Organization of neonatal unit PREPARED BY Mrs Benazeera

Organization of neonatal unit

PREPARED BY Mrs. Benazeera Assistant. Professor Child Health Nursing Tuesday, October 6, 2020 REVIEWED BY Dr. Priya Assistant Professor Child Health Nursing 2

LEARNING OBJECTIVES 1. List down the Grade of neonatal care 2. Discuss the Physical facilities required in NICU 3. Explain the role of nurse in NICU

[ORGANIZATION OF NICU]

GRADE OF NEONATAL CARE LEVEL - l NORMAL NEONATAL CARE LEVEL - ll SPECIAL CARE NURSARY LEVEL -lll INTENSIVE NEONATAL CARE UNIT

PHYSICAL FACILITIES

Spac e 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

Location located as close possible to the labor rooms and obstetric operation theatre should not be located on the top floor

Baby Car e Ar ea Areas and rooms for inborn or intramural babies, Examination area Mother’s area for breast feeding and expression of breast milk Nurses station and charting area.

Hand Washing And Gowni ng Room Should be located at the entrance. self closing doors.

Exami nat i on Ar ea

Mot her Ar ea

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

Cl ean Ut i l i t y and Soi l ed U t i l i t y Holding Rooms Stocking clean utility items and sterile disposables, and for disposal of dirty linen and contaminated disposables.

St af f Rooms

VENTI LATI ON Effective air ventilation of nursery Provision of exhaust fan Do not use chemical air disinfection and ultraviolet lamps

LI GHTI NG Well illuminated and painted while or slightly off Cool white fluorescent tubes

ENVRONMENTALTEMPERATURE 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.

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

EQUIPMENTS

MANAGEMENT OFNURSING CARE Assessment 1. 2. Monitoring physiological data 3. Safety measures 4. Respiratory support 5. Thermoregulation 6. Protection from infection 7. Hydration 8. Nutrition 9. Feeding resistance 10. Skin care

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

TRANSPORT OF SICK NEONATES

REFERENCES • Wong Perry, Hockenberry and Lowdermilk Wilson (2006), Maternal Child Nursing Care, 3 rd edition, Mosby Elsevier Publications. • Emily Wone Mckinney, Sharon Smith Murray, Jean Weiler Ashwill (2009), Maternal Child Nursing, 3 rd edition, Saunders Elsevier Publications. • Susan A. Orshan (2008), Maternity, Newborn and Womens Health Nursing, 1 st edition, Lippincott Williams and Wilkins.

EVALUATION 1. List down the Grade of neonatal care 2. Discuss the Physical facilities required in NICU 3. Explain the role of nurse in NICU