MANAGEMENT PROTOCOL FOR WELL-BABY CHECK-UP, NEONATAL PERIOD (Flowchart No. 33-A) PLAN A: 1. 0 Determin P knowledge of the motlier or the patient's compnn1on on tl1e proper care of the newborn. 2. 0 Based on 1. 0, advise mother or companion to give the patient a tub bath daily (even on Tuesday and Fridays). Give the same instructions enumerated in section 5. 0 of Management Protocol for Flowcl,nrt No. 32. 3. 0 Based on 1. 0, show Lhl! patient's companion how to cl~an tl1e umbilicus with . ilcohol and cotton buus during the first visit. 3. 1,vhen the cord hasn't dried up yet, make sure that the sterile gauze placed around the con J (not the lop dressing) is soaked with alcohol. 3. 2 After the cord has fallen off. the navel should be gently cleansed using cotton buds and alcohol. 4. 0 Based on 1. 0. advise companion on infant feeding during tbe first visit. Give the same ad,-ise st. i. ted in section 4. 0 of Manngemen t Protocol for Flowchart No. 32. 282 5. 0 Based on 1. 0, advise companion to e::... l)ose the patient to early n'lorning for ten minutes e,·erydny if slight yellowish skin color appear starting on the third day. 6. o Ba. sed on 1. 0. give/prescribe over-the-co unter multi-vita mins if Lhe bnhy is at least one week old. 6. 1 On t J1c fir. st day the medicine is to be given, give the patient only one drop. lncre.-. se the amount by one drop per day up to the tenth clay. So on the second d;,iy two drops '";II be given then on the t J1ird day tbree drops and so 011 until on the tenth day the baby is given ten drops or 0. 3 cc. From the elen:nlh day on,,·ards. give 0. 3 cc. 6. 2 Give t J1e medicine oncl:l per daiy only. 6. 3 Stop the medicin e if the patient develops any rashes or signs of allergy or dfarrhe:i. 7. 0 Based on t. O, advise the companion to bring the patient either a privnte pediatrician or the Health Center for BCG vaccination and 1st dose of Hepatitis B. vaccine 8. o Advise companio n to bring patient back afler one month. PLAN 8: 1. 0 Refer the patient immediately to a hospital (preferably tl,c nearest one). 2. 0 Do the following if there is bk. '<.--di:n. g from lhc c.-ord while waiting for medical help. 2. 1 Remo\'o:t Lhe cord dressing 2. 2 \'\Tith a clean piece of cloth or ~auzc, r,ress the cord between the l. humb and index finger. 2. :l If thert is still bleedjn,i_, place another tic. 