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SEMINAR ON ORGANISATION
AND MANAGEMENT OF NEONATAL SERVICES AND
NICU
GRADE OF NEONATAL CARE
LEVEL - lNORMAL NEONATAL CARE
LEVEL - llSPECIAL CARE NURSARY
LEVEL - lllINTENSIVE NEONATAL CARE UNIT
NEONATAL CAREThe management of complex life
threatening diseases, provision of intensive monitoring and institution of life sustaining therapies in an organized manner to critically ill children in a separate pediatric intensive care unit.
PHYSICAL FACILITIES
Space
serve as a referral unit for the infants born outside the hospital
Each infant should be provided with a minimum area of 100 sq. ft. or 10 m2
Space for promotion of breast feeding
Location located as close possible to the labor
rooms and obstetric operation theatre
should not be located on the top floor
brightness and provide ultra violate rays to augment asepsis.
Baby Care Area Areas and rooms for inborn or
intramural babies, Examination area Mother’s area for breast feeding and
expression of breast milk Nurses station and charting area.
Hand Washing And Gowning Room
Should be located at the entrance.
self closing doors.
Examination Area
Mother Area
Nurses Stations Central area Newborn charts, hospital forms,
computer terminals, telephone lines should be located in this area.
Clean Utility and Soiled Utility Holding
Rooms
Stocking clean utility items and sterile disposables, and for disposal of dirty linen and contaminated disposables.
Staff Rooms
VENTILATION Effective air ventilation of nursery Provision of exhaust fan Do not use chemical air
disinfection and ultraviolet lamps
LIGHTING Well illuminated and painted while or
slightly off Cool white fluorescent tubes The number and exact location of
fixtures can be worked out taking into account size of the nursery, height of ceiling, and availability or otherwise of sunlight.
ENVIRONMENTAL TEMPERATURE AND
HUMIDITY 26-28°C in order to minimize effect of thermal stress on the babies.
The external windows of nursery should be glazed to minimize heat gain and heat loss and baby beds should be located at least 2 feet away from the wall and windows.
PERSONNEL Availability of sufficient number of
adequately trained personnel Nurse patient ratio in special care
and NICU
EQUIPMENTS
MANAGEMENT OF NURSING CARE1. Assessment2. Monitoring physiological data3. Safety measures4. Respiratory support5. Thermoregulation6. Protection from infection7. Hydration8. Nutrition9. Feeding resistance10.Skin care
Conti..11. Administration of medication12. Developmental outcome13. Facilitating parent-infant relationship14. Discharge planning and home care15. Neonatal loss
TRANSPORT OF SICK NEONATES
MCQS
1. Level 1 Care includes
A. Basic care following delivery B. Special newborn care C. Ventilator care D. Intensive care
2. Level III care includes
A. Basic care following delivery B. Sub special newborn care C. Ventilator care D. Intensive care
3. Each infant should be provided with a minimum area of …………. sq. ft A. 50B. 100C. 150D. 200
4. NICU should not be located on the …………floor.A. FirstB. MiddleC. BasementD. Top
5. Unplanned acute transfer of mother is called as ……………….transfer.
A. Ex utero B. With uteroC. In uteroD. None of above