Nicu ppt

Levels, organization and management of NICU

1. SEMINAR ON ORGANISATION AND MANAGEMENT OF NEONATAL SERVICES AND NICU

2. GRADE OF NEONATAL CARE

3. NEONATAL CARE The 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.

4. PHYSICAL FACILITIES

5. 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 m 2 Space for promotion of breast feeding

6. 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.

7. Baby Care Area A reas and rooms for inborn or intramural babies, E xamination area M other’s area for breast feeding and expression of breast milk N urses station and charting area.

8. Hand Washing And Gowning Room Should be located at the entrance. self closing doors.

9. Examination Area

10. Mother Area

11. Nurses Stations Central area Newborn charts, hospital forms, computer terminals, telephone lines should be located in this area.

12. Clean Utility and Soiled Utility Holding Rooms S tocking clean utility items and sterile disposables, and for disposal of dirty linen and contaminated disposables.

13. Staff Rooms

14. VENTILATION Effective air ventilation of nursery Provision of exhaust fan Do not use chemical air disinfection and ultraviolet lamps

15. LIGHTING W ell illuminated and painted while or slightly off C ool 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.

16. 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.

17. PERSONNEL Availability of sufficient number of adequately trained personnel Nurse patient ratio in special care and NICU

18. EQUIPMENTS

19. MANAGEMENT OF NURSING CARE Assessment Monitoring physiological data Safety measures Respiratory support Thermoregulation Protection from infection Hydration Nutrition Feeding resistance Skin care

20. Conti.. 11. Administration of medication 12. Developmental outcome 13. Facilitating parent-infant relationship 14. Discharge planning and home care 15. Neonatal loss

21. TRANSPORT OF SICK NEONATES

22. MCQS 1. Level 1 Care includes A. Basic care following delivery B. Special newborn care C. Ventilator care D. Intensive care

23. 2. Level III care includes A. Basic care following delivery B. Sub special newborn care C. Ventilator care D. Intensive care

24. 3. Each infant should be provided with a minimum area of …………. sq. ft 50 100 150 200

25. 4. NICU should not be located on the …………floor. First Middle Basement Top

26. Unplanned acute transfer of mother is called as ……………….transfer. Ex utero With utero In utero None of above