Nicu PPT - PPTX New
Nicu PPT - PPTX New
Nicu PPT - PPTX New
ORGANIZATION OF
NEONATAL INTENSIVE
CARE UNIT
PRESENTED BY
MRS. VINEETA ROY
M.SC NURSING 1ST YEAR
G.R.D.CON JABALPUR
GENERAL OBJECTIVES
• At the end of the seminar students will
be able to gain the depth knowledge
regarding organization of neonatal
intensive care services,
• Transported ,levels and management
and organization of NICU and
developed a positive attitude and apply
a skill in clinical and teaching practice.
SPECIFIC OBJECTIVES
At the end of the seminar students will be
able to.
Define the NICU
Explain the importance of neonatal
intensive care services.
Explain the criteria for admission in
NICU.
Discuss the Aims /goal of NICU.
Preparation of NICU.
conti.
• Explain the Aspects of NICU.
• Explain the Equipments of NICU.
• Discuss the levels of NICU.
• Discuss the role of nurse in NICU.
• Review of literature,obstract.
• Conclusion
• .Summary.
• Bibliography.
INTRODUCTION
The organization of a good quality
special care neonatal unit [SCNU] is
essential for reducing the neonatal
mortality and improving the quality of life
among the survivors .
During the past three
decades improvements in the diagnostic
and therapeutic approaches in the care
of high risk infants have influenced their
prognosis favorably.
DEFINITION
Newborn or neonatal intensive care
unit an intensive care unit designed
for premature and ill newborn
babies.
NEONATAL CARE
IMPORTANCE OF NICU
most severe and life threatening illness
and injuries.that require constant ,close
monitoring and support from specialist
equipment and medication .
They are staffed by highly trained dictors
and critical care nurse who specialize in
caring for seriously ill patients.
Patients may be transferred directly to
an NICU from an emergency
department if required.
conti..
These needed special modification for
small babies whose were tiny and often
immature.
The many tubes and sensors used for
monitoring the baby’s condition,blood
sampling and artificial feeding made.
CRITERIA FOR ADMISSION IN
NICU
CONTI.
INDICATION . -;
Low birth weight baby.[200g]
large babies [more than or equal to
4kg]
Birth asphyxia
severe jaundice.
infant of a diabetic mother.
neonatal sepsis.
neonatal convulsion
conti.
neonatal convulsion.
injured neonate.
severe congenital malformation.
mother of hepatitis ‘B’ CARRIER.
Aims and Goals of NICU
To improve the condition of the
critically ill neonates keeping in mind
the survival of neonates so as to
reduce the neonatal morbidity and
mortality.
To provide continuing inservice
training to medicine and nursing
personel in the care of new born.
To moniter the heart rate, body
temperature, blood pressure, central
venous pressure, and blood by non-
conti..
conti...
To measure the oxygen concentration
of blood is by oxygen analysers.
To check /observe alarms system
signals,to find out the changes beyond
certain fixed limits set on the monitors.
areas
baby of nicu nurses station area
care area
1.colour.
2.lighting.
3.sounds.
4.ventilation.
5.room.
6.staffing.
physical lay out
2. administrative set up
satff requirements
medical staff
nurses ratio
other staff.
conti...
Medical staff-;
In unit a full time neonatologist with
special qualification and special
training in neonatal medicune.
He should be responsible for
maintainance of standard of patient
care .
Developing of the operating budget .
Equipment ,evaluation and purchase.
conti..
STAFF REQUIRMENTS-;
Neonatal physician 6-12 patient in
continuing care ,intermediated care,
and NICU.
He should be available on 24 hrs bases
for consultation.
A ratio of 1 physician in training in 4-5
patients who reacquires intensive care
ideal round the clock.
conti.
NURSES RATIO -;
Nurses patient ratio of 1;1 maintain
throughout day and night.
A ratio of 1 nurse for 2 sick babies
not requiring ventilator support may
be adequate.
Additional head nurse who is over all
incharge.
conti..
Other staff-;
1 sweeper
1 laboratory technique.
social worker .
respiratory therapist.
biomedical engineer,
ward clear.
Equipments for nicu
Resuscitation set -6
Open care system --4
Incubator. -2
Infusion pump---12
Positive pressure ventilator -6
O2 hoods ,O2 analyzer -6
Heart rate ,apnea monitor without scope
-6
PHOTOTHERAPY -6
Electronic weighing scale -12
conti.
Pulse oxymeter -6
Transcutaneous Po2 and bp co2
monitor. -2-3
Bp monitor -2
ECG monitor with out defibrillator. -1
Intra cranial pressure monitor. -1
phototherapy
OTHER EQUIPMENTS
incubater
radiant warmer
level of nicu
1.LEVEL 1
NURSERIES -;
> 1500 g.
Intermittent
enteral feeds
having
demostratrated
a positive
growth trend.
temperature
maintained .
conti..
Apnea , bradycardia controlle