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Discipline

: Paediatrics

Sub Discipline

: Neonatology

Document Title

: Neonatal Jaundice - Doctor's Daily Assessment

Unit

Header / Title

Age

Day Of Admission

Date And Time

General Condition

Pink

Cyanosis

Pallor

Weak Cry

High Pitch Cry

Activity

ActiveLethargyIrritable

Hydration

NormalDehydrated

Level Of Jaundice

Above umbilicus Below umbilicus Palms and Soles

System Examination

Rash

YesNo

Umbilicus - Clean

YesNo

Feeding Well

YesNo

Good Urine Output

YesNo

Remarks

Investigation

Time Taken

Treatment

Phototherapy

Off Phototherapy

Exit Pathway?

YesNo

For Discharge

SIGNATURES

Notes Component

SIGNATURES

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