Get Neonatal Admission Record (0-28 Days)

The Neonatal Admission Record (0-28 Days) is a crucial document for capturing essential information about newborns during their initial days of life. This guide will provide you with clear steps to complete the form online effectively.

Follow the steps to fill out the Neonatal Admission Record correctly.

1. Click the ‘Get Form’ button to access the Neonatal Admission Record and open it in the designated online editor.
2. Begin with the 'Baby's details' section. Fill in the baby's name, date of birth (DOB), age, and sex. Make sure to also record important deliver-related information, such as the type of delivery (e.g., SVD, CS, etc.) and any resuscitation required.
3. In the 'Mother’s details' section, input the mother's name, age, gravidity, and parity. Ensure to provide information regarding the mother's health status and any pre-admission drugs administered.
4. Proceed to the 'History & Examination' part. Document the baby's vital signs like temperature, pulse, and respiratory rate. Fill in the anthropometry details including weight and length.
5. Record the baby's presenting problems and any relevant family or social history. Indicate problems like difficulty breathing, fever, or feeding issues.
6. Complete the 'Investigations ordered' section by noting down any tests performed and their results. This includes lab tests for malaria, HIV, and any imaging studies.
7. In the 'Admission Diagnoses' section, select the primary diagnosis and any secondary diagnoses as applicable. Clearly mark the options according to the information available.
8. Finally, make sure to enter the clinician's name and sign at the end of the form. Record the date and time of the entry accurately.
9. Once you have completed the form, review all entries for accuracy. Then save your changes, download the completed form, print it, or share it as necessary.

Complete the Neonatal Admission Record online today for accurate and efficient documentation.