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Discipline

: Paediatrics

Sub Discipline

: Neonatology

Document Title

: NeonatalJaundice - Nurses Daily Nursing Note

Header / Title

Age

Day Of Admission

Date And Time

Vital Signs

Temperature °C

HR (beats/min)

RR (breaths/min)

Feeding Chart

Breastfeeding

Formula Feeding

Method

Volume

Vomitting (Inform Dr.)

Output

Pu

Bo

Nursing Care

Eye Pad

YesNo

Cord Care (Minimum Daily)

YesNo

Top And Tail

YesNo

Phototherapy Administered

Conventional

YesNo

Intensive

YesNo

Off Phototherapy

YesNo

Investigations Taken

Other Procedure Carried Out

Comments

Plan

SIGNATURES

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