Hospital acquired infection is one of the ignored causes that burden the developing country like India economically. The present prospective study was carried out in the Pediatric Intensive Care Unit PICU of a tertiary care teaching hospital in Mumba
MEDICINA INTENSIVA PEDIATRIA
Full description
prometricFull description
PACU
panduan hcu
pelatihan
panduan hcu
Principles of Curriculum Organization
Context of the Organization ISO 9001:2015
cellFull description
icu
icuDeskripsi lengkap
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Nature of OrganizationFull description
Intensive Care Medicine MCQsFull description
ABC, Resource DriversFull description
Intensive Care Medicine MCQsDescripción completa
An introduction to the applied pulmonary mechanics for understanding of neonatal ventilation. This presentation should motivate the beginner to delve deep into the art of ventilation.Descripción completa
ORGANIZA ORGA NIZATION TION OF A NEONATAL INTENSIVE CARE UNIT
INTRODUCTION
Neonatal considered
intensive synonymous
care with
is
also
providing
advanced life support (ALS) to critically sick babies with multisystem organ dysfunction.
Those who weigh < 1500gms or <32 wks of gestation.
3 – 5 % of newborns would need these services depending upon conditions .
GOALS To
improve the clinical care of the
critically ill neonate. To
reduce the neonata neonatall morbidity &
mortality. To
provide continuin continuing g in- service training
of medical & nursing personnel in the care of newborn.
LEVELS 0F NEONATAL CARE
Level I neonatal care (Basic)
Well – newborn nursery
LEVEL II neonatal care( speciality) special care nursery •
•
•
LEVEL III NICU(SUB SPECIALITY) •
•
•
TYPES OF ENVIRONMENT
Physical : Design
Social : Staff & Parents
PHYSICAL FACILITIES
PHYSICAL FACIITIES
LOCATION
Should be located as close as possible to the labor room & obstetrics OT.
Elevator should be available in close proximity – Transport of sick out born babies.
SPACE
NICU design should allow 500 – 600 gross sq.ft per bed.
For patient care, 100 sq.ft is required for each baby.
SETTING
Unit facility preferably in square space.
Adequate taps – Elbow & foot operated.
Built-in
wooden
cabinets
for
purpose.
Isolation room for infected babies.
stocking
VENTILATION
Effective
ventilation
-
To
reduce
nosocomial infections. When centralized air conditioning is used minimum of 12 changes of air room per hour.
Provision of exhaust fan in reverse direction.
LIGHTING
Well
shadow-free
illuminated(100
foot
candles) at baby’s level.
Painted white or slightly off white- early detection of jaundice & cyanosis.
ENVIRONMENTAL HUMIDITY
TEMPERATURE
&
Temperature must be maintained around 28 +/- 2 degree C – To minimize thermal stress.
Humidity must be above 50%
WATER o
Uninterrupted clean water supply ,& each patient care area must have a washbasin with foot, elbow, or sensor operated water taps.
ACOUSTIC
CHARECTERISTICS
In critical care area – 64-66 db.
IN growing nursery – 50-60 db.
ELECTRICAL OUTLETS
Each patient station should 12-16 have central voltage-stabilized electrical outlets sufficient to handle all equipments.
