Professional Documents
Culture Documents
Nicu Class Room Teaching
Nicu Class Room Teaching
AIDS EVALUATION
AND
LEARNING
ACTIVITY
ON ADMISSION
Notify the doctor and the nurse
incharge.
Resuscitate infant as necessary
and maintain warmth.
Check infant identification label.
Quickly examine the infant from
head to toe for obvious
abnormalities if the condition
permits.
Record weight, length and head
circumference as soon as
possible.
Common observations are :-
a) Temperature- infant normal
temperature range 36c to 37c.
b)heart rate
c) respiration
d) colour
e) activity
Explain to parents.
Hand over from transferring unit
staff
CATEGORIES OF NICU
To explain the India has 3 –tier system based on weight List the levelof
7 and gestational age of neonate.
levels of nicu care. 5min care in nicu?
LEVEL 1 CARE
Neonates weighing more than
1800 grams or having gestational
maturity of 30-34 weeks are categorized
under level 1 care. The care consists of
basic care at birth, provision of warmth,
maintaining asepsis and promotion of
breast feeding. This type of care can be
given at home, subcenter and phc.
LEVEL II CARE
Neonates weighing 1200-1800
grams or having gestational maturity of
30-34 weeks. The equipment and
facilities used for this level of care
include equipment for resuscitation,
maintenance of thermo neutral
environment, intravenous infusion,
gavage feeding, phototherapy, and
exchange blood transfusion. This type of
care can be given at first referral units,
district hospitals, teaching institutions
and nursing homes.
LEVEL III CARE
Neonates weighing less
than1200 grams or having gestational
maturity of less than 30 weeks. The care
is provided at apex institutions and
regional perinatal centres equipped with
centralized oxygen and suction facilities ,
servo –controlled incubators, vital signs
monitors, transcutaneous monitors,
ventilators, infusion pumps etc. this type
of care is provided by skilled nurses and
neonatologists.
ASPECTS OF NICU
Two main aspects in NICU What are the
To describe the 10 aspects of nicu?
8 1) physical setup 2) administrative set
aspects of nicu. min
up
1) PHYSICAL SETUP
Space between patient
For the patient care, 100 square
feet is required for each baby.
There should be a gap of about 6
feet between two incubators for
adequate circulation and keeps
the essential life saving
equipments, space needed 120
square feet.
Each patient station should have
12-16 central voltage stabilised
electrical outlet.
2-3 oxygen outlets.
2 compressed air outlets.
2-3 suction outlets.
Additional power plug point
would be required for the
portable x-ray machine close to
the patient care area.
WATER- HAND WASHING
The unit must have an uninterrupted
clean water supply and each patient care
area must also have a wash basin with
foot or elbow operated taps.
COLOUR
The walls of the whole unit ust be
washable & have a white or slightly off
white colour.
LIGHTING
The lighting arrangement should
provide uniform, shadow free
illumination of 100 foot candles at the
babys level. In addition spot illumination
should be available for each baby for any
procedure.
SOUNDS
The acoustic characteristics should be
such that the intensity of noise is kept
well below 75 decibles.
ROOMS
Apart from patient area including
rooms for isolation and procedures, there
is need for certain essential functions like
a room for scrubbing and gowning near
the entrance, a seide labarotory, mothers
feeding room, adequate stores for
keeping articles, additional space for
biomedical engineer to provide essential
periodic preventiove maintainence of the
costly equipments. Room for educational
activities & storing of data.
VENTILATION
effective air ventilation of nursery is
essential to reduce nosocomial infection.
The air conditioning ducts must be
provided with multiport filters (0.5h) to
restrict the passage of microbes.
EXASTER keep away from the baby.
2)ADMINISTRATIVE SET UP
MEDICAL STAFF: the unit
should be headed by a director who is
full time neonatologist with special
qualification and training in neonatal
medicine.
STAFF REQUIREMENTS:
Neonatal physician 6-12 patient
in the continuing care,
intermediate care and intensive
care areas.
Should be available on 24 hrs
bases for consultation.
A ratio of one physician in
treating to every 4-5 patients who
requires intensive care ideal
round the clock.
Service to other specialists like
microbiologist, haematologist,
radiologists, and cardiologists
and should be available on call.
An anaesthetist capable of
administering anaesthesia to
neonate.
Paediatric surgeon and paediatric
pathologist should be available.
NURSE RATIO
Nurse patient ratio of 1:1
maintained throughout day and
night.
A ratio of one nurse for two sick
babies not requiring ventilator
support may be adequate.
Additional head nurse who is the
overall incharge.
In addition to basic nursing
training for level ii care, tertiary
care requires dedicated,
committed & trained staff of the
highest quality.
Their training must include
training in handling equipment
use of ventilators & use of mask
resuscitations & even
endotracheal intubation, arterial
sampling and so on.
EXPERIENCE
The staff nurse must have minimum
3 years of work experience in special
neonatal care unit in addition to having 3
months hands on training in a intensive
neonatal care unit.
OTHER STAFF
There is a special need of
motivated staff responsible for
upkeep and cleanliness of the
unit.
One sweeper should be available
round the clock.
Laboratory technician.
Public health nurse/social
workers.
Respiratory therapist.
Biomedical engineer.
Ward clerk can help in keeping
track of the stores.
11
Till now we have discussed about
introduction, definition, criteria for
admission in nicu and its goals and
objectives, preparation for admission,
staffing of nicu ,setup and facilities and
equipments used in nicu.
CONCLUSION
NICU can be of great comfort and
12 support to families of multiples.
Although the family is experiencing the
joy of having baby at home, there is still
concern for the baby that remains in
nicu. good communication between
nurse and can go a long way in easing
the anxieties and stress families may feel.
BIBLIOGRAPHY
J.M RENNIE & N.R.C ROBERTON
“ a manual of neonatal intensive care
published by great britian in 2002, 4th
edition.
MANOJ YADAV “ a text book of
child health nursing” pv publishers 2013
edition.
DOROTHY R.MARLOW “ a text
book of pediatric nursing ”published by
elsiever publication, south asia
edition,2018,india.
www.wikipedia.org.
www.standforchildrens.org,topic
www.slideshare.net
SPECIFIC OBJECTIVES :