Admission of neonate in nicu

JASKARAN SINGH CHAUHAN 4th year student of Bsc. Nursing at Lala Lajpat rai institute of nutsing Education, Gulab Devi Hospital, Jalandhar

1. Admission of Neonate in NICU Submitted to :Resp.Ms. Neha Ma’am Submitted on: 18 March 2021 Submitted by : Jaskaran Singh Bsc.(N) 4th year

2. INTRODUCTION NICU: stands for Neonatal Intensive Care Unit. Nicu is highly specialized area in the hospital where critically ill or sick Newborn/Neonatal cared to reduce mortality and morbidity.

3. Definition: Neonatal care: is defined as the management of complex life threatening diseases provision of intensive monitoring & initiation of life sustaining therapies in and organized manner to critically ill child in care unit.

4. LEVELS these are the main levels of neonatal care:

5. Aims/goals of NICU To improve the condition of critically ill Neonate keeping in mind the survival of Neonate so as to reduce the mortality and morbidity rate . To maintain the functioning of pulmonary, cardiovascular, Renal , gastrointestinal and nervous system To Provide continuing service and training to medicine and nursing personnel in the care of Newborn. To monitor Vital Signs . To measure the oxygen concentration of the blood by oxygen analyzer. To administrator the precise amount of fluids and minutes concentration of drugs through I.V infusion pump.

6. Criteria for Admission in NICU Low birth weight baby (2000gm) Large babies (more than or equal to 4kg) Birth Asphyxia Meconium Aspiration Syndrome Sever Jaundice Infant of diabetic mother Neonatal sepsis/meningitis Neonatal convulsions/seizures Severe congenital malformation/ Cyanotic congenital heart disease Oxygen therapy/ perinatal nutrition Cardiovascular Monitoring Exchange blood transfusion Mother of ‘Hepatitis B Carrier‘ Injured Neonate etc

7. Preparation of Nicu Warm incubator (36°C) Adequate light supply Resuscitatin and Treatment trolley stocked History , diet , treatment, problem list / sheet and flow chart Oxygen air and suction apparatus Oxygen air tubing or flow meter Vital sign monitoring apparatus Specific equipment as indicated by diagnosis.

8. Admission procedure Data should be collected within 24hours(if possible much sooner) History and examination Maternal history Paternal history Obstetrical history Labour Delivery Apgar score Vital Signs On admission Notify the doctor and nurse incharge. Check infant identification Label. Quickly examine/observe the infant head to toe for obvious abnormalities condition.

9. Conti….. 4. Resuscitate infant as necessary and maintain warmth. 5. Anthropometric examination 6. Transfer to normal environment as soon as possible. 7. Commonest observations: Temperature Heart rate Respiration Color Apgar score Reflexs.

10. Conti…. Record keeping Birth History (Done in labour room) Ward History Contains Patient Registration Sheet Apgar score and examination sheet Feed chart and progress chart Treatment chart Growth chart

11. DOUBT…