(APGAR; colour; tone; Date Date Date breathing; heart rate) Signature Signature Signature Safely transfers or discharges the baby to E CD CI Date Date Date postnatal ward/home Signature Signature Signature Performs and accurately documents the initial Date Date Date assessment of the newborn E CD CI Signature Signature Signature Accurately records the CD CD/CI CI babies birth weight Date Date Date Signature Date Signature Initiates basic emergency *O CD CI call for a newborn Date Date Date Signature Signature Signature Demonstrates resuscitation O/S O/CS/E of the newborn
(APGAR; colour; tone; breathing; heart rate) Date Date Date Safely transfers or discharges the baby to postnatal ward/home E Signature CD Signature CI Signature Date Date Date Performs and accurately documents the initial assessment of the newborn E Signature CD Signature CI Signature Date Date Date Accurately records the babies birth weight CD Signature CD/CI Signature CI Signature Date Date Date Initiates basic emergency call for a newborn *O Signature CD Date CI Signature Date Date Date Demonstrates resuscitation of the newborn O/S Signature O/CS/E Signature Signature