NICU CENSUS how to create an audit and census

this is a guide to creating an audit

1. NICU AND NEONATAL WARD CENSUS CHAITRA , 2080

2. TOTAL NICU ADMISSION: 21

3. INBORN/OUTBORN 5 ( 23.8 %)

4. GENDER DISTRIBUTION

5. WEEKS OF GESTATION WEEKS OF GESTATION N=21 <28 WOG - 28 – 31+6 WOG 1(4.8%) 32-36+6 WOG 4 (19%) 37- 41+6 WOG 15 (71.4%) > = 42 WOG 1(4.8%)

6. WEIGHT IN GRAMS WEIGHT(GRAMS) N=21 <1000 - 1000- 1499 1 (4.8%) 1500-2499 4 (19%) 2500-3499 14 (66.7%) >3500 2 (9.5%)

7. ADMISSIONS FROM

8. INTERVENTION SURFACTANT: 1

9. FINAL DIAGNOSIS PRETERM (5) N=5 PRETERM ( 34+4 WOG )/ MBS (34 WOG)/AGA/ LOW BIRTH WEIGHT(2 KGS)/ RESPIRATORY DISTRESS SYNDROME GRADE II/ POST SURFACTANT STATUS PRETERM ( 34+6 WOG )/ MBS (36 WOG)/AGA/ LOW BIRTH WEIGHT(2.135 KGS)/ PRESUMED NEONATAL SEPSIS/TRANSIENT NEONATAL HYPOGLYCEMIA PRETERM(34+1 WOG)/ MBS(35 WOG)/AGA/LOW BIRTH WEIGHT (1.895 KGS)/ PERINATAL ASPHYXIA/HYPOXIC ISCHEMIC ENCEPHALOPATHY STAGE I/RESPIRATORY DISTRESS SYNDROME GRADE I PRETERM (32+3WOG)/MBS (34WOG)/AGA/ LOW BIRTH WEIGHT (1.89KGS)/RESPIRATORY DISTRESS SYNDROME GRADE I PRE-TERM(29WOG)/ MBS(31WOG)/AGA/ VLBW(1.07KGS) RESPIRATORY DISTRESS SYNDROME GRADE I/PERINATAL ASPHYXIA/POST CPR STATUS/HYPOCALCEMIA/BRONCHOPULMONARY DYSPLASIA 1 1 1 1 1

10. FINAL DIAGNOSIS TERM/AGA (16) N=8 PERSUMED NEONATAL SEPSIS EARLY ONSET NEONATAL SEPSIS/INFANT OF HYPOTHYROID MOTHER TRANSIENT TACHYPNEA OF NEWBORN SYMMETRICAL INTRAUTERINE GROWTH RESTRICTION (PI 2.1)/NEONATAL HYPOGLYCEMIA/EARLY ONSET NEONATAL SEPSIS/ PERSISTENT PULMONARY HYPERTENSION TWIN B/PERINATAL ASPHYXIA/HYPOXIC ISCHEMIC ENCEPHALOPATHY STAGE I/EARLY ONSET NEONATAL SEPSIS EARLY ONSET NEONATAL SEPSIS/INTRAVENTRICULAR HEMORRHAGE GRADE II/ MUSCULAR VENTRICULAR SEPTAL DEFECT LARGE FOR GESTATIONAL AGE(4.085 KGS)/ PERINATAL ASPHYXIA/HYPOXIC ISCHEMIC ENCEPHALOPATHY STAGE II/EARLY ONSET NEONATAL SEPSIS ASYMMETRICAL INTRAUTERINE GROWTH RESTRICTION (PI 1.9)/ LOW BIRTH WEIGHT (2.25 KGS)/ MECONIUM ASPIRATION SYNDROME/PERINATAL ASPHYXIA/HYPOXIC ISCHEMIC ENCEPHALOPATHY STAGE II/ EARLY ONSET NEONATAL SEPSIS 1 1 1 1 1 1 1 1

11. FINAL DIAGNOSIS TERM/AGA (16) N=8 PERINATAL ASPHYXIA/HYPOXIC ISCHEMIC ENCEPHALOPATHY STAGE II/EARLY ONSET NEONATAL SEPSIS PERINATAL ASPHYXIA/HYPOXIC ISCHEMIC ENCEPHALOPATHY STAGE I/EARLY ONSET NEONATAL SEPSIS PERINATAL ASPHYXIA/HYPOXIC ISCHEMIC ENCEPHALOPATHY STAGE II/EARLY ONSET NEONATAL SEPSIS/ET TUBE TIP CULTURE POSITIVE (ENTEROBACTER AND PSEUDOMONAS ISOLATED) MECONIUM ASPIRATION SYNDROME/PRESUMED NEONATAL SEPSIS LATE ONSET NEONATAL SEPSIS/ BRONCHIOLITIS WITH SECONDARY CHEST INFECTION HYPERNATREMIC DEHYDRATION/LATE ONSET NEONATAL SEPSIS/ PRERENAL AKI/SEVERE METABOLIC ACIDOSIS/HYPOVOLEMIC SHOCK/SUPRAVENTRICULAR TACHYCARDIA MECONIUM ASPIRATION SYNDROME/ PERINATAL ASPHYXIA/ HYPOXIC ISCHEMIC ENCEPHALOPATHY STAGE III/ SEVERE METABOLIC ACIDOSIS (CORRECTED) POST TERM (42+4 WOG)/ ASYMMETRIC IUGR (PI 1.9)/PERINATAL ASPHYXIA/ HYPOXIC ISCHEMIC ENCEPHALOPATHY STAGE II/EARLY ONSET NEONATAL SEPSIS 1 1 1 1 1 1 1 1

12. DURATION OF STAY

13. OUTCOME

14. LAMA CASE NAME DOA LAMA DATE DIAGNOSIS CAUSE CONDITION NOW B/O ARUNA TAMANG 2024/03/20 2024/03/21 TERM/ APPROPRIATE FOR GESTATIONAL AGE (3.55 KGS)/MECONIUM ASPIRATION SYNDROME/ PERINATAL ASPHYXIA/ HYPOXIC ISCHEMIC ENCEPHALOPATHY STAGE III/ SEVERE METABOLIC ACIDOSIS (CORRECTED) POOR PROGNOSIS EXPIRED B/O DIPA THAKURI 2024/03/18 2024/03/19 TERM/ MECONIUM ASPIRATION SYNDROME/PRESUMED NEONATAL SEPSIS FINANCIAL ALIVE

15. NEONATAL WARD TOTAL ADMISSION=29

16. TOTAL ADMISSION= 29

17. INBORN/OUTBORN

18. GENDER DISTRIBUTION

19. WEEKS OF GESTATION WEEKS OF GESTATION N= 29 < 28 - 28 – 31+6 - 32 – 36+6 5 (17.2%) 37 – 41+6 23 (79.4%) >= 42 1 (3.4%)

20. BIRTH WEIGHT( GRAMS) WEIGHT N=29 <1000 - 1000- 1499 - 1500- 2499 7 (24.1%) 2500 -3499 17 (58.6%) > = 3500 5 (17.3%)

21. 2(6.9%)

22. FINAL DIAGNOSIS PRETERM (4) N=4 PRETERM ( 34+4 WOG )/ MBS (34 WOG)/AGA/ LOW BIRTH WEIGHT(2 KGS)/ RESPIRATORY DISTRESS SYNDROME GRADE II/ POST SURFACTANT STATUS PRETERM ( 34+6 WOG )/ MBS (36 WOG)/AGA/ LOW BIRTH WEIGHT(2.135 KGS)/ PRESUMED NEONATAL SEPSIS/TRANSIENT NEONATAL HYPOGLYCEMIA PRETERM(34+1 WOG)/ MBS(35 WOG)/AGA/LOW BIRTH WEIGHT (1.895 KGS)/ PERINATAL ASPHYXIA/HYPOXIC ISCHEMIC ENCEPHALOPATHY STAGE I/RESPIRATORY DISTRESS SYNDROME GRADE I PRETERM (32+3WOG)/MBS (34WOG)/AGA/ LOW BIRTH WEIGHT (1.89KGS)/RESPIRATORY DISTRESS SYNDROME GRADE I 1 1 1 1

23. FINAL DIAGNOSIS TERM/AGA (24) N=8 PERSUMED NEONATAL SEPSIS EARLY ONSET NEONATAL SEPSIS/INFANT OF HYPOTHYROID MOTHER TRANSIENT TACHYPNEA OF NEWBORN SYMMETRICAL INTRAUTERINE GROWTH RESTRICTION (PI 2.1)/NEONATAL HYPOGLYCEMIA/EARLY ONSET NEONATAL SEPSIS/ PERSISTENT PULMONARY HYPERTENSION TWIN B/PERINATAL ASPHYXIA/HYPOXIC ISCHEMIC ENCEPHALOPATHY STAGE I/EARLY ONSET NEONATAL SEPSIS EARLY ONSET NEONATAL SEPSIS/INTRAVENTRICULAR HEMORRHAGE GRADE II/ MUSCULAR VENTRICULAR SEPTAL DEFECT LARGE FOR GESTATIONAL AGE(4.085 KGS)/ PERINATAL ASPHYXIA/HYPOXIC ISCHEMIC ENCEPHALOPATHY STAGE II/EARLY ONSET NEONATAL SEPSIS TERM(40+2 WOG)/ ASYMMETRICAL INTRAUTERINE GROWTH RESTRICTION (PI 1.9)/ LOW BIRTH WEIGHT (2.25 KGS)/ MECONIUM ASPIRATION SYNDROME/PERINATAL ASPHYXIA/HYPOXIC ISCHEMIC ENCEPHALOPATHY STAGE II/ EARLY ONSET NEONATAL SEPSIS 1 1 1 1 1 1 1 1

24. FINAL DIAGNOSIS TERM/AGA (24) N=5 PERINATAL ASPHYXIA/HYPOXIC ISCHEMIC ENCEPHALOPATHY STAGE II/EARLY ONSET NEONATAL SEPSIS PERINATAL ASPHYXIA/HYPOXIC ISCHEMIC ENCEPHALOPATHY STAGE I/EARLY ONSET NEONATAL SEPSIS PERINATAL ASPHYXIA/HYPOXIC ISCHEMIC ENCEPHALOPATHY STAGE II/EARLY ONSET NEONATAL SEPSIS/ET TUBE TIP CULTURE POSITIVE (ENTEROBACTER AND PSEUDOMONAS ISOLATED) LATE ONSET NEONATAL SEPSIS/ BRONCHIOLITIS WITH SECONDARY CHEST INFECTION POST TERM (42+4 WOG)/ ASYMMETRIC IUGR (PI 1.9)/PERINATAL ASPHYXIA/ HYPOXIC ISCHEMIC ENCEPHALOPATHY STAGE II/EARLY ONSET NEONATAL SEPSIS 1 1 1 1 1

25. FINAL DIAGNOSIS TERM/AGA (24) N=12 FEMALE(FOR OBSERVATION) EARLY ONSET NEONATAL SEPSIS PROLONGED NEONATAL JAUNDICE/CULTURE POSITIVE URINARY TRACT INFECTION (E.COLI ISOLATED) PROLONGED NEONATAL JAUNDICE/INFANT OF HYPOTHYROID MOTHER/ CULTURE POSITIVE URINARY TRACT INFECTION(ENTEROCOCCUS ISOLATED) PROLONGED NEONATAL JAUNDICE/BREASTMILK JAUNDICE HYPERNATREMIC DEHYDRATION LATE ONSET NEONATAL SEPSIS HYPERNATREMIC DEHYDRATION/PRE-RENAL ACUTE KIDNEY INJURY/NEONATAL JAUNDICE SYMMETRICAL IUGR/ NEONATAL HYPOGLYCEMIA(CORRECTED)/ EARLY ONSET NEONATAL SEPSIS/PERSISTENT PULMONARY HYPERTENSION DEHYDRATION FEVER 1 2 2 1 1 1 1 1 1 1

26. DURATION OF STAY

27. 28(96.5 %) 1 (3.5 %)

28. LAMA CASE NAME DOA LAMA DATE DIAGNOSIS CAUSE CONDITION NOW B/O ANITA TAMANG 2024/03/28 2024/03/31 TERM/ PROLONGED NEONATAL JAUNDICE/ CULTURE POSITIVE URINARY TRACT INFECTION(E.COLI ISOLATED) FINANCIAL ALIVE

29. THANK YOU!