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