Neonatal H&P and Death Note
- If signs of life are present at delivery, a MRN for the neonate is created. Thus, a neonatal H&P is required and should be completed by L&D providers.
- If neonate is transferred to NICU, pediatric providers are responsible for completing neonatal H&P, death note and discharge summary.
- A death note must also be entered into this chart under the neonate MRN if time of death is pronounced on L&D (typically, when this occurs within the first hour of life). The death note must contain: gestational age, time of death and who pronounced death, relevant physical exam findings (no heartbeat, no respiratory effort, gross abnormalities etc).
- The discharge summary under neonatal MRN needs to be a separate document, however the H&P and death note can be tagged for creation of this document.