Guidelines for the
Registrar attached to the Parent-Infant Nursery
(PIN)
|
Reviewed by Carl Kuschel |
December
2004 |
Back to the Parent-Infant Nursery (PIN)
See also the PIN Guidelines
The PIN registrar's primary areas of responsibility are within PIN and also
supervision of the postnatal ward SHO.For the postnatal wards, the SHO will in the
first instance contact the PIN registrar for advice, unless clearly the
specialist needs to see the infant in question.
In PIN, the primary aim is Discharge Planning.
The Family Liaison Nurse (FLN) is a key co-worker in directing this and will
assist you accordingly. Remember that Discharge Planning is an essential
part of the neonatal admission and may help avoid the need for readmission.
- Familiarise yourself with the
PIN Discharge Guidelines.
- Use updated flow sheets and problem lists to facilitate this process.
- This will ensure that the immunisation,
head scan, eye referral, audiology, CDU follow-up etc arrangements are
completed.
Timetable
| |
Monday |
Tuesday |
Wednesday |
Thursday |
Friday |
|
8:30am |
Reg/FLN Ward Round |
Postnatal Ward Round with SHO
(9:30am after Grand Round) |
Reg/FLN |
Specialist Ward Round |
Postnatal Ward Round with SHO |
|
11:30am |
Multidisciplinary Meeting |
|
|
|
|
Suggested Plan for Week in PIN
|
Monday |
- Identify probable discharges for the week and prioritise what needs to be done to achieve
discharge.
-
At the Monday multidisciplinary meeting, the FLN and/or Registrar is expected to present a brief history for each
baby.
- Prepare discharge letters well in advance if possible.
|
|
Tuesday |
- Postnatal Ward Round with SHO.
|
|
Wednesday |
- No scheduled meetings
after Grand Round - see babies for weekly reviews and in preparation for
discharge.
|
|
Thursday |
|
|
Friday |
- Postnatal Ward Round with SHO.
- Any weekend and Monday discharges should have paperwork completed.
|
Other Responsibilities
- Follow-up consultations, other
clinic, appointments, phone calls to GPs or other providers need to be
finalised prior to discharge.
- Aim to have the discharge examination, Well
Child Book, letters, prescriptions, and discharge sheet completed the day
prior to discharge.
- Attend Discharge Planning meetings with the consultant.
- Talk to parents about immunisation etc.
- The Level 2 specialist will be available to "trouble shoot" at all times.
