Queensland Health Child and Youth Health Practice Manual

1 Queensland HealthChild and Youth HealthPractice ManualClinical Excellence QueenslandAcknowledgementsChild Health nurses have been providing primary Health care services to families in Queensland since 1918. In 2020, families access services through a range of Child and Youth Health primary care providers. This statewide Manual is the result of input and effort from many of these Health professionals sharing their passion for excellence in primary Health care for families in Queensland . Their assistance with the content for this Manual is greatly acknowledge the Traditional Owners of the land on which we walk, work and pay respects to Elders past, present and all generations of Aboriginal and Torres Strait Islander peoples now and into the future.

2 State of Queensland (Children s Health QueenslandHospital and Health Service) 2020 LicenseThis annual report is licensed by the State of Queensland (Children s Health Queensland Hospital and Health Service) under a Creative Commons Attribution-NonCommercial-ShareAlike (CC BY-NC-SA) Australia BY License Summary StatementIn essence, you are free to copy, communicate and adapt this Manual for non-commercial purposes, as long as you attribute the work to the State of Queensland (Children s Health Queensland ). If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the view a copy of this license, visit referencingContent from this Manual should be attributed as: Child and Youth Health Practice Manual , Queensland Child and Youth Clinical Network Child Health s Health Queensland Hospital and Health Service, 2020 Manual history and review planThe Child and Youth Health Nurses Practice Manual was developed in 2006-2007.

3 The Manual was preceded by previous versions, including the Child Health Nurses Clinical Practice Manual , developed by QE II Hospital Health Service District, Bayside District Health Service, and Logan/Beaudesert District Health Service in development of the accredited Certificate IV in Aboriginal and/or Torres Strait Islander Child and Youth Health course ran concurrent with the Manual development in 2006-2007 which, for the first time, included components related to Aboriginal and Torres Strait Islander Child and/or Youth Health Workers 2014, the Manual was redrafted to align with The National Framework for Universal Child and Family Health Services and include Practice in the broad area of Child and Youth Health related to.

4 Child and/or Youth Health nurses Aboriginal and Torres Strait Islander Child and/or Youth Health workers and practitioners Child Health psychologists/social workers, also known as early intervention clinicians / early intervention parenting clinicianThe redrafting of the Manual in 2014 was supported by the Statewide Child and Youth Clinical Network Child Health Sub-Network and sponsored by Children s Health Queensland Hospital and Health May 2020, a project sponsored by the Queensland Child & Youth Clinical Network, in collaboration with Children s Health Queensland , commenced to review the Child and Youth Health Practice Manual with the aim to incorporate the latest evidence relating to contemporary clinical Practice for Child and Youth Health clinicians and Health workers.

5 Consultation with Child and Youth Health professionals and clinical content experts across Queensland was undertaken during the review and key stakeholder input integrated into the Manual where comprehensive literature review on each topic within the Manual was not possible. The review of literature was focused on the years 2014 - 2020 and inclusive of evidence based clinical Practice guidelines, government documents, professional frameworks and professional College following databases were also searched: Google Scholar; The Cochrane Collaboration; Clinicians Knowledge Network which searches twenty four databases at the time of this and information were reviewed and updated, contemporary clinical practices included, and emerging public Health priorities incorporated.

6 A summary of new additions to the 2020 review are listed in the front of the completion date: October 2020 Recommended review: 2025 Photography: Photos are for illustrative purposes only. Aboriginal and/or Torres Strait Islander peoples should be aware that this publication may contain images of people who may have on page 262 produced for Queensland Health by and Youth Health Practice Manual3 ContentsAcronyms and abbreviations ..12 Summary of additions - 2020 Review ..13 How to use this Manual ..14 IntroductionAudience ..18 About these roles ..19 Key principles underpinning the Child / Youth Health Practice framework ..21 Section 1: AntenatalDevelopment surveillance and Health monitoringThe healthcare context.

7 25 The pregnancy Health record ..26 Antenatal assessment ..27 Physical assessment ..27 Social and emotional wellbeing ..28 Domestic and family violence ..30 Substance use/misuse in pregnancy ..31 Recognition of Child abuse and neglect ..33 Health promotionEngaging families ..34 Quality information and education ..36 Maternal nutrition, oral Health , physical activity ..37 Infant nutrition ..39 Injury prevention / safety promotion and safe sleeping ..43 Still birth prevention ..43 Immunisation ..44 Early identificationSocial determinants of Health and wellbeing ..46 Aboriginal and Torres Strait Islander people ..47 Families from culturally and linguistically diverse backgrounds ..48 Young parents.

8 50 Parents with learning difficulties ..51 Responding to needAccess to higher level services ..52 Multidisciplinary early intervention ..52 Home visiting ..52 Child protection ..53 Child protection resources ..54 Child and Youth Health Practice Manual4 Section 2: Birth to five yearsDevelopment surveillance and Health monitoringThe healthcare context ..57 Engaging families ..58 The personal Health record (PHR) and Child Health information booklet ..600 TO 12 MONTHSWell Child Health checks ..60 Other Health checks ..61 Family Health assessment ..62 Practice tips: Conducting a family Health assessment ..64 Examples of positive and problem indicators of parent- Child Practice tips: Conducting and scoring the EPDS.

9 68 Practice tips: Conducting the domestic violence screen ..71 Infant Health assessment ..73 Universal newborn hearing screen ..73 Neonatal screening test ..74 Physical assessment ..74 Why and when ..74 Practice tips: Conducting a head-to-toe assessment ..76 General considerations ..76 Head examination ..77 Assessment of vision and eye function ..79 Assessment of hearing and ear Health : 0 12 months ..81 Mouth check / lift the lip ..83 Examination of the hips ..84 Examination of the testes ..85 Femoral pulses ..86 Growth monitoring ..87 Growth charts ..87 Allowance for gestational age ..88 Weight ..88 Length/height ..89 Head circumference ..90 Practice tips: Weighing and measuring an infant.

10 91 Developmental assessment (birth to 12 months) ..94 Congenital Heart Disease ..94 Validated screening tools ..96 Communication and interaction ..99 Interaction, speech and language skills ..100 Practice tips: Conducting a developmental assessment ..102 Child and Youth Health Practice Manual5 Assessing infant nutrition ..104 Stages of feeding development ..104 Development of oral feeding skills ..105 Assessment of Breastfeeding ..111 Initiation and establishment of lactation ..114 Nipple care and management ..115 Practice tips: Promoting optimal positioning of the infant at the breast ..117 Expressing breast milk ..119 Storing expressed breast milk ..120 Management of milk supply.