000 Poisons Information Centre 131 126 Crisis Care (after hours and weekends) 131 611 healthdirect Australia 1800 022 222 Parent Helpline 131 450 Australian Breastfeeding Association (ABA) 1800 686 2686 Pregnancy, Birth and Baby Helpline 1800 882 436 Child and Family Health Service My health record 1300 364 100 Telephone Interpreter hour service My health record Emergency (Ambulance, Fire or Police) 1300 733 606 www.cyh.com http://www.gilf.gov.au/ © Department of Health, Government of South Australia All rights reserved ISBN: 9780730897866 Printed June 2011 Please bring this book to any health related appointments Acknowledgements ‘My health record’ was developed with the assistance of parents, carers, child and family health nurses, midwives, social workers, dietitians, paediatricians, neonatologists, Aboriginal health workers and other health professionals The changes in this revised edition have arisen from evidence and expert opinion about the most appropriate approach for the families with babies and young children SA Immunisation Section, Kidsafe SA, SA Dental Service and the Tobacco Control Unit of SA Health have contributed to the development of this content WA Health is acknowledged as the first state to redesign in this format NSW Health is acknowledged for their permission to adapt and reproduce parts of this record 2011 Edition Writing board (please not remove) Contents Personal details About ‘My health record’ Do you need help reading English? Your rights and responsibilities Where to go for help Useful phone numbers and websites My birth 10 Birth details and examinations About me 14 Health records Teeth chart Growth charts 18 Growth charts My first year (0-12 months) 23 Tips Developmental milestones Health checks My health record - 2011 edition page Now I am (1-2 years) 36 Tips Developmental milestones Health check Now I am (2-3 years) 45 Tips Developmental milestones Now I am (3-4 years) 51 Tips Developmental milestones Health check Now I am (preschool and beyond) 59 Tips Developmental milestones Starting school Immunisation 67 Information and forms page My health record - 2011 edition Personal details Child’s name Home address Change of address Aboriginal Yes / No Torres Strait Islander Yes / No Parent name (1) Home address Telephone (Home) Work Mobile Email Main language spoken at home Parent name (2) Home address Telephone (Home) Work Mobile Email Main language spoken at home Number of children in the family My health record - 2011 edition page About ‘My health record’ Congratulations on the arrival of your new baby The birth of a new baby is an exciting time, with many special experiences and challenges along the way Information is available to help you support your growing child from a range of places, including this health record This record is designed to help you track your child’s journey as they learn and grow It provides a place for you and your health professional to record your child’s health and progress Each year has a separate section, which includes some tips for caring for your child under What I need Also included is a checklist of important milestones entitled Help me grow and learn You can fill these in as your child reaches each milestone This will help you to know what to watch for in their development and when to seek help Health checks are important for your growing child and are included in this record It is recommended that your child has a health check at: > > > > > > 1-4 weeks (by a child and family health nurse, midwife, GP or paediatrician) 6-8 weeks (by a GP or paediatrician) 6-9 months (by a child and family health nurse, GP or paediatrician) 18-24 months (by a child and family health nurse, GP or paediatrician) years (by a GP or paediatrician) years (by a GP, paediatrician or child and family health nurse, this health check form is not included in this record) An immunisation section at the back of the record can be used to track your child’s immunisations How to use ‘My health record’ It is important that this health record is kept safe and is regularly updated If you need help to update it, ask your health professional Take it with you every time you see your doctor, paediatrician, midwife, child and family health nurse, immunisation provider or other health professional such as a dentist, physiotherapist or speech pathologist It is important that your health professional completes the health checks and records any other relevant information in the progress notes or About me section You may also need to show it to child care centres, preschools or schools when enrolling your child You can add to this record any other important information about your child’s health page My health record - 2011 edition Interpreters Let your health provider know if you need an interpreter AMHARIC KIRUNDI ARABIC KURDISH BURMESE DARI NUER PERSIAN SWAHILI DINKA KHMER VIETNAMESE If your client requires a telephone interpreter please phone 131 450 Aboriginal Cultural Consultants Aboriginal Cultural Consultants are located at some Child and Family Health sites The Aboriginal Cultural Consultant’s role is to support Aboriginal and Torres Straight Islander children and families in gaining access to local child and family health services My health record - 2011 edition page Your rights and responsibilities All people who use public health services in South Australia have rights and responsibilities These are outlined in a document called, Your Rights and Responsibilities – A Charter for Consumers of the South Australian Public Health System This document is available on the internet at: www.safetyandquality.sa.gov.au Your rights This means Access You can access services which address you or your child’s health care needs Safety You and/or your child receive high quality health services provided by qualified health professionals in a timely manner Respect You and/or your child will be treated with dignity and respect Communication You will receive open, timely and appropriate communication about you or your child’s health care and in a way that is understood Participation You may join in decisions and choices about health care and health service planning Privacy You and/or your child’s personal privacy is maintained and proper handling of personal health and other information is assured Comment You can comment on or complain about your own or your child’s health care and have your concerns dealt with properly and promptly To make a complaint, phone the Health and Community Services Complaints Commissioner on 08 8226 8666 or Toll Free 1800 232 007 This service is available Monday to Friday from 9am to 5pm You can help by > Sharing any relevant information with your health professional > Asking for health care information or letting us know if you not understand the information > Keeping your appointments when possible or letting us know if you cannot > Being considerate of staff and other clients page My health record - 2011 edition Where to go for help Where to go for help Now I am (preschool and beyond) When to seek help If you are concerned about anything on the Help me grow and learn checklist or notice any of the below, see a child and family health nurse or doctor If your child is > Not speaking clearly and understood by others > Not able to things that other children of the same age are doing easily > Not relating well to others > Needing to hold on to something to walk > Falling over a lot or losing balance > Frequently rubbing their eyes, or their eyes are watering or discharging > Tilting their head when looking > Sitting too close to the TV > Holding a book too close to their face > Or if their eye(s) turn in toward the nose or outwards, or wobble A child and family health nurse or doctor can listen, reassure or provide referrals to services that can help your child More detailed information is available on www.cyh.com or call the Parent Helpline 1300 364 100 page 64 My health record - 2011 edition Now I am (preschool and beyond) Progress notes Date My health record - 2011 edition page 65 Now I am (preschool and beyond) Progress notes Date page 66 My health record - 2011 edition Immunisation Immunisation Immunisation What is immunisation and why does my child need it? Immunisation is a simple, safe and effective way to protect children (and adults) against several harmful diseases Vaccines ‘turn on’ the body’s natural defences to help them fight these diseases which can cause serious illness and even death What vaccines are given? The National Health and Medical Research Council recommends a number of vaccines, these are listed on pages 69-70 Talk with your immunisation provider to work out your own child’s needs Each time your child is immunised, take this book along so the vaccines given can be recorded You may need to provide proof of your child’s immunisation history to enter childcare, kindergarten or school When should I immunise my child? Your child needs immunisations at birth then at 2, ,6, 12 and 18 months and again at years of age Immunisations due at months of age may be given to babies from weeks of age to offer earlier protection from disease Immunisations due at years of age may be given to children from years months of age Aboriginal children may be at increased risk of certain diseases such as Hepatitis A and therefore need additional immunisations at 18 months and years of age If these immunisations are not given at the right time your child may be unprotected against harmful diseases Additional immunisations may be required for babies born prematurely and children with some long-term illnesses as they are at increased risk of complications from diseases Where can I get my child immunised and will it be free? Immunisation is available from your local doctor, many local councils and community health services Please contact them directly for clinic times and venues Vaccines listed on the National Immunisation Program schedule (see pages 69-70) are free for all children who live in Australia What happens if my child misses an immunisation? It is strongly recommended that you try very hard to have your child immunised at the ages shown in the schedule (see pages 69-70) If you miss a date, your child may still be able to receive immunisations You should contact your immunisation provider straight away to discuss this My health record - 2011 edition page 67 Immunisation Will there be any side effects? Vaccines are like any other medicine and can have side effects Most reactions are only mild, short lasting, and not require special treatment Your immunisation provider will explain what reactions there might be after an immunisation and what to if you are worried Very rarely a child may have a severe allergic reaction Your immunisation provider is trained to recognise and manage any immediate severe reactions Information about the possible side effects of immunisation can be confusing If you would like further information, call the Immunisation Section, SA Health, on 08 8226 7177 or the 24 hour Parent Helpline on 1300 364 100 You can also read the Immunisation Myths and Realities, 4th Edition booklet at www.immunise.health.gov.au The National Centre for Immunisation Research and Surveillance (NCIRS) www.ncirs.usyd.edu.au also has information Do I need to provide any other information before my child can be immunised? Before your child is immunised the doctor or nurse will ask you some questions to make sure your child is well enough to receive the immunisation You will be able to discuss any concerns you may have about the vaccines or diseases before your child is immunised Before any immunisation takes place your doctor or nurse will ask you: > Did you understand the information provided to you about immunisation? > Do you need more information to decide whether to go ahead with immunisation? > Do you agree for your child to be immunised? Further information For more information or if you have any questions regarding your child’s immunisation, please call the Immunisation Section, SA Health on 08 8226 7177 or the 24 hour Parent Helpline on 1300 364 100 You can also visit www.immunise.health.gov.au and/or www.ncirs.edu.au For travel immunisation advice visit www.smartraveller.gov.au page 68 My health record - 2011 edition Immunisation National Immunisation Program South Australian childhood immunisation schedule * Please be aware that the National Immunisation Program is subject to change Your immunisation provider will have the most current information Age Dose no Disease Vaccine Birth Birth Hepatitis B HB Vax II 1st Diphtheria, Tetanus, Pertussis, Haemophilus Influenzae type B, Hepatitis B, Polio } Infanrix hexa 1st Pneumococcal Prevenar 1st Rotavirus RotaTeq 2nd Diphtheria, Tetanus, Pertussis, Haemophilus Influenzae type B, Hepatitis B, Polio } Infanrix hexa 2nd Pneumococcal Prevenar 2nd Rotavirus RotaTeq 3rd Diphtheria, Tetanus, Pertussis, Haemophilus Influenzae type B, Hepatitis B, Polio } Infanrix hexa 3rd Pneumococcal Prevenar 3rd Rotavirus RotaTeq 1st Measles, Mumps, Rubella } Priorix 1st Meningococcal C Neis Vac C or Meningitec 4th Haemophilus Influenzae type B Hiberix months months months 12 months Continued on next page My health record - 2011 edition page 69 Immunisation National Immunisation Program South Australian childhood immunisation schedule (continued) 18 months 1st Chickenpox (Varicella) Varivax 18 months 1st Chickenpox (Varicella) Varivax Aboriginal children only 1st Hepatitis A Vaqta years 1st Pneumococcal Pneumovax 23 Aboriginal children only 2nd Hepatitis A Vaqta Diphtheria, Tetanus, Pertussis, Polio } Infanrix-IPV Measles, Mumps, Rubella } Priorix years th 2nd Adolescent Immunisation Schedule Program No of doses Disease Vaccine School Based Immunisation Program Year Hepatitis B HB Vax II adult Chickenpox (Varicella) Varivax (Girls only) Human Papillomavirus Gardasil Diphtheria, Tetanus, Pertussis Boostrix School Based Immunisation Program Year page 70 My health record - 2011 edition My health record - 2011 edition months LL/RL 2nd 2nd 2nd Rotavirus 1st Rotavirus (oral) Pneumococcal (7vPCV) LL/RL Diphtheria, Tetanus, Pertussis, Haemophilus Influenzae type B, Hepatitis B, Polio LL/RL (oral) Pneumococcal (7vPCV) LL/RL Diphtheria, Tetanus, Pertussis, Haemophilus Influenzae type B, Hepatitis B, Polio LL/RL Hepatitis B Immunisation 1st 1st Birth Birth months Dose no Age Batch number Date given Next due Provider signature/stamp Parent/Guardian Signature * * I have read and understood the information given to me about immunisation including the effects of disease and the side effects of immunisation I have been given the opportunity to discuss the risks and benefits with my doctor/nurse I request the named child to be immunised with the vaccines recommended on the National Immunisation Program schedule and I understand that consent can be withdrawn at anytime (Parent/guardian to sign at each encounter.) Immunisation record (to be completed by doctor or nurse) Child’s name D.O.B Medicare number page 71 page 72 18 months 12 months months Age Rotavirus Measles, Mumps, Rubella LA/RA/LL/RL Meningococcal C 3rd 1st 1st Haemophilus Influenzae type B LA/RA Chickenpox (Varicella) LA/RA 4th LA/RA (oral) Pneumococcal (7vPCV) LL/RL Diphtheria, Tetanus, Pertussis, Haemophilus Influenzae type B, Hepatitis B, Polio LL/RL Immunisation 3rd 3rd Dose no 1st Batch number Date given Next due Provider signature/stamp Parent/Guardian Signature * Immunisation record - continued (to be completed by doctor or nurse) Child’s name D.O.B Medicare number My health record - 2011 edition Immunisation Immunisation record - continued (to be completed by doctor or nurse) Child’s name D.O.B LA/RA LA/RA Diphtheria, Tetanus, Pertussis, Polio Measles, Mumps, Rubella 2nd years 4th LA/RA Hepatitis A 2nd Aboriginal children only Pneumococcal (Pneumovax 23) My health record - 2011 edition years 1st LA/RA LA/RA Hepatitis A 1st Chickenpox (Varicella) LA/RA 1st 18 months Aboriginal children only Immunisation Dose no Age Batch number Date given Next due Provider signature/stamp Parent/Guardian Signature * Medicare number page 73 Immunisation School based immunisation program and ‘other’ vaccination record Child’s name D.O.B In South Australia, vaccines on the National Immunisation Program (NIP) for adolescents are delivered by either local government or other health services through a school based immunisation program As this program may change periodically please contact the Immunisation Section on 8226 7177 for information on the vaccines your child will be offered when they reach high school Additional vaccines your child may receive may be recorded here, for example annual influenza and/or vaccines required for travel overseas Immunisation records are important to keep for: > childcare > university > kindergarten > travel > school > employment AGE IMMUNISATION (document site given) BATCH NUMBER DATE GIVEN NEXT DUE PROVIDER SIGNATURE/STAMP Continued on next page page 74 My health record - 2011 edition Immunisation ‘Other’ vaccination record (continued) Child’s name D.O.B AGE IMMUNISATION (document site given) My health record - 2011 edition BATCH NUMBER DATE GIVEN NEXT DUE PROVIDER SIGNATURE/STAMP page 75 Immunisation Immunisation notes Date page 76 My health record - 2011 edition 000 Poisons Information Centre 131 126 Crisis Care (after hours and weekends) 131 611 healthdirect Australia 1800 022 222 Parent Helpline 131 450 Australian Breastfeeding Association (ABA) 1800 686 2686 Pregnancy, Birth and Baby Helpline 1800 882 436 Child and Family Health Service My health record 1300 364 100 Telephone Interpreter hour service My health record Emergency (Ambulance, Fire or Police) 1300 733 606 www.cyh.com http://www.gilf.gov.au/ © Department of Health, Government of South Australia All rights reserved ISBN: 9780730897866 Printed June 2011 Please bring this book to any health related appointments ... milestones Health checks My health record - 2011 edition page Now I am ( 1-2 years) 36 Tips Developmental milestones Health check Now I am ( 2-3 years) 45 Tips Developmental milestones Now I am ( 3-4 ... family health nurse, this health check form is not included in this record) An immunisation section at the back of the record can be used to track your child’s immunisations How to use ? ?My health record? ??... Family health Use this page to record your family’s health Mother Father Brothers or sisters Hearing Vision Dental health Allergies Asthma Other My health record - 2011 edition page 14 About me Record