00:01
Other Discharge Teaching Topics.
00:03
Danger signs.
00:05
And we'll talk about those
in just a second.
00:07
How to feed the baby
and elimination?
We have an entire lecture
that's related to
how we feed a newborn?
Take a look at that,
for details about that information.
00:17
We want to make sure
the parents know
how to provide comfort to the baby.
00:20
And we want to make sure
that they have contact numbers
for their providers.
00:25
So we don't want to send
anybody home.
00:26
And if they have
any of these problems,
they have no one to call,
because that's not
really effective.
00:31
We want to make sure
that the parents
have a follow up appointment.
00:34
And it needs to be a provider
they have access to
both in terms of,
what their insurance
is going to cover,
and a way to actually get there.
00:41
Because sending clients
to a provider
setting up an appointment
with a provider
that they don't have
insurance coverage for,
or a way to get there is not really
setting up a follow up appointment.
00:52
If the baby's had a circumcision,
we want to make sure
the parents know how to provide
adequate care for that circumcision.
00:58
So how to use the petroleum gauze,
how to know and recognize signs
of infection or heavy bleeding,
and where to go should
those things occur.
01:07
And we want to offer anticipatory
guidance about comfort,
about feeding, about just
general going to the provider
when they should go, what they
should expect around activity,
and how the baby should feel?
These are all things we want
to talk to parents about
to give them confidence
when they go home
so they can take
care of their baby.
01:27
So let's talk about
those danger signs in detail.
01:30
So if we have a situation
where the newborn
has a fever of 100.4 or higher
then a provider needs to be called.
01:38
We'll talk to the parents about the
ways that the baby can lose heat.
01:42
And we want to remind them of that.
01:43
But if the baby is cold,
then that's an emergency situation.
01:47
If there are any signs
of seizure activity,
if there's a skin rash
that the parents are not able to
really recognize as
erythema toxicum
or something like that
they need to call.
01:58
Staph infections
can happen in newborns.
02:00
And if that is the case,
that can be life threatening.
02:04
Any change in behavior,
the parents are going to know
their baby.
02:08
And if the baby's acting
differently than what they expect,
or the way the baby
has been behaving,
then we need to know about that.
02:15
If the baby is lethargic, meaning
they're not moving around very much
or not very responsive,
or not waking up to eat,
then that's also an emergency
and the provider needs to be
called as soon as possible.
02:27
Diarrhea might result
in dehydration.
02:30
Not eating
may also result in dehydration.
02:34
Jaundice where the baby is yellow.
02:36
We'll talk about that in our
discussion on newborn complications,
but any sort of jaundice
needs to be reported.
02:41
Any vomiting especially
intractable or projectile vomiting.
02:45
Any abdominal distension
or a tight abdomen may indicate
that something's going on inside
the pelvis or inside the abdomen.
02:53
If the infant turns blue at all
the parents need to call 911.
02:57
Hopefully they've had a class
on infant CPR.
03:00
And if not, this would be an
excellent time to recommend that.
03:03
But anytime there's any
question about the baby's color
turning dusky, anything,
they need to call 911 immediately.