DESCRIBES ABOUT NEONATAL ICU

2. ORGANIZATION OF
NEONATAL INTENSIVE
CARE UNIT
MS.ANN MARIAM GEORGE
M.Sc NURSING II YEAR
KIMS COLLEGE OF NURSING

3. INTRODUCTION

4. What is a NICU ?
NICU means….

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

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

7. HISTORY
•1961:Vanderbilt university by
professor Mildred Stahiman
•Mid 19 th century: Dr.Stephane
Starnier, father of incubator
(isolette).
•Dr.Budin :father of perinatology

8. AIM OFTHE ORGANIZATION OF
A NICU
•Reducing the neonatal
mortality and improving the
quality of life among the
survivors

9. OBJECTIVES
•To save the life of the
sick new born
•To prevent damage in infants
with problems at birth and also
reduce morbidity in later life

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

11. BASIC REQUIREMENTS
•Adequate space
•Availability of running water round
the clock
•Centralized oxygen and suction
facilities

12. •Maintenance of thermo neutral
environment
•Availability of plenty of linen
and disposables
•Facilities for availability to treat
common neonatal problems

13. MAIN COMPONENTSTO BE
CONSIDER WHILE ORGANIZING
A NICU
1. PHYSICAL FACILITIES
2. PERSONNEL
3. EQUIPMENTS
4. LABORATORY FACILITIES

14. 5. PROCEDURE MANUAL
6. TRANSPORT OF SICK INFANTS
7. COOPERATION BETWEEN THE
OBSTETRICIAN AND
NEONATOLOGIST

15. 1.Physical facilities
•Location
•Space
•Floor plan
•Ventillation

16. •Lighting
•Environmental temperature
and humidity
•Acoustic characteristics

17. •Handling and social contacts
•Communication system
•Electrical outlets

18. 2.Personnel
•Skilled nurses
•Neonatologists
•Lab technician
•Biomedical technician
•Respiratory therapists
•pathologists

19. Can you
name
these
equipme-
nts?

20. 3.Equipments
•Resuscitation equipment
•Bag and mask resuscitator
•Oxygen and suction facilities
•Catheter,syringes and needles

21. •Feeding equipment
•Laminar flow system
•Weighing machine
•Bassinets

22. •Incubators
•Radiant heat warmer
•Thermometer
•Oxygen analyzer

23. •Oxygen concentrator
•Perpex heat shield
•Photherapy unit
•Heartrate monitor

24. •Respiratory rate and apnea
monitor
•Blood pressure monitor
•Multi channel vital sign monitor
•Infusion pump

25. •Bilirubin analyzer
•Transcutaneous
bilirubinometer
•Transcutaneous blood gas
monitor
•Pulse oximeter

26. •Capnography or end tidal co2
•Neonatal ventilators
•Neonatal pulmonary function
tests
•Cranial ultrasonogram

27. •Intracranial pressure monitor
•Extracorporeal membrane
oxygenator
•Placenta prototype

28. •4.Laboratory facilities
•5.Transport of sick infants
•6.Procedure manual

29. 7.Cooperation between the
obstetrician and neonatologist
•Antenatal care and foetal diagnosis
•Perinatal hypoxia
•Promotion of feeding with human
milk
•Supervised care of low birth weight
babies

30. LEVELS OR GRADES OF
NEONATAL CARE
•Level I
•Level II
•Level III

31. SUMMARY

32. Good job
everyone!

33. CONCLUSION