Organization of neonatal intensive care unit

Organization of neonatal intensive care unit

MS.ANN MARIAM GEORGE M.Sc NURSING II YEAR KIMS COLLEGE OF NURSING

INTRODUCTION

What is a NICU ?NICU means.

DEFINITION

Newborn or neonatal intensive care unit,an intensive care unit designed for premature and ill newborn babies. Andria Santiago

A neonatal intensive care unit,is an intensive care unit specializing in the care of ill or premature newborn infants. wikipedia

HISTORY

1961: Vanderbilt university by professor Mildred StahimanMid 19 th century: Dr.Stephane Starnier, father of incubator (isolette).Dr.Budin :father of perinatology

AIM OF THE ORGANIZATION OF A NICUReducing the neonatal mortality and improving the quality of life among the survivors

OBJECTIVESTo save the life of the sick new bornTo prevent damage in infants with problems at birth and also reduce morbidity in later life

To monitor high risk newborns so as to reduce mortality and morbidity in these babies

BASIC REQUIREMENTSAdequate spaceAvailability of running water round the clockCentralized oxygen and suction facilities

Maintenance of thermo neutral environmentAvailability of plenty of linen and disposablesFacilities for availability to treat common neonatal problems

MAIN COMPONENTS TO BE CONSIDER WHILE ORGANIZING A NICUPHYSICAL FACILITIESPERSONNELEQUIPMENTSLABORATORY FACILITIES

5. PROCEDURE MANUAL6. TRANSPORT OF SICK INFANTS7. COOPERATION BETWEEN THE OBSTETRICIAN AND NEONATOLOGIST

1.Physical facilitiesLocationSpaceFloor planVentillation

LightingEnvironmental temperature and humidityAcoustic characteristics

Handling and social contactsCommunication systemElectrical outlets

2.PersonnelSkilled nursesNeonatologistsLab technicianBiomedical technicianRespiratory therapistspathologists

Can you name these equipme-nts?

3.Equipments

Resuscitation equipmentBag and mask resuscitatorOxygen and suction facilitiesCatheter,syringes and needles

Feeding equipmentLaminar flow systemWeighing machineBassinets

IncubatorsRadiant heat warmer ThermometerOxygen analyzer

Oxygen concentratorPerpex heat shieldPhotherapy unitHeartrate monitor

Respiratory rate and apnea monitorBlood pressure monitorMulti channel vital sign monitorInfusion pump

Bilirubin analyzerTranscutaneous bilirubinometerTranscutaneous blood gas monitorPulse oximeter

Capnography or end tidal co2Neonatal ventilatorsNeonatal pulmonary function testsCranial ultrasonogram

Intracranial pressure monitorExtracorporeal membrane oxygenator Placenta prototype

4.Laboratory facilities5.Transport of sick infants6.Procedure manual

7.Cooperation between the obstetrician and neonatologist

Antenatal care and foetal diagnosisPerinatal hypoxiaPromotion of feeding with human milkSupervised care of low birth weight babies

LEVELS OR GRADES OF NEONATAL CARELevel ILevel IILevel III

SUMMARY

Good job everyone!

CONCLUSION