Paeds Cases · preventive-and-community-paediatrics
Newborn preventive package before rural discharge — structured clinical encounter
Structured encounter testing completion of newborn preventive care, CCHD fail recognition, hearing refer counselling and safety-netting for a rural family.
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RACP General PaediatricsRACP DCEMRCPCH ClinicalRCPSC Pediatrics
Prompt
Aria, 26 hours old, term, well on the postnatal ward. Parents request discharge to a town 2 hours away. Hearing screen bilateral refer. CCHD oximetry not yet done. Bloodspot collected. Vitamin K given IM.
Station brief (candidate)
You are the paediatric registrar. Aria is 26 hours old and looks well. Parents want same-day rural discharge. Hearing is bilateral refer. CCHD screening is outstanding. Bloodspot is collected. Vitamin K was given. You have 12 minutes with the family and 5 minutes for examiner discussion. [8]
References4ShowHide
- [4]Oster ME, Pinto NM, Pramanik AK, et al. Newborn Screening for Critical Congenital Heart Disease. Pediatrics, 2025.PMID 39679594
- [8]Kemper AR, Kus CA, Ostrander RJ, et al. A framework for key considerations regarding point-of-care screening of newborns. Genetics in medicine, 2012.PMID 22899090
- [11]Awad R, Oropeza J, Uhler KM Meeting the Joint Committee on Infant Hearing Standards. American journal of audiology, 2019.PMID 31084570
- [14]Kemper AR, Newman TB, Slaughter JL, et al. Management of Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of Gestation. Pediatrics, 2022.PMID 35927462