Assessment and Examination of the Newborn

Learning Outcomes

Learning Outcomes

Having successfully completed this module you will be able to:

• Demonstrate your knowledge and awareness of when referral to others is required and of the appropriate mechanisms for referral.
• Critically evaluate and integrate the clinical information and other evidence obtained in order to inform management decisions and the longer term health promotion of the neonate and his/her family.
• Working within scope of practice, undertake a detailed and systematic clinical and physical examination of the newborn, applying knowledge of anatomy and physiology and integrating diagnostic capabilities to critically interpret findings and identify deviations from expected findings and actual or potential risk factors.
• Critically reflect on your broadened level of responsibility and accountability as a clinician able to undertake Newborn and Infant Physical Examinations.
• Articulate and justify your findings and management plans to parents and other members of the multi-disciplinary team.
• Use advanced communication and clinical skills to obtain, document, interpret and critically evaluate a comprehensive physical and psycho-social health history of the neonate and their family.

The syllabus is underpinned and informed by current evidence relating to examination of the newborn. This includes the latest guidelines and evidence produced by the NHS Newborn and Infant Physical Examination (NIPE) Programme and any screening recommendations from the UK National Screening Committee (UKNSC). The NIPE benchmarking standards for the newborn examination have been integrated within the syllabus. Core content will include: * Assessment of the transitional events in the neonatal period. * Applied pathophysiology of specific body systems. * Principles of obtaining and recording a comprehensive history * Normal morphology of the newborn and deviations from normal. * Birth trauma * Normal biochemical, haematological and microbiological values * Detailed comprehensive clinical & physical assessment and examination of the newborn related to all body systems and including orthopaedics, ophthalmology and dermatology * Neurological assessment of the newborn * Psycho-social assessment of the needs of the neonate and their family * Nutritional assessment and requirements of the healthy newborn * NIPE standards and neonatal screening * An introduction to problem solving and diagnostic reasoning for babies on the postnatal ward. * Discussion and evaluation of current evidence and policies relating to the identification, assessment and management of sepsis * Discussion and evaluation of current evidence and policies relating to the identification, assessment and management of neonatal jaundice. * Communication with parents regarding health education and immunisations * Record keeping and referrals * Professional autonomy and accountability and exploration of the legal, professional and ethical issues relating to the changing role boundaries in professional practice. * Critical consideration of the evidence base underpinning examination of the newborn

A variety of learning and teaching methods may be used including: *A self-directed pre-module 'Foundational Science' learning package which enables you to review and develop your science foundation prior to the start of the module. This learning will provide the underpinning knowledge on which the module syllabus will be based. It is recommended that you study between 6-8 hours per week for 11 weeks and that you ensure that you have covered the learning outcomes that are linked to each of the 11 weeks. In addition there are key physiology references that provide the opportunity for you to broaden and deepen your knowledge base. * Lectures, specialist subject lecturers will enable you to acquire a breadth and depth of appropriate clinical knowledge and experience * small group tutorials * recommended key podcasts, video tutorials, online learning platforms. * practical sessions including the use of ophthalmoscopes and hip models * clinical group discussions facilitated by experienced neonatal practitioners * problem-based case scenarios where you will have the opportunity to discuss and explore cases both within groups and individually. These sessions will provide the opportunity for you to demonstrate your integration of knowledge, understanding and clinical experience. In addition your clinical mentor will receive a specifically developed mentorship guideline booklet, including assessment documentation, which will clearly outline the role and responsibilities of a mentor with regard to clinical learning and teaching in clinical practice. In this context you will have the opportunity to learn from and with your mentor the skills required to undertake this role. This will not only include the physical examination but also key transferable skills such as communication, problem solving and collaborative working within the multi-disciplinary team.

Formative

This is how we’ll give you feedback as you are learning. It is not a formal test or exam.

Multiple choice Test

• Assessment Type: Formative
• Feedback: You will receive individual feedback and an opportunity to review your exam paper and answers in the classroom.
• Final Assessment: No
• Group Work: No

Summative

This is how we’ll formally assess what you have learned in this module.