| Health care services |
When |
| Physical exam |
All newborns should be evaluated two to three days after discharge
Six visits at 2, 4, 6, 9, 12 and 15 months of age
1 to 2 years: two visits at 18 and 24 months |
CLINICAL SCREENINGS
|
When |
Physical assessment with height and weight
|
During physical exam |
Developmental screening What is this?
|
At ages 9 and 18 months |
Autism screening What is this?
|
At 18 months |
| Hemoglobin and hematocrit |
Once during infancy |
| Lead poisoning screening |
Risk assessment for lead exposure between ages 6 and 12 months and again at age 24 months
Blood test for those identified as high risk |
| Newborn hearing screening |
Once at birth |
Tuberculin skin test (PPD)
|
Recommended for those identified as high risk |
| Prevention of dental cavities |
Prescribe oral fluoride supplementation to children older than age 6 months if primary water source is deficient. Dental referral to begin at age 12 months.
|
IMMUNIZATIONS
|
When |
DTaP
Diphtheria and tetanus toxoids and accellular pertussis vaccine
(DTaP is the preferred vaccine for all doses in the series)
|
At 2, 4, 6, and 18 months
The fourth dose may be given as early as 12 months, if six months have elapsed since the third dose and the child is considered unlikely to return at age 15 to 18 months. |
IPV
Inactivated poliovirus vaccine |
At 2, 4 and 6 to 18 months |
MMR
Measles, mumps and rubella vaccine |
Two vaccinations, the first at age 12 to 15 months
MMR vaccinations should never be given less than one month apart |
Hib
Haemophilus influenzae type b conjugate vaccine |
At ages 2, 4 and 6 months and once between ages 12 and 18 months
Combination vaccine products may reduce the number of doses required |
HepB
Hepatitis B vaccine |
Three doses in the first 18 months
First dose of Hep B to be administered to all newborns before leaving the hospital
|
Var
Varicella (chickenpox) vaccine |
One vaccination between 12 and 18 months
Children between ages 19 months and 12 years can get one dose if they have no history of varicella |
Flu
Influenza vaccine |
For healthy children ages 6-24 months, two doses separated by four weeks if receiving for the first time.
|
Pneumonia
Pneumococcal conjugated vaccine |
For all children ages 23 months and younger, four doses at 2, 4, 6 and 12 to 15 months |
Rota
Rotavirus vaccine
|
At 2, 4 and 6 months
|
HepA
Hepatitis A vaccine
|
Two doses at least six months apart at ages 12 to 23 months |
