Course Title: Newborn Observation & Charting

Course Syllabus ©National College of Midwifery 2017 11/2017

Course Title: Newborn Observation & Charting Credits: 0.5

Course Description: This course covers the importance of charting observed and objective information on the neonate, including consults and transfers. Student will learn how to apply the principles of informed consent and client confidentiality, and learn about the pertinent waivers that may need to be obtained. This course uses current research in midwifery and obstetrics to broaden the student’s understanding of the following NARM skills and MANA core competencies learned under clinical supervision:

NARM Skills: I. Midwifery Counseling, Education and Communication (3)I C. Provides education and counseling based on maternal health/reproductive/family history and on-going risk assessment (6)-I F. Educates the mother concerning the natural physical and emotional processes of pregnancy, labor, birth and postpartum (7)-I G. Applies the principles of informed consent (8)-I H. Provides individualized care I J. Provides education, counseling and/or referral, where appropriate for: (19)-I J 10. Newborn care including normal/abnormal newborn activity, responses, vital signs, appearance, behavior, etc (49)-II E. Is trained in adult/infant CPR/neonatal resuscitation VII. Well-Baby Care (149)-VII A. Provides well-baby care 2-6 weeks (150)-VII B. Assesses the general health and appearance of baby

Learning Activities:

A. Student reads appropriate sections from the Learning Materials/Resources.

B. Student answers the questions listed in the Learning Objectives by researching the Learning Materials/Resources for the course and correctly cites the sources and page numbers for each of their answers.

C. Student presents answers the questions listed in the Learning Objectives for review by preceptor.

D. Student participates in preceptor elaboration/discussion of Learning Objectives.

E. The student must research, prepare & present a summary of current best midwifery care/practices appropriate to a topic covered in this course from a current journal article/study, less than 5 years old.

F. Recommended Role-playing and/or Clinical Interactions

1 Course Syllabus ©National College of Midwifery 2017 11/2017

Note: The clinical requirement of NARM /Clinical Skills is completed at any time throughout the ASM apprenticeship during actual clinical practice and is NOT a requirement to complete this academic course.

Activities specific to NARM skills learned in this section:

1. Practice charting newborn records while observing a birth.

2. Create forms for newborn records including a form for the immediate newborn care, a form for the newborn physical exam, and a form for newborn followup exams through 6 weeks of age.

3. Create a form for pertinent information on the birth that should be sent to the pediatrician.

4. Create a form that would be used in the case emergent transport of a newborn with the mother’s pertinent history included.

5. Practice filling out a newborn birth certificate and paternity affidavit.

6. Practice filling out a newborn metabolic screen form with the pertinent history and information required.

Learning Materials / Resources: Please use textbooks less than 5 years old or most recent edition.

1. Tharpe, Nell and Farley, Cindy. Clinical Practice Guidelines for Midwifery and Women’s Health. 4th edition. Jones and Bartlett Publishing. 2012

2. Frye, Anne. Holistic Midwifery: A Comprehensive Textbook for Midwives in Homebirth Practice, Vol. 2. 2nd edition. Labrys Press. 2013

3. Thureen, et al. Assessment and Care of the well newborn. 2nd ed. Elsevier Saunders. 2004.

4. Marshall, Jayne E, Raynor, Maureen D(editor). Myles Textbook for Midwives. Churchill Livingstone; 16 edition. 2014.

5. Varney, Helen. Varney's Midwifery, 5th Edition. Jones and Bartlett Publishers. 2014.

Resources for all Courses: MEAC Abbreviated NARM Skills Form: http://www.midwiferycollege.org/AcademicProgram/Downloads/ASM/Clinical/Form- NARMSkills.pdf

MEAC Essential Competencies: http://www.midwiferycollege.org/downloads/worddocs/Curriculum-Checklist-of-Essential- Competencies-rev-2014.pdf

Midwives Model of Care®: http://cfmidwifery.org/mmoc/brochures.aspx

Students must find 1 article/study less than 5 years old. Recommended internet links as needed for latest developments in midwifery care: https://www.midwiferycollege.edu/resources-national-college-of-midwi

Evaluation Tools / Methods: Minimum passing grade for each course is a cumulative 80% / B-. Students and preceptors are encouraged to work together until the student masters the information.

Final grade for the course is based on preceptor evaluation of the following:

A. Learning Objectives count for 50% of the final grade. The preceptor evaluates each answer based on three elements:

1. Answers should reflect a thorough review of current literature regarding best current practices in midwifery care. 2. Each answer should be formed in the student’s own words or paraphrased from the text. The answer should be minimal, not a re-write of the entire text, but enough to show appropriate comprehension of the learning objective. 3. Student identification of sources and page numbers for each of the Learning Objectives. (Preceptor should do a random check to determine that sources cited are correctly identified.)

B. Enrichment Activities, including research essays and summaries of articles: 20% C. Discussions: 15% Course credit: One Academic credit equals approximately 15 hours of formal time plus 30 hours of additional study or homework. Formal time is defined as the amount of time taken to answer the Learning Objectives to the level of 80% and to complete any learning activities to the preceptor's satisfaction, including any time spent face to face with the preceptor. Informal time includes any time spent actively reading relevant sources and textbook/s, researching Learning Objectives, and studying for examinations.

Learning Objectives:

A. The student must research, prepare & present a summary of an aspect of current best midwifery care/practices appropriate a topic from this course from a current journal article/study.

B. Student answers the questions below and cites the sources and page numbers.

1. Discuss the purpose of charting the neonate's vitals immediately postpartum.

2. Describe what the timing of recording vitals should be immediately after birth.

3. Which neonatal vital signs should be recorded postpartum?

4. Discuss the purpose of charting the newborn’s input and output immediately postpartum.

5. Discuss the purpose of charting interaction with mother and family immediately postpartum.

6. Discuss the purpose of charting any procedures performed on the newborn.

7. Discuss in detail how to chart a neonatal resuscitation.

8. Discuss the importance having an accurate record of any neonatal resuscitation.

9. Discuss ways to keep track of time accurately while managing an emergent newborn situation.

10.How should medications given to the newborn be charted?

11.How should the newborn exam be charted?

12.How should any deviations from normal found upon examination of the newborn be charted?

13.Discuss how to chart gestational age assessment.

14.Discuss the timing of charting for the newborn in the first 2-4 hours of life and why.

15.Discuss how to chart postpartum teaching about newborn care.

16.Discuss how the care plan is charted for newborns and what should be included in this.

17.Discuss how discharge of the infant after birth is charted.

18.Describe how consults on the baby's behalf are charted.

19.Discuss how a newborn transfer is charted.

20.Name the consents and waivers that may need to be obtained for the newborn and charted.

21.Discuss when it is important to review the maternal health history in regards to observations made about the infant.

22.Discuss how to chart infant feeding. What details should be included in the record?

23. Discuss what aspects of newborn status should be charted during the visits made during the first week?

24.Discuss which aspects of newborn status should be charted during the visits made between 2 and 6 weeks.

25. Discuss what aspects of the newborn’s chart are most often used for the purpose of filing a birth certificate.

26.Discuss what aspects of the newborn’s chart are most often used for the purpose of filing a paternity affidavit.

27.Discuss confidentiality as it relates to the birth and newborn records.