PREPARATION OF

ORGANIZATIONAL CHART OF

COLLEGE AND HOSPITAL

SUBMITTED TO SUBMITTED BY

MRS.INDU MATHY P.SUMATHI

ASSOCIATE PROFESSOR II YEAR MSC NURSING

DEPT.OF COMMUNITY HEALTH NURSING NURSING MANAGEMENT

JMJ COLLEGE OF NSG JMJ COLLEGE OF NSG

PREPARATION OF ORGANIZATIONAL CHART OF HOSPITAL

INTRODUCTION

Hospitals require precision in the execution of job responsibilities and multiple

layers of accountability in order to function. To accomplish this, hospitals use a vertical

organizational structure with many layers of management.

Understanding hospital organizational structure ensures that hospital employees

know their own responsibilities, the responsibilities of those around them, to whom they

report and who to talk to about particular responsibilities or fields of knowledge.

ORGANIZATIONAL STRUCTURE/CHART

DEFINITION

An organizational chart, also called organigram or organogram, is a diagram that shows

the structure of an organization and the relationships and relative ranks of its parts and

positions/jobs. The term is also used for similar diagrams, for example ones showing

the different elements of a field of knowledge or a group of languages.

 It refers to levels of management within a hospital.

 Levels allow efficient management of hospital departments.

 The structure helps one understand the hospital’s chain of command.

Every hospital, large or small, has an organizational structure that allows for the efficient

management of departments

i. ORGANIZATIONAL STRUCTURE VARIUOS FROM HOSPITAL TO

HOSPITAL

 Large hospitals have complex organizational structures.

 Smaller hospitals tend to have much simpler organizational structures.

ii. GROUPING OF HOSPITAL DEPARTMENTS WITHIN THE STRUCURE

 Hospital departments are grouped in order to promote efficiency of facility.

 Grouping is generally done according to similarity of duties.

The organizational chart of Hospital are classified as common categorical grouping

following:
1. Broad Services:

It is defined as "consistently delighting the patient by providing efficacious,

effective and efficient healthcare services according to the latest clinical

guidelines and standards, which meet the patient's needs and satisfies

providers".

2. Administrative Services:

 Hospital administrators- CEO, Vice Presidents, Executive Assistants,

Department Heads
  Business people who “run the Hospital”

 Oversee budgeting and finance

 Establish hospital policies and procedures.

 Often perform public relation.

3. Informational Services:

Information systems (IS) is an integrated set of components used for

gathering, processing, storing and communicating multiple types of information

for improved societal and organizational efficiency.

 Maintaining the medical information of patients including data collection

analysis, scanning, and indexing release of information for continuity of patient

care, legal, research, etc. managing the process of dictation, transcription and

voice recognition.

4. Therapeutic Services:

It provides treatment to patients includes following departments are

 Physical Therapy: Treatment to improve large muscle mobility

 Occupational Therapy: Treatment goal is to help patient regain fine

motor skills

 Speech/language pathology: Identify, evaluate, treat speech/language

disorders.

 Respiratory Therapy: Treat patients with Heart & lung diseases

 Medical psychology: Concerned with mental well -being of patients

 Social services: Connect patients with community resources

 Pharmacy: Dispense medication

  Dietary: Maintain nutritionally sound diets for patients

 Sports Medicine: Provide rehabilitative services to athletes

 Nursing: Provide care patients.

5. Diagnostic Services: It determines the causes of illness or injury includes:

 Medical laboratory: It studies body tissues

 Medical imaging: Radiology, MRI, CT-Scan, Ultrasound

 Emergency Medicine- Provides emergency diagnoses & treatment

6. Support Services: It provides support for entire hospital includes:

 Central supply: Orders, receives, stocks, distributes equipment’s &

supplies

 Bio-medical Technology: Design, build, repair, medical equipment

 Housekeeping & Maintenance: Maintain safe, clean environment.

CONCLUSION

Every organization needs a structure in order to operate systematically.

The organizational structures can be used by any organization if the structure fits into

the nature and the maturity of the organization. In most cases, organizations evolve

through structures when they progress through and enhance their processes and

manpower. One company may start as a pre-bureaucratic company and may evolve up

to a matrix organization.
 PREPARATION OF

ORGANIZATIONAL CHART OF

HOSPITAL AND COLLEGE OF

NURSING

SUBMITTED TO SUBMITTED BY

MRS.INDU MATHY P.SUMATHI

ASSOCIATE PROFESSOR II YEAR MSC NURSING

DEPT.OF COMMUNITY HEALTH NURSING NURSING MANAGEMENT

JMJ COLLEGE OF NSG JMJ COLLEGE OF NSG

PREPARATION OF ORGANIZATIONAL CHART OF COLLEGE

ADMINISTRATIVE ORGANIZATION OF COLLEGES OF

NURSING
 1. Internal organization of schools

 Governing body

 Power and functions of governing body

2. Qualification of school heads

3. Qualification and functions of a dean

4. Qualification of faculty

5. Classification of faculty

6. Roles and responsibilities of the nursing faculty

GENERAL OBJECTIVE

After 4 hours of interactive discussion, the graduate students will be able

to acquire knowledge about the administrative organization of colleges of

nursing, develop a positive attitude in dealing with situations relating to

administration of a college of nursing appreciate its value as an organization.

SPECIFIC OBJECTIVES

 Define terms related to the topic

 Grasp an idea about the internal organization of a school

 Identify the governing body and its corresponding powers and functions

 List the qualifications of school heads

 Review on the qualifications and functions of dean

 Go over with the qualifications of faculty

 Classify the members of the Faculty and

  Be familiar with the roles and responsibilities of the Faculty, in full-time and part-

time bases.

CONCLUSION

Organization structure was found as the strongest predictor of sufficient performance.

The implication of the findings is that, if institution need to enhance growth and

development, students career and various strategie3s can be applied. Proper

organization structure provide3s a clear picture to employees and it effects their

performance.

BIBLIOGRAPHY

Amburgey, T. L., Kelly, D., & Barnett, W. P. 1993. Resetting the Clock: The
Dynamics of Organizational Change and Failure. Administrative Science, 38(1):
51-73.
Karim, S., & Mitchell, W. 2000. Path-dependent and path-breaking change:
Reconfiguring business resources following acquisitions in the US medical
sector, 1978-1995. Strategic Management Journal,21(10-11): 1061-1081.
Researchguides.library.wisc.edu/c
http://www.ytlawrf
http://yahoo.comgovardanijm26hi
 DESIGN LAYOUT PLAN

FOR

HOSPITAL AND COLLEGE

SUBMITTED TO SUBMITTED BY

MRS.INDU MATHY P.SUMATHI

ASSOCIATE PROFESSOR II YEAR MSC NURSING

DEPT.OF COMMUNITY HEALTH NURSING NURSING MANAGEMENT

JMJ COLLEGE OF NSG JMJ COLLEGE OF NSG

DESIGN LAYOUT PLAN FOR HOSPITAL

Elizebeth Medical Center Hospital Layout

DESIGN LAYOUT PLAN FOR COLLEGE OF NURSING
CONCLUSION

For an organization to have an effective and efficient manufacturing unit, it is

important that special attention is given to facility layout. Facility layout is an
arrangement of different aspects of manufacturing in an appropriate manner as to
achieve desired production results. Facility layout considers available space, final
product, safety of users and facility and convenience of operations.An effective
facility layout ensures that there is a smooth and steady flow of production material.

BIBLIOGRAPHY
Hacker, D. (2009). Rules for writers (6th ed.). Boston, MA: Bedford/‌St. Martin’s.
Elliott, R. (2006). Painless grammar (2nd ed.). New York, NY: Barron’s
Educational Series.
www.draeger.com/hospital/planning
www.planndesign.com
 PREPARATION OF PERSONAL

FILES FOR STAFF NURSES,

FACULTY AND CUMULATIVE

RECORDS

SUBMITTED TO SUBMITTED BY

MRS.INDU MATHY P.SUMATHI

ASSOCIATE PROFESSOR II YEAR MSC NURSING

DEPT.OF COMMUNITY HEALTH NURSING NURSING MANAGEMENT

JMJ COLLEGE OF NSG JMJ COLLEGE OF NSG

PREPARATION OF PERSONAL FILES FOR STAFF NURSES,

FACULTY AND CUMULATIVE RECORDS

I. PREPARATION OF PERSONAL FILES FOR STAFF NURSES

Staff Nurses are responsible for a patient's day-to-day direct care after he or she

is admitted to the hospital. Example resumes of Staff Nurses show tasks like analyzing

and interpreting nursing and information systems data in order to improve nursing

services, and participating in professional conferences in order to keep abreast of

developments in informatics. Staff Nurses' resumes should reflect a Bachelor of Science

in Nursing, as well as a current state Registered Nurse license.

II. PREPARATION OF PERSONAL FILES FOR FACULTY

There are top ten list of tips for faculty preparing personnel files following:

1. Personal Statement:

Personal statements help reviewers understand your accomplishments

within the review period and your plans for the future. Statements should be

short and to the point.

The length of a personal statement does not necessarily correlate to the

level of productivity and impact of the candidate’s work. Areas for discussion

include Research, Teaching, Service, and Diversity (if this is a feature of your

file); provide a summary paragraph describing your accomplishments in each

of these areas. Use layperson’s language to ensure that your explanations

are understandable not only to your departmental colleagues, but to your

 Dean, CAP members across disciplines, and the EVC or Chancellor. Further

information about what should be included in each section appears below.

CAP has found that many of the best statements are six pages or less.

2. Research:

Place your research or creative contributions in context (e.g. scope,

selectivity, and impact of publication or performance venue, citation

information if available) to help reviewers accurately assess your

contributions and impact on your field. If you received an award, do not

assume that reviewers will recognize the name and nature of the award and

the prestige attached to it in your field (short of the Nobel Prize!).

3. New vs. Resubmitted Work: You should refer to the campus guidelines

for formatting your cumulative bio-bibliography.

As stated in these guidelines, “All publications submitted by a faculty to

the department for consideration in a personnel review must be annotated on

the bio-bibliography by the faculty using the [Publication Status], [Peer

Review Status] and [Reference # for Personnel Review] fields in Bio-bibnet,

or marked by hand in any bio-bibliography created outside of Bio-bibnet

according to department practices.”

A candidate must also indicate whether the item was previously submitted

for campus personnel review, and if it was, explain when and in what form.

Following the guidelines, faculty should utilize only the “Revised” or “New”

(but not both) subfields within the [Annotation for Personnel Review] field;

candidates should not use the “Reviewed” subfield. You should also ensure
that titles of works are consistent. Be explicit and accurate in your accounting

of the status of each item included in this review (submitted, in press, etc.), as

well as indicating any items that have undergone changes of status since the

previous review.

Work submitted for one review generally should not be submitted for

subsequent reviews (no work should be “doublecounted” by being reviewed in

more than one period except for promotion or other major reviews). If you re-

submit a work, you should include information in your personal statement that

addresses why reviewers should consider it again.

4. Co-authorship Statement:

Co-authorship statements, submitted as a separate document on the

dossier page, are important to help reviewers assess your own contributions

to items submitted for review. Indicate your contribution by percentage or by

qualitative assessment (e.g. “I designed the instrumentation…”). In the case

of multiple co-authored articles, it is helpful for CAP to know the protocol of

first author, corresponding author, etc. in your field. Updated 5/28/15

5. External Funding:

If you received external funding during the review, list amounts and award

dates in your bio-bibliography, and whether you acted as a PI or co-PI for the

application. If you are listed as co-PI, specify your contribution in your

personal statement.

6. Teaching: Summarize course offerings, new preparations, innovative

teaching practices, training grants, co-teaching, and mentoring of

undergraduates and/or graduate students, in the context of expectations and

needs in your department.

Be sure to address persistent criticisms that appear in student evaluations.

For mentoring activity, be clear about which students completed their degrees

during the review period, specify their degree/title, and explain your

supervisory role in mentoring. If known, describe the career trajectories of

those you mentored.

7. Service:

Describe your major service contributions to the department, campus, and

profession, as well as any public service you performed, indicating which

were particularly time-consuming, challenging, or significant. Do not simply

list your service contributions.

8. Diversity:

Contributions to diversity are considered in personnel reviews according to

APM 210. There are many ways of contributing to diversity, including the

mentoring of students who are under-represented in your discipline. Be

explicit about your contributions where appropriate.

9. Major Action Reviews (Mid-career appraisal, promotion to Associate

or Full Professor, advancement to Step VI, or Above Scale):

The review period for major actions includes the entire period since the

last major action. For example, for promotion to Professor, the review period

is since advancement to Associate Professor, including the year of that

review. The actual materials you submit include all research since the last
 major action and teaching evaluations and service contributions since the last

merit review. If you are uncertain about what to submit for a major action

review, consult with your Department Chair or Manager, or your Divisional

Academic Personnel Coordinator.

10.Post-departmental Letters:

Letters added to the file after it leaves the department contain useful

feedback and information for faculty and are available on Divdata. These

documents may include a dean recommendation, the CAP recommendation,

and the ad hoc report, if applicable.

III. PREPARATION OF PERSONAL FILES FOR CUMMULATIVE

RECORDS

Meaning of Cumulative Record Card:

A Cumulative Record Card is that which contains the results of different

assessment and judgments held from time to time during the course of study

of a student or pupil. Generally, it covers three consecutive years. It contains

information regarding all aspects of life of the child or educed-physical,

mental, social, moral and psychological. It seeks to give as comprehensive

picture as possible of the personality of a child.

“The significant information gathered periodically on student through the

use of various techniques – tests, inventories, questionnaire, observation,

interview, case study etc.”

Basically a Cumulative Record Card is a document in which it is recorded

cumulatively useful and reliable information about a particular pupil or student at one

place. Hence presenting a complete and growing picture of the individual concerned for
the purpose of helping him during his long stay at school. And at the time of leaving it

helps in the solution of his manifold problems of educational, vocational and personal-

social nature and thus assisting him in his best development.

DEFINITION

According to Jones, a Cumulative Record is, “A permanent record of a student

which is kept up-to-date by the school; it is his educational history with information

about his school achievement, attendance, health, test scores and similar pertinent

data,” If the Cumulative Record is kept together in a folder it is called Cumulative

Record Folder (CRF). If the Cumulative Record is kept in an envelope it is called a

Cumulative Record Envelop (CRE). If the cumulative Record is kept in a card it is called

a Cumulative Record Card (CRC).

Need for School Record:

 The modern type of Cumulative Record was first made available in 1928 by the

American Council on education.

 The need for such a record was felt in view of an inadequate information that was

contained in the various forms as available.

 The Secondary Education Commission has made the following observations

regarding the need for School records “neither the external examination singly or

together can give a correct and complete picture of a pupils all round progress at

any particular age of his education, yet it is imparted for us to assess this in order

to determine his future course of study or his future vocation.”

 For this purpose, a proper system of school records should be maintained for

every pupil indicating the work done by him in the school from day to day, month

to month, term-to-term and year to year.

  Such a school record will present a clear and continuous statement of the

attainment of the child in different intellectual pursuits through-out the successive

stages of his education.

 It will also contain a progressive evolution of development in other directions of

no less importance such as the growth of his interest, aptitudes and personal

traits, his social adjustments, the practical and social activities in which he takes

part.

Characteristics of Cumulative Record:

The Cumulative Record is characterized in the following grounds:

 The Cumulative Record is a permanent record about the pupil or student.

 It is maintained up-to-date. Whenever any new information is obtained about the

pupil it is entered in the card.

 It presents a complete picture about the educational progress of the pupil, his

past achievements and present standing.

 It is comprehensive in the sense that it contains all information about the pupil’s

attendance, test scores, health etc.

 It contains only that information’s which are authentic, reliable, pertinent,

objective and useful.

 It is continuous in the sense that it contains information about the pupil from the

time he enters for pre-school education or kindergarten system till he leaves the

school.

 Whenever any information is desired by any-body concerned with the welfare of

the child he should be given the information but not the card itself.

 Confidential information about the pupil is not entered in the CRC but kept in a

separate file.

Basic Principles that Should Govern the Maintenance of the CRC

Data contained in the cumulative record card (CRC) should be:

1. Accurate

2. Complete

3. Comprehensive

4. Objective

5. Usable

6. Valid

 Keeping of record is a continuous process and should cover the hole history from

pre-school or kindergarten to the college and this should follow the child from

school. The Card will furnish valuable information’s about the growth of a child

and the new school can place him and deal with him to a greater advantage.

 All the teachers and the guidance workers should have access to these records.

Matters too confidential may be kept at a separate place. The child concerned

may have an opportunity to study his own Cumulative Record in consultation with

the counselor.

 The essential data should be kept in a simple, concise and readable form so that

it may be convenient to find out the main points of life of the child at a glance.

 Records should be based on an objective data. They should be as reliable as

possible.

 The record system should provide for a minimum of repetition of items.

 It should contain reliable, accurate and objective information.

 A manual should be prepared and directions for the guidance of persons, feeling

out of using the records given in it.

  The record should be maintained by the counsellor and should not be circulated

throughout the faculty for making entries on it by other members of the staff.

These entries should have made by them on other forms and the entry in this

card should be made very carefully by counsellor.

Types of Information Maintained in the-CRC

The types of information which are collected and entered or included in the CRC are as

follows:

1. Identification Data:Name of the pupil, sex, father’s name, admission No., date of

birth, class, section, any other information that helps in easy location of the card.

2. Environmental and Background Data:Home-neighborhood influences, socio-

economic status of the family, cultural status of the family, number of brothers and

sisters, their educational background, occupations of the members of the family.

3. Physical Data:

Weight, height, illness, physical disabilities, etc.

4. Psychological Data:

Intelligence, aptitudes, interests, personality qualities, emotional and social

adjustment and attitudes.

5. Educational Data:

Previous school record, educational attainments, school marks, school

attendance.

6. Co-curricular Data:

Notable experiences and accomplishment in various fields-intellectual, artistic,

social, recreational, etc.

7. Vocational Information:

Vocational ambitions of the student.

8. Supplementary Information:

It is obtained by the use of standardized tests.

9. Principal’s overall remarks.

Sources of Collection of Information:

Information about every pupil or child for the maintenance in the CRC should be

collected from the following sources:

1. Parents or guardian’s data form:

Family background and the personal history of the child may be gathered from

the parents who are asked to fill in the form.

2. Personal data form:

In order to obtain information regarding the pupils interest and participation in

extra-curricular activities and his vocational preferences the personal data is of great

use. The pupil may be asked to give details of himself. This will supplement the

information obtained from the parent’s data form.

3. School records:

These include:

(i) Records of achievement tests.

(ii) Records of other tests.

(iii) Admission and withdrawal record.

4. Other sources:
These include:

(i) Personal visits by the teachers

(ii) Observations made by the teachers.

Maintenance of the Record:

The maintenance of the Cumulative Record Card should begin when the student

enters school and should follow the student from class to class within a school and from

school to school as he continues his progress.

The class teacher will maintain the Cumulative Record. In view of the fact that he

spends much time with the students he will be in a greater position to judge them from

different aspects. He will maintain a diary or note-book in which he will note down from

time to time his observations about his students. At the end of the year he will make the

necessary entries in the Cumulative Record Card (CRC). It is very desirable that he

consults his colleagues who also know the pupils. These entries should be made after

careful consideration.
CONCLUSION

The cumulative records serve as a well arranged store- house of all the

information regarding the students. It is based on factual information, and there is

also need to mention secrecy of information. There should be the importance of

usefulness of cumulative records so it may be used properly.

BIBLIOGRAPHY

BT Basavanthppa, A Text book of Nursing Administration, Jaypee publications, 1

edition, page No. 167-178

 Chanya RM E.A, Improving Department Quality Health care management, 2nd

edition, page No. 456-467

www. Thebalancecareers.com

http//:managementsstudyguide.com

PREPARATION OF LIST OF

EQUIPMENT AND SUPPLIES FOR

SPECIALTY UNITS-ICCU, NICU,

AMC
SUBMITTED TO SUBMITTED BY

MRS.INDU MATHY P.SUMATHI

ASSOCIATE PROFESSOR II YEAR MSC NURSING

DEPT.OF COMMUNITY HEALTH NURSING NURSING MANAGEMENT

JMJ COLLEGE OF NSG JMJ COLLEGE OF NSG

EQUIPMENTS IN ICCU, NICU, AMC

INTRODUCTION

Equipment used in the ICU varies from the general, such as instruments to
measure blood pressure, to very specialized devices, such as bedside monitors or
ventilators. ICU equipment may be used to monitor the patient and/or help treat their
illness. NET brand ICU Equipment have set new standards in intensive care. The ICU
equipment we offer include Defibrillator, Patient Monitor, Ventilator, CPAP & BPAP
systems etc.

1. Ventilator
 A ventilator is a machine that provides mechanical ventilation by moving
breathable air into and out of the lungs, to deliver breaths to a patient who is
physically unable to breathe, or breathing insufficiently.

 Modern ventilators are computerized microprocessor-controlled machines, but

patients can also be ventilated with a simple, hand-operated bag valve mask.
Ventilators are chiefly used in intensive-care medicine, home care,
and emergency medicine (as standalone units) and in anesthesiology (as a
component of an anesthesia machine).

 Ventilators are sometimes called "respirators", a term commonly used for them in
the 1950s (particularly the "Bird respirator"). However, contemporary hospital and
medical terminology uses the word "respirator" to refer to a protective face-mask.

2. CPAP: Continous Positive Airway Pressure

 CPAP is a treatment that uses mild air pressure to keep your breathing
airways open.
 It involves using a CPAP machine that includes a mask or other device
that fits over your nose or your nose and mouth, straps to position the
mask, a tube that connects the mask to the machine’s motor, and a motor
that blows air into the tube.

3. BPAP
 Some medical problems can make it hard for you to breathe. In these
cases, you might benefit from Bi-level positive airway pressure. It is
 commonly known as “BiPap” or “BPap.” It is a type of ventilator—a device
that helps with breathing.

 BiPap is only one type of positive pressure ventilator.

 While using BiPap, you receive positive air pressure when you breathe in
and when you breathe out.

 you receive higher air pressure when you breathe in.

 This setting is different from other types of ventilators.

 For instance, continuous positive airway pressure (CPAP) delivers the

same amount of pressure as you breathe in and out. Different medical
problems may respond better to BiPap versus CPAP.

4. Patient Monitor

A patient monitor is an electronic medical device that consists of one of

more monitoring sensors, a processing component (s), and a screen display
(also called a "monitor") that provide and record for medical professionals a
patient's medical vital signs (body temperature, blood pressure, pulse rate and
 respiratory rate) or measurements of the activity of various body organs such as
ECG monitors, anesthesia monitors, or EKG monitors.

5. Infusion Pump
 An apparatus designed to deliver measured amounts of a drug or IV
solution through IV injection over time.
 Some kinds of infusion pumps can be implanted surgically.

6. Syringe Pump

 A syringe pump is a medical device that regulates the rate of drug administration
through a syringe.
 Resembling an insulin pump, a syringe pump is much more precise as it delivers
medication slowly over a long period of time.
 7. Blood warmer
A device that raises refrigerated blood or intravenous fluids to a desired
temperature, usually 98.6°F (37.0°C), or a little above. Testing the device for
temperature control on a regular basis is important to avoid transfusion errors.

8. Defribillator
Defibrillation is a treatment for life-threatening cardiac dysrhythmias, specifically
ventricular fibrillation (VF) and non-perfusing ventricular tachycardia (VT). A defibrillator
delivers a dose of electric current (often called a counter-shock) to the heart. Although
not fully understood, this process depolarizes a large amount of the heart muscle,
ending the dysrhythmia.

Equipment’s in NICU

NICU equipment’s can serve many different purposes from monitoring your
preemie's health and vitals to supporting their breathing. One of the most frequently
asked-about devices is the extracorporeal membrane oxygenation (ECMO) equipment,
so before we look at other NICU equipment and procedures, let's first look at ECMO.
DEFINITION OF ECMO

ECMO is an abbreviation that stands for Extracorporeal Membrane

Oxygenation. An ECMO machine is a machine that takes blood from the body,
oxygenates it using an artificial lung and pumps it back into the body using an artificial
heart. ECMO is similar to a heart/lung bypass machine used in open-heart surgery but
can be used for a longer time.

 More specifically, ECMO infuses the blood with oxygen and removes carbon
dioxide, a waste product of respiration.

 Additionally, ECMO can provide blood pressure support. Whereas full

cardiopulmonary support machines or "heart-lung" machines can be used only
for a few hours in the operating room, ECMO can be used for longer in settings
outside of the operating room like the NICU.

Here are the components of ECMO:

 Circuit tubing
 Membrane oxygenator
 Specific catheters that return blood to either the venous system or arterial system
 Centrifugal or roller pump
 Heat exchanger

ECMO may also be used for any serious condition that causes a baby's heart or
lungs to stop working well. Because ECMO can be used only for up to a few weeks, it is
used only for patients who are expected to recover after treatment or surgery.

Other Respiratory Equipment in the NICU

In addition to ECMO, you might encounter other respiratory equipment in the NICU.
Infants in the NICU may need help to breathe or to keep their blood
oxygenated. Respiratory equipment in the NICU may include:
  Nasal cannulas: A nasal cannula is a set of small nasal prongs may provide a
higher concentration of oxygen than room air. They may also deliver room air at
a higher flow, which helps to keep airways open and encourage babies to
breathe on their own.
 CPAP: Continuous positive airway pressure, or CPAP, is a mask or a special set
of nasal prongs placed firmly on the baby's nose to constantly blow air. The
constant pressure encourages open airways and reminds babies to breathe, and
higher concentrations of oxygen may be used.
 Ventilators: If a baby is put on a ventilator, then a procedure called intubation
will be used to place a special tube called an endotracheal tube in the airway
through the mouth or nose. The ventilator, or respirator, is the machine that
delivers breaths to babies who cannot breathe on their own or who don't breathe
well.

 Respiratory Support In NICU

Monitoring Equipment in for Preemies

In addition to respiratory equipment, infants in special care nurseries are continuously

monitored to make sure they are healthy. Monitors commonly used include:

 Cardiac monitors: These use stickers on the chest connected to wires (called

leads) that hook up to a monitor to make sure that baby's heart is beating at the
correct speed and with the correct rhythm.
 Respiratory monitors: Often part of the cardiac monitors, these use leads to
monitor baby's breathing rate and pattern.
 Pulse oximeters: These wrap around your baby's wrist or foot and have a red
light that monitors the amount of oxygen in the blood.
IV Equipment for Preemies

You may be familiar with IVs, or thin tubes that go into the veins to allow staff to infuse
fluids or medicines directly into the veins. As part of regular NICU procedures, babies in
the NICU may have several types of IV lines:

 Peripheral IVs: These are the "regular" IVs that goes into a vein for medications
or fluids. Peripheral IVs may be in the feet, hands, arms, or scalps of premature
babies. Although scalp IVs look scary to parents, they are very common in the
NICU since premature babies don't always have good veins for IVs in their hands
and feet.
 PICC lines: Percutaneously Inserted Central Catheters, or PICC lines for short,
look like regular IVs. They have longer catheters, or tubes, than regular IVs, and
travel through the vein into the large veins that empty into the heart. Insertion of
these lines is one of the procedures NICU babies commonly undergo.
 Umbilical catheters: These are inserted into the umbilical cord stump and travel
to the large veins and arteries near the heart. Umbilical lines may be inserted into
an artery in the umbilical cord, a vein in the umbilical cord, or both, to allow fluid
and medication administration, blood pressure monitoring, painless blood
sampling, and other procedures.

Other Equipment in the NICU

While in the NICU, your baby may require additional equipment as well.

 Feeding tubes: A Feeding tube travels from the mouth (orogastric- called OG) or

from the nose (nasogastric- called NG) to the stomach. Infants who are too sick
or weak to eat from the breast or from a bottle receive food through these tubes.
Inserting the tubes and giving feedings through them are common procedures
among premature babies.
 Incubators: Premature infants have trouble keeping themselves warm,
so incubators are used to provide a warm place for baby to rest. Skin probes
 constantly measure the baby's temperature, so he or she doesn't get too warm or
too cold.
 Phototherapy: Preemies are more likely to have problems from jaundice.
Phototherapy lights, also called Bili lights, are special lights that help the baby's
body break down bilirubin, the chemical that causes jaundice.
Equipment’s in AMC
Various lines, tubes, catheters, and access devices make up the wide variety
of medical-surgical equipment used in the acute care setting. In general, these devices
may be peripheral or central, for short-term or long-term use, and inserted or applied at
the bedside in a special procedure (e.g., under fluoroscopic guidance) or in the
operating room.

1. There are the two types of medical equipment: Medical monitoring&Medical

Management (used more in long term care)
2. Within each type there are invasive and noninvasive devices:
a. Medical Monitoring (invasive)-
arterial line,
pulmonary artery catheter,
intraventricular pressure monitor
b. Medical monitoring (non-invasive)
-pulseoximeter
-ECG
-BP cuff
Arterial line: records blood pressure continually in big arteries
3. Pulmonary artery catheter (swan-ganz): Measuring CO and are unstable, so they
must be in ICU
4. Intraventricular pressure monitor: In lateral ventricle of brain.
-patients in ICU, monitor must be kept parallel with bed
5. Medical Management (invasive)
-AV Fistula
-central line
-chest tube
-surgical drain
-suprapubic catheter/urinary catheter
-VP/VA shunt
-LVAD
-nasogastric tube
-percutaneous endoscopic gastronomy (PEG)
-peripheral IV line
-PICC
tunneled central venous catheter
totally implantable intravascular device
6. Medical Management (noninvasive)
-anti-thrombolytic boots
-nebulizer
-rectal pouch
-texas catheter
-wound vac
 AV Fistula (dialysis): Inserted into patient's arm to get renal dialysis access.
in forearm will have rope-like lines and radial pulse will feel different in that arm
vs. a normal arm.usually this is unilateral, so can use other arm for heart rate and
oximetry
7. Central Line (venous): IV line going directly into subclavian or jugular vein: Used
when patient needs blood drawn multiple times a day or if need IV nutrition
8. Chest tube: Used to drain post-op to get fluid out of abdomen
9. Suprapubic catheter/urinary catheter: It can be invasive or noninvasiveduring
sessions, keep bag down below bladder for assistance of gravity for proper
draining
10. VP (ventricular periotenal)/VA (ventriculoarterial) shunt: Used to drain fluid in
hydrocephaly patients from the brain down into the circulatory system
11. LVAD (left ventricular assistive device):
12. Used in heart failure patients to assist the left ventricle in pumping.
-can be used permanently or to prolong the need for a heart transplant
13. Nasogastric tube: esophagus and into the stomach
14. Percutaneous endoscopic gastronomy (PEG): Used for nutrition
-goes right through the abdominal wall directly into the small intestine or stomach
15. Peripheral IV line: In arm or leg (head in infants) to deliver fluids or antibiotics
(short-term use only)
16. Peripherally inserted central catheter (PICC): In arm and travels to heart to
deliver -sutured in and seen more often in cancer patients
17. Tunnled central venous catheter (Hickman): An intravenous catheter inserted into
jugular vein- most often used for the administration of chemotherapy or other
medications, as well as for the withdrawal of blood for analysis
18. Totally implantable intravascular device (port-a-Cath): A catheter connects the
port to a vein. Under the skin, the port has a septum through which drugs can be
injected and blood samples can be drawn many times, usually with less
discomfort for the patient than a more typical "needle stick"
-usually inserted into the upper chest just below the clavicleused most often in
oncology patients
19. Anti-thrombolytic boots (pneumo-boots): Pump hanging off bed connected to
plastic tubing, which is fed into a boot on the foot. It helps prevent blood clots by
compressing and releasing the air in the boots
20. Nebulizer: Machine that delivers respiratory medications
21. Rectal pouch: Bag that gets taped over the rectum, used in pts with non-stop,
terrible diarrhea, do not want to get patient up for PT, because may move bag
which could lead to leaking and skin compromising
 22. Texas catheter (condom Cath): Used only in men
23. Wound vac: keeps wounds dry and pumps out fluid

CONCLUSION

Since ICU equipment is used continuously on critically ill patients, it is

essential that equipment be properly maintained, particularly devices that are
used for support and resuscitation.

BIBLIOGRAPHY
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