Postnatal referral (hospital transfer)
Postnatal referral
- phone referral to the EB service at Sydney Children's Hospital, Randwick
- photos of wounds used for initial clinical assessment
- assessment: location and facilities of birth hospital, and severity of wounds, to determine if transfer to Sydney Children's Hospital, Randwick is required
- same day courier of new baby EB box set up with suitable dressings to birth hospital.
Hospital transfer
- communication with the Newborn Emergency Transport Service (NETS) or ambulance
- mother transferred to birthing hospital on same site as Sydney Children's Hospital, Randwick.
Arrival at Sydney Children's Hospital, Randwick
- EB team contacted by email
- dermatology, paediatrics, genetics, nursing, dietetics and social work all involved from day of arrival
- mother linked to midwifery support from local birthing hospital if not admitted locally as an inpatient
- length of hospital stay guided by wound management, growth and availability of home nursing
- discharged with home nursing and weekly hospital reviews until birth trauma is stabilised
- first EB clinic scheduled after parents confident with dressing changes and clinic contact is less than fortnightly.
End of newborn pathway