Age Vaccines Tests/Forms EPIC Documentation Anticipatory Guidance

1 week None o Confirm passed newborn Intake o Temp > or = 100.4 to ER

hearing screen and CCHD -Interpreter- document ID # o Back to sleep/ Safe sleeping
enter into intake -Allergies- review o Feeding
o Calculate wt gain -Medications- review o Car safety
o Screen for post-partum -Birth Hx, PMHx, Surgical Hx, Family Hx- review/enter o Don’t shake baby
depression -Post-partum depression o Umbilical stump care
o Multivitamin (trivisol)
Assessment: o Call 24/7 for sick: 718-334-3025
-Parent SDH- Ask
-Developmental Milestones
-Safe Sleep

1 month None o Newborn Screen: check Intake o Temp > or = 100.4 to ER

under problem list- should -Interpreter- document ID # o Back to sleep
have results. -Allergies- review o Car safety
o -Medications- review o Tummy time
https://commerce.health.st -Birth Hx, PMHx, Surgical Hx, Family Hx- review/enter o Multivitamin (trivisol)
ate.ny.u -Post-partum depression screen o Change in stool frequency
o Calculate wt gain o Call 24/7 for sick: 718-334-3025
o Screen for post-partum Assessment:
depression -Parent SDH- Ask
-Developmental Milestones
-Safe Sleep

2 months DTaP o Screen for post-partum Intake o Seek medical attention if fever >101 for
IPV depression -Interpreter- document ID # >24 hours (call below number first if baby
HiB -Allergies- review well appearing)
HepB -Medications- review o Back to sleep
PCV -Birth Hx, PMHx, Surgical Hx, Family Hx- review/enter o Car safety
Rota -Post-partum depression screen o Risk of falling once learns to roll
o Hold, cuddle, talk/sing to baby
Assessment: o Maintain regular sleeping/feeding
-Parent SDH- Ask routines
-Developmental Milestones o Multivitamin (trivisol)
-Safe Sleep o Call 24/7 for sick: 718-334-3025
4 months DTaP o Screen for post-partum Intake o Seek medical attention if fever >101 for
IPV depression -Interpreter- document ID # >24 hours (call below number first if baby
HiB -Allergies- review well appearing)
PCV -Medications- review o Introducing solids
Rota -Birth Hx, PMHx, Surgical Hx, Family Hx- review/enter o Safety/ Do NOT buy walker
-Post-partum depression screen o Risk of falling once learns to roll
o Multivitamin (polyvisol + iron if BF)
Assessment: o Call 24/7 for sick: 718-334-3025
-Parent SDH- Ask
-Lead Assessment- if not completed by PCA
-Developmental Milestones
-Safe Sleep

6 months DTaP o Screen for post-partum Intake o Home safety/ No walkers

IPV depression -Interpreter- document ID # o Feeding- introduce peanut, egg
HepB -Allergies- review o NO JUICE until one year of age
PCV -Medications- review o Language stimulation- RR book
Flu -Birth Hx, PMHx, Surgical Hx, Family Hx- review/enter o Reciprocal play, talk/sing to baby
(Sept-June) -Post-partum depression screen o Lead risks
o Multivitamin (polyvisol + iron if BF)
Assessment: o Call 24/7 for sick: 718-334-3025
-Parent SDH- Ask
-Lead Assessment- if not completed by PCA
-Developmental Milestones
-Safe Sleep

9 months Flu o Consider CBC, Lead for WIC o Feeding- table food except honey,
(Sept-June) Intake transition to whole milk at 12mo
-Interpreter- document ID # o Language stimulation- RR
-Allergies- review o Lead risks
-Medications- review o Safety-No walkers, child-proof home
-Birth Hx, PMHx, Surgical Hx, Family Hx- review/enter o Brush teeth twice daily
o Multivitamin (polyvisol + iron if BF)
Assessment: o Wean from bottle to sippy cup, wean
-Parent SDH- Ask overnight feed
-Lead Assessment- if not completed by PCA o Separation anxiety
-Developmental Milestones o Limit use of word NO
o Poison control 1-212-POISONS
o Call 24/7 for sick: 718-334-3025
12 months MMR o CBC Intake o Transition to whole milk
VZV o Lead -Interpreter- document ID # o Choking hazards
HepA -Allergies- review o Poisoning- (212) POISONS /
Flu -Medications- review 1-800-222-1222
(Sept-June) -Birth Hx, PMHx, Surgical Hx, Family Hx- review/enter o Language Stimulation- RR book
o Praise good behavior
Assessment: o Brush teeth→ Dentist
-Parent SDH- Ask o Wean from bottle to sippy cup, wean
-Developmental Milestones overnight feed
o Lead risks
o Multivitamin (polyvisol + iron if BF)
o Call 24/7 for sick: 718-334-3025
15 months DTaP Intake o Choking hazards/ Poisoning
HiB -Interpreter- document ID # o Language Stimulation- RR book
PCV -Allergies- review o Praise good behavior
Flu -Medications- review o Consistency of bedtime routines
(Sept-June) -Birth Hx, PMHx, Surgical Hx, Family Hx- review/enter o Brush teeth→ Dentist
o Wean from bottle to sippy cup
Assessment: o Limit juice to no more than 4oz daily
-Parent SDH- Ask o Lead risks
-Developmental Milestones o Call 24/7 for sick: 718-334-3025

18 months HepA Intake o Choking hazards/ Poisoning

Flu -Interpreter- document ID # o Language Stimulation- RR book
(Sept-June) -Allergies- review o Consistency with discipline
Consider -Medications- review o Limit media to one hour per day
PPD -Birth Hx, PMHx, Surgical Hx, Family Hx- review/enter o Brush teeth→ Dentist
o Wean from bottle to sippy cup
Assessment: o Lead risks
-Parent SDH- Ask o Toilet readiness
-Developmental Milestones o Call 24/7 for sick: 718-334-3025
24 months Flu o CBC Intake o Choking hazards/ Poisoning
(Sept-June) o Lead -Interpreter- document ID # o Language Stimulation- RR book
o Quantiferon (if risk -Allergies- review o Praise good behavior and
factors) -Medications- review accomplishments
-Birth Hx, PMHx, Surgical Hx, Family Hx- review/enter o Limit media to one hour per day
o Brush teeth→ Dentist
Assessment: o Wean from bottle to sippy cup
-Parent SDH- Ask o 5/2/1/0, switch to low-fat milk
-Developmental Milestones o MVI: ½ chewable (better compliance) or
1ml mvi
o Call 24/7 for sick: 718-334-3025
2 ½ years Flu Intake o Language stimulation- RR book
(Sept-June) -Interpreter- document ID # o Choking Hazards/ Poisoning
-Allergies- review o Maintain regular family routines
-Medications- review o Limit media to one hour per day
-Birth Hx, PMHx, Surgical Hx, Family Hx- review/enter o Brush teeth→ Dentist
o 5/2/1/0
Assessment: o MVI: ½ chewable (better compliance) or
-Parent SDH- Ask 1ml mvi
-Developmental Milestones o Call 24/7 for sick: 718-334-3025

3 years Flu o Blood pressure Intake o Discuss Pre-K plans

(Sept-June) o Vision- if cannot -Interpreter- document ID # o Language stimulation- RR book
complete vision fu 6m -Allergies- review o Choking Hazards/ Poisoning
o Hearing -Medications- review o Brush teeth→ Dentist
-Birth Hx, PMHx, Surgical Hx, Family Hx- review/enter o 5/2/1/0
o Teach pedestrian safety
Assessment: o Limit media to one hour per day
-Parent SDH- Ask o MVI: ½ chewable (better compliance) or
-Developmental Milestones 1ml mvi
o Call 24/7 for sick: 718-334-3025
4 years MMRV o Blood pressure Intake o School preparedness
DTaP/IPV o Vision (20/30 ok -Interpreter- document ID # o Language stimulation- RR book
Flu until 5 years) -Allergies- review o 5/2/1/0
(Sept-June) o Hearing -Medications- review o Nutrition/ Exercise
-Birth Hx, PMHx, Surgical Hx, Family Hx- review/enter o Bicycle/scooter helmets
o Dentist
Assessment: o Multivitamin: 1 chewable
-Parent SDH- Ask o Call 24/7 for sick: 718-334-3025
-Developmental Milestones

5-8 years Flu o Blood pressure Intake o School preparedness

(yearly (Sept-June) o Vision -Interpreter- document ID # o 5/2/1/0
visit) o Hearing -Allergies- review o Limit screen time to 2 hours a day
-Medications- review o Chores
-Birth Hx, PMHx, Surgical Hx, Family Hx- review/enter o Discuss private parts
o Bicycle safety: helmet
Assessment: o Dentist
-Parent SDH- Ask o Multivitamin: 1 chewable
-Developmental Milestones o Call 24/7 for sick: 718-334-3025

9-11 Flu o Blood pressure Intake o School preparedness

years (Sept-June) o Vision -Interpreter- document ID # o 5/2/1/0
(yearly o Hearing -Allergies- review o Dentist
visit) o Depression Screen (at -Medications- review o Puberty
At 10y: 11y add PHQ2) -Birth Hx, PMHx, Surgical Hx, Family Hx- review/enter o Bullying
Tdap *Normal BMI o Monitor computer/phone use
HPV -HDL Assessment: o Multivitamin: 1 chewable (add iron for
-Cholesterol -Parent SDH- ask girls)
At 11y: **Overweight (BMI o Call 24/7 for sick: 718-334-3025
HPV (#2) 85-94%)
Meningo -HDL *If normal BMI screening cardiovasc labs
-Cholesterol once during 9-11y period, if normal
-HbA1c (if2 risk repeat cardiovasc labs every 5y.
factors)
-ALT (if risk factors) **If overweight/ obese- do labs as
**Obese: (BMI> or =95%) indicated. Repeat cardiovasc labs every
-HDL 5y if normal and diabetes labs every 3y
-Cholesterol if normal. If abnormal, or develops
-ALT additional risk factors repeat more
 -HbA1c frequently. See NHLBI and Endo Society
Guidelines.
12 years HPV (if start o Blood pressure Intake o School preparedness
and up at >15yo, o Vision (20/30 ok) -Interpreter- document ID # o 5/2/1/0
(yearly) need 3 o Hearing -Allergies- review o Dentist
doses o HEADSSS assessment -Medications- review o Puberty
o Home -Birth Hx, PMHx, Surgical Hx, Family Hx- review/enter o Bullying
At 16yo: o Education o Monitor computer/phone use
Meningo o Activities Assessment: o Safe Sex
booster o Drugs -Parent SDH- ask o EtOH/ Smoking/ Vaping/ Drugs
o Sexual activity o Multivitamin: 1 chewable (add iron for
Mening B at o Suicide HEADSS assessment girls)
MD o Social Media o Call 24/7 for sick: 718-334-3025
discretion
or high risk -Offer HIV testing to all
(16-23yo) -STI testing if sexually
active

-RR book = Reach out and read book

-Flu vaccine: Sept-June (or whenever supplies available) 6m-36m Flu vaccine 0.25ml IM >36 months Flu vaccine 0.5ml IM

-URGENT ISSUES: At every visit encourage patients to call 24 hours a day 7 days a week with urgent questions. There is an MD or RN available for questions. Parents also can book urgent appointments for the cli
718-334-3025

Updated 6/2019