2. GRADE OF NEONATAL CARE
LEVEL - l
NORMAL
NEONATAL
CARE
LEVEL - ll
SPECIAL CARE
NURSARY
LEVEL - lll
INTENSIVE
NEONATAL
CARE UNIT
3. NEONATAL CARE
The management of complex life threatening
diseases, provision of intensive monitoring and
institution of life sustaining therapies in an
organized manner to critically ill children in a
separate pediatric intensive care unit.
5. Space
serve as a referral unit for the infants born
outside the hospital
Each infant should be provided with a minimum
area of 100 sq. ft. or 10 m2
Space for promotion of breast feeding
6. Location
located as close possible to the labor rooms and
obstetric operation theatre
should not be located on the top floor
brightness and provide ultra violate rays to
augment asepsis.
7. Baby Care Area
Areas and rooms for inborn or intramural babies,
Examination area
Mother’s area for breast feeding and expression
of breast milk
Nurses station and charting area.
11. Nurses Stations
Central area
Newborn charts, hospital forms, computer
terminals, telephone lines should be located in
this area.
12. Clean Utility and Soiled
Utility Holding Rooms
Stocking clean utility items and sterile
disposables, and for disposal of dirty linen and
contaminated disposables.
14. VENTILATION
Effective air ventilation of nursery
Provision of exhaust fan
Do not use chemical air disinfection and
ultraviolet lamps
15. LIGHTING
Well illuminated and painted while or slightly off
Cool white fluorescent tubes
The number and exact location of fixtures can be
worked out taking into account size of the
nursery, height of ceiling, and availability or
otherwise of sunlight.
16. ENVIRONMENTAL TEMPERATURE
AND HUMIDITY
26-28°C in order to minimize effect of thermal
stress on the babies.
The external windows of nursery should be
glazed to minimize heat gain and heat loss and
baby beds should be located at least 2 feet
away from the wall and windows.
17. PERSONNEL
Availability of sufficient number of
adequately trained personnel
Nurse patient ratio in special care and NICU
19. MANAGEMENT OF NURSING CARE
1. Assessment
2. Monitoring physiological data
3. Safety measures
4. Respiratory support
5. Thermoregulation
6. Protection from infection
7. Hydration
8. Nutrition
9. Feeding resistance
10. Skin care
20. Conti..
11. Administration of medication
12. Developmental outcome
13. Facilitating parent-infant relationship
14. Discharge planning and home care
15. Neonatal loss