Early morning priority should be given to potentially sick newborns and newborns that are likely to be discharged that day. Often, the mothers who are to be discharged will be identified on the unit monitor with a "+" in front of the room number, but in general, babies born by vaginal delivery will have a 2 night stay and babies born by C-section will have 4 night stay. The team should strive to examine the babies and complete teaching for the families who are going home that day, and if possible, have discharge orders completed (but not initiated) before rounds.
During rounds the team will review pertinent parts of the prenatal and delivery history, social and family history, physical findings, and discharge plans. Frequently, the entire team will do "walk rounds" on patients who are going home or who have physical findings that present educational opportunities. If the census is high, the attending physician may independently round on some patients.
Residents should use the standard electronic "WBN note" for admits, discharges, and progress notes. Medical students may choose to use either electronic or paper charting, but should also have the senior resident start an electronic "WBN note" for their patients.
After attending rounds, the team will continue visits with patients and families, attend to any infants with issues, examine new babies, and perform circumcisions. Before noon the team should "tie up loose ends", call consultanting services, etc. At 1:00pm, the team will gather again to round on new patients, finish remaining procedures, review any problems encountered, and for educational discussion.
The team is responsible for the evaluation, exam and physician orders for any newborn admitted to the SPC team throughout the day. Newborns born after 10 am without active issues may be evaluated the following morning.
Residents should make all efforts to attend Morning Report and Noon Conference.