Dr.__________________after pulsation ceased

>Name tag verified, completeand placed on the right ankleby NCU nurse / staff_____________________________>Placed on prone position onmothers chest for skin to

skin contact>Maintained warmth by provingblanket and bonnet>Initial vital signs taken asfollows CR=___per min,

RR=___per min, T=___C>Trans out to DR RR withmother per stretcher whilemaintaining skin to skincontact>Rooting reflex noted,initiated breastfeeding, with

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good sucking reflex uponlatching on mothers breast>Monitored vital signs every15min. and recorded>Health teaching instructed

to the mother as follows:>a) breastfed the baby perdemand and burp afterfeeding, b) informationregarding self-care, infant care, cord careand safetyconsiderations, c)importanceof immunization , new bornscreening and hearing test.>Brought to newborn care areacuddled by NCU nurse/ staff_____________________________>Placed under radiant warmer>Erythromycin eye ointmentapplied aseptically on botheyes from inner to outercanthus>Vitamin K 0.1ml given IM atright vastus lateralis>Anthropometric measurementtaken as follow:wt=___kgs, L=___cm, HC=___cm,

CC=___cm, AC=___cm, ArmC=___cm>Cleaned both ears andchecked patency of anus>Vital signs taken asfollows: T= ___C, RR=___permin, CR=___per min.>Hepa B vaccine 0.5ml givenIM atleft vastus lateralis by NCUnurse

>Clothed and wrapped babywith blanket>Roomed in to mother at DR-RR>Brought to OB ward cuddledby motherper wheelchair

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NEW BORN FROM LSCS >Received from OR to newborncare area cuddled by ROD_____________________________>Placed under radiant warmer.>Pinkish in color, with loud

cry and active flexion ofextremities noted.>With name tag attached onthe right ankle>Erythromycin eye ointmentapplied aseptically on botheyes from inner to outercanthus.>Vitamin K 0.1 ml. given IMat rightvastus lateralis.>Anthropometric measurementtaken as follows:wt.-___kgs, L -___cm, HC-___cm, CC-___cm, AC-___cm,Arm C -___cm>Cleaned both ears andchecked patency of anus>Vital signs taken asfollows: T-___C, RR-___permin, CR-___per min>Hepa B vaccine 0.5ml givenIM at leftvastus lateralis byNCU nurse / staff

_____________________________>Clothed and wrapped babywith blanket>Monitored vital signs andrecorded>Bought back to mother at ORRR cuddled by NCU nurse /staff_____________________________