SEMINAR ON ORGANISATION

AND MANAGEMENT OF
NEONATAL SERVICES AND NICU
 GRADE OF NEONATAL CARE

LEVEL - l
NORMAL
LEVEL - ll
NEONATAL SPECIAL CARE
LEVEL - lll
CARE NURSARY INTENSIVE
NEONATAL
CARE UNIT
 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.
PHYSICAL FACILITIES
 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 m2

 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

 brightness and provide ultra violate rays to

augment asepsis.
 Baby Care Area
 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 Gowning Room
 Should be located at the entrance.
 self closing doors.
Examination Area
Mother Area
 Nurses Stations
 Central area
 Newborn charts, hospital forms, computer
terminals, telephone lines should be located in
this area.
 Clean Utility and Soiled
Utility Holding Rooms

 Stocking clean utility items and sterile

disposables, and for disposal of dirty linen and
contaminated disposables.
Staff Rooms
VENTILATION
 Effective air ventilation of nursery
 Provision of exhaust fan
 Do not use chemical air disinfection and
ultraviolet lamps
 LIGHTING
 Well illuminated and painted while or slightly off
 Cool 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.
 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.
PERSONNEL
 Availability of sufficient number of
adequately trained personnel
 Nurse patient ratio in special care and NICU
EQUIPMENTS
MANAGEMENT OF NURSING CARE
1. Assessment
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
 MCQS

 1. Level 1 Care includes

 A. Basic care following delivery

 B. Special newborn care
 C. Ventilator care
 D. Intensive care
 2. Level III care includes

 A. Basic care following delivery

 B. Sub special newborn care
 C. Ventilator care
 D. Intensive care
3. Each infant should be provided with a
minimum area of …………. sq. ft
A. 50
B. 100
C. 150
D. 200
4. NICU should not be located on the
…………floor.
A. First
B. Middle
C. Basement
D. Top
5. Unplanned acute transfer of mother is called
as ……………….transfer.
A. Ex utero
B. With utero
C. In utero
D. None of above