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Discipline

: Paediatrics

Sub Discipline

: Neonatology

Document Title

: Neonatal Jaundice - Discharge Summary

Unit

Header / Title

History

Date Of Admission

Date Of Discharge

Ward

DIAGNOSIS

Diagnosis

Progress During Admission

Neurological

Highest Total Serum Bilirubin

Indirect

Direct

G6pd

Management During Admission

Phototherapy

Exchange Transfusion

Health Education Given

Breastfeeding

Avoid traditional therapy if breast feeding

Do not give water or goats milk

Cord care

Avoid sun bathing the baby

If baby develops lethargy, poor feeding to come back

If jaundice is present after 14 days to come back

Home base card, follow immunization schedule

Follow Up

Nearest Health Clinic

Paediatrics Clinic

Others, specify

Hearing Test Appointment

YesNo

Immunization

Bcg

YesNo

Hepatitis B

YesNo

SIGNATURES

Notes Component

DIAGNOSIS
SIGNATURES

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