Note: These are built using Epic built-ins (like @NAME@)
and wildcards (***).
@NAME@ is a ***-day-old born to a G***P*** person by ***.
- GBS:
- Serologies:
- Complications:
- NICU:
- Bili Lights:
- Hearing screen:
- CHD screen:
- Hep B:
- Vitamin K:
- Erythromycin:
- DAT:
- Feeding
- Type: [Breast/Bottle/Both]
- Amount:
- Frequency:
- Supplementation with Vitamin D if breastfeeding
- Sleeping
- Location: Bassinet
- Elimination
- Transitioned stools
- *** wet diapers per dayUmbilical cord
Safe Sleep
-
Environment
- Make sure there are working smoke alarms and carbon monoxide alarms in the home
Feeding
- No honey or cow's milk until 1 year
- If using formula, mix one leveled-off scoop of formula to every 2 oz of water
- For babies only recieving breast milk, supplement with Poly-Vi-Sol daily
- Breastfeeding: Feed every 1 to 3 hours during the day and every 3 hours during the night for 8 to 12 feedings per day. Give baby vitamin D daily (400 IU per day).
Smoking
- Smoking around babies and young children can lead to more frequent illnesses, asthma, and sudden infant death syndrome (SIDS)
- Avoid smoking in the home. Any smoking outside the home should change their clothes and wash their hands before interacting with the baby.@NAME@ is a @AGE@ presenting today for a 1 month well-child visit.
- Feeding
- Type: [Breast/Bottle/Both]
- Amount:
- Frequency:
- Sleeping
- Elimination
- Development
- Social
- Looks at parent
- Looks at objects
- Verbal
- Makes brief, short vowel sounds
- Startles to unexpected sounds
- Different cries for hunger and tiredness
- Gross Motor
- Moves both arms and legs together
- Holds chin up while on stomach
- Fine Motor
- Opens fingers slightly at rest@NAME@ is a @AGE@ presenting today for a 2 month well-child visit.
- Feeding
- Type: [Breast/Bottle/Both]
- Amount:
- Frequency:
- Sleeping
- Elimination
- Development
- Social
- Smiles responsively
- Verbal
- Makes short coong sounds
- Gross Motor
- Lifts head and chest when on stomach
- Keeps head steady when held in a sitting position
- Fine Motor
- Opens and shuts hands; brings hands together@NAME@ is a @AGE@ presenting today for a 4 month well-child visit.
- Feeding
- Type: [Breast/Bottle/Both]
- Amount:
- Frequency:
- Sleeping
- Elimination
- Development
- Social
- Laughs
- Looks for caregiver when upset
- Verbal
- Turns to voices
- Makes cooing sounds
- Gross Motor
- Supports self on elbows and wrists when on stomach
- Rolls from stomach to back
- Fine Motor
- Keeps hands unfisted
- Grasps objectsFeeding
- No honey or cow's milk until 1 year
- Supplement with Poly-Vi-Sol with iron daily@NAME@ is a @AGE@ presenting today for a 6 month well-child visit.
- Feeding
- Type: [Breast/Bottle/Both]
- Amount:
- Frequency:
- Solids:
- Sleeping
- Elimination
- Development
- Social
- Pats or smiles at own reflection
- Looks when name is called
- Verbal
- Babbles, makes sounds like "ga", "ma", or "ba"
- Gross Motor
- Rolls from back to stomach
- Sits briefly without support
- Fine Motor
- Passes a toy between their hands
- Rakes small objects with 4 fingers
- Bangs small objects on a surface@NAME@ is a @AGE@ presenting today for a 9 month well-child visit.
- Feeding
- Type: [Breast/Bottle/Both]
- Amount:
- Frequency:
- Solids:
- Sleeping
- Elimination
- Development
- Social
- Uses basic gestures (e.g., waving bye bye, holding arms out to be picked up)
- Looks for dropped objects
- Plays games like peekaboo or pat-a-cake
- Turns consistently when their name is called
- Verbal
- Says "Dada" or "Mama" non-specifically
- Looks around when asked things like "Where's your bottle?"
- Copies sounds that parent makes
- Gross Motor
- Sits well without support
- Pulls to stand; transitions well between sitting and lying
- Crawls on hands and knees
- Fine Motor
- Picks up food to eat
- Picks up small objects with 3 fingers and thumb
- Lets go of objects intentionally
- Bangs objects together@NAME@ is a @AGE@ presenting today for a 12 month well-child visit.
- Feeding
- Sleeping
- Elimination
- Development
- Social
- Looks for hidden objects
- Imitates new gestures
- Verbal
- Says "Dada" or "Mama" specifically
- Uses 1 word other than personal names (e.g., no)
- Follows directions with gestures, such as motioning and saying, "Give me [object]."
- Gross Motor
- Takes first independent steps
- Stands without support
- Fine Motor
- Drops and object in a cup
- Picks up small object with 2-finger pincer grasp
- Picks up food to eat@NAME@ is a @AGE@ presenting today for a 15 month well-child visit.
- Feeding
- Sleeping
- Elimination
- Development
- Social
- Imitates scribbling
- Drinks from cup with little spilling
- Points to ask for something, get help
- Looks around after hearing things like "Where's your ball?" or "Where's your blanket?"
- Verbal
- Uses 3 words other than names
- Speaks in sounds like an unknown language
- Follows directions that do not include a gesture
- Gross Motor
- Squats to pick up objects
- Crawls up a few steps
- Runs
- Fine Motor
- Makes marks with crayon
- Drops object in, takes object out of container[Annually until 21]