Explore The RBR
The Rourke Baby Record (RBR) consists of:Guides I to IV - four guides for charting well baby/child visits up to five years of age; Guide V - a table for charting immunizations; and Resources 1 - 3: three sheets of selected guidelines/resources.
Three fonts are used in the Rourke Baby Record to reflect the strength of recommendation based on literature review using the classification system of the Canadian Task Force on Preventative Health Care: Good (bold type); Fair (italic type);Consensus (plain type).
To explore the Rourke Baby Record and the associated medical evidence, click on one of the page images below. The page selected will display on the site and any areas/items that have additional information available will be highlighted in light blue. Changes in content in the 2011 RBR are shown in magenta (pink) print and new web links in the 2011 RBR are in green print.
To explore the additional information, simply click on a highlighted area and an information panel will open. To close the information panel click on the X icon in the upper right-hand corner of the panel.
Parent Resources or PR indicates links to Parent Resources on this topic.
Literature Reviewed or LR indicates published research on this topic that has been critically appraised for level of evidence in order to determine the strength of recommendation for this item on the Rourke Baby Record.
Guide I: Contains visits within one week, at two weeks, and at one month of age. Each visit includes:
- discussion of parent concerns about the infant,
- measurement of growth parameters,
- assessment of nutrition,
- a brief surveillance of development
- physical examination findings
- documentation of problems and plans
- referral to Guide V for immunization
Age appropriate education and advice topics for anticipatory guidance are listed across the guide to be discussed one or more times over the three visits as needed.
Guide II: Contains visits at two, four and six months of age. Each visit includes:
- discussion of parent concerns about the infant,
- measurement of growth parameters,
- assessment of nutrition,
- a brief surveillance of development
- physical examination findings
- documentation of problems and plans
- referral to Guide V for immunization
Age appropriate education and advice topics for anticipatory guidance are listed across the guide to be discussed one or more times over the three visits as needed.
Guide III: Contains visits at 9, 12 to 13, and 15 months of age. Each visit includes:
- discussion of parent concerns about the infant,
- measurement of growth parameters,
- assessment of nutrition,
- a brief surveillance of development
- physical examination findings
- documentation of problems and plans
- referral to Guide V for immunization
Age appropriate education and advice topics for anticipatory guidance are listed across the guide to be discussed one or more times over the three visits as needed.
Guide IV: Contains visits at 18 months, 2 to 3 years, and 4 to 5 years of age. Each visit includes:
- discussion of parent concerns about the infant,
- measurement of growth parameters,
- assessment of nutrition,
- a brief surveillance of development
- physical examination findings
- documentation of problems and plans
- referral to Guide V for immunization
Age appropriate education and advice topics for anticipatory guidance are listed separately for the 18 month enhanced visit.
Guide V: Childhood Immunization Record – as per NACI (National Advisory Committee on Immunization) as of July 29, 2011. This allows charting to be collected in one place as it includes the injection site, lot number and expiry date of vaccine, initials of person administering vaccine, and any comments.
Resources 1: This page contains further information regarding items on Guides I to IV identified with footnote (1). Generally this is information pertaining to:
- Growth
- Nutrition
- Education and advice relating to injury prevention
- Other education and advice items generally not related to behaviour, development or family issues
- Physical examination
- Investigations/screening
Resources 2: This page contains further information regarding items on Guides I to IV identified with footnote (2). Generally this is information pertaining to:
- Healthy child development
- Behaviour
- Family issues
An early child development and parenting resource system is included to facilitate the use of other resources when there are one or more areas of concern in development.
Resources 3: This page contains further information regarding items on Guides I to V identified with footnote (3). Generally this is information pertaining to:
- immunization including vaccine notes from NACI (National Advisory Committee on Immunization);
- Canadian provincial and territorial immunization programs and schedules;
- parent and physician resources pertaining to vaccinations;
- Canadian Paediatric Society Position Statements regarding several infectious diseases.