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CARE UNIT
INTRODUCTION
Neonatal considered
intensive synonymous
care with
is
also
providing
advanced life support (ALS) to critically sick babies with multisystem organ dysfunction.
GOALS
To provide continuing in- service training of medical & nursing personnel in the care of newborn.
TYPES OF ENVIRONMENT
Physical : Design
PHYSICAL FACILITIES
Should be located as close as possible to the labor room & obstetrics OT.
Elevator should be available in close proximity Transport of sick out born babies.
SPACE
NICU design should allow 500 600
gross sq.ft per bed.
SETTING
Unit facility preferably in square space. Adequate taps Elbow & foot operated. Built-in purpose. wooden cabinets for stocking
VENTILATION
ventilation To reduce
Effective
LIGHTING
Well shadow-free illuminated(100 foot candles) at babys level.
ENVIRONMENTAL HUMIDITY
TEMPERATURE
&
Temperature must be maintained around 28 +/- 2 degree C To minimize thermal stress. Humidity must be above 50%
WATER
o
Uninterrupted clean water supply ,& each patient care area must have a washbasin with foot, elbow, or sensor operated water taps.
ACOUSTIC
CHARECTERISTICS
ELECTRICAL OUTLETS
Each patient station should 12-16 have central voltage-stabilized electrical outlets sufficient to
suction outlets.
COMMUNICATING SYSTEM
Direct
line
external
telephone
is
PERSONNEL
Medical
Nursing
Paramedical staff are allotted in
neonatal unit.
Medical
A Director Full time neonatologist with special qualification & training in neonatal medicine should head the unit.
One Neonatal Physician - for every 6 to 10 patients in the continuing care, intermediate care and intensive care areas.
For special care and intermediate care neonatal units will be same. number of senior doctor
Nurses
for
babies
on
multisystem
support
For special care neonatal unit (SCNU) and intermediate care, 1:3 is ideal but 1:5 per shift is manageable.
EQUIPMENTS
NEEDED EQUIPMENTS
o o o o o o o
Resuscitation Equipment Oxygen & Suction Facilities Catheters, Syringes & Needles Drugs Needed Feeding Equipments Weighing Machines Bassinets
o o o o o
o
o
Oxygen Analyzer
Heat Rate Monitor
o
o
o o o o o
Infusion Pump Transcutaneous Bilirubin Meter Transcutaneous Blood Gas Monitor Vein Viewer Pulse Oximetry
o
o
Ventilators
Intracranial Pressure Monitor
documentation
Follow up program