JASKARAN SINGH CHAUHAN 4th year student of Bsc. Nursing at Lala Lajpat rai institute of nutsing Education, Gulab Devi Hospital, Jalandhar

1. Admission of Neonate in
NICU
Submitted to :Resp.Ms. Neha Ma’am
Submitted on: 18 March 2021
Submitted by : Jaskaran Singh
Bsc.(N) 4th year

2. INTRODUCTION
NICU: stands for Neonatal Intensive Care Unit.
Nicu is highly specialized area in the hospital
where critically ill or sick Newborn/Neonatal cared
to reduce mortality and morbidity.

3. Definition:
Neonatal care: is defined as
the management of complex
life threatening diseases
provision of intensive
monitoring & initiation of life
sustaining therapies in and
organized manner to critically
ill child in care unit.

4. LEVELS
these are the
main levels
of neonatal
care:

5. Aims/goals of NICU
 To improve the condition of critically ill Neonate
keeping in mind the survival of Neonate so as to
reduce the mortality and morbidity rate .
 To maintain the functioning of pulmonary,
cardiovascular, Renal , gastrointestinal and nervous
system
 To Provide continuing service and training to medicine
and nursing personnel in the care of Newborn.
 To monitor Vital Signs .
 To measure the oxygen concentration of the blood by
oxygen analyzer.
 To administrator the precise amount of fluids and
minutes concentration of drugs through I.V infusion
pump.

6. Criteriafor Admission in NICU
 Low birth weight baby (2000gm)
 Large babies (more than or equal to 4kg)
 Birth Asphyxia
 Meconium Aspiration Syndrome
 Sever Jaundice
 Infant of diabetic mother
 Neonatal sepsis/meningitis
 Neonatal convulsions/seizures
 Severe congenital malformation/ Cyanotic congenital heart disease
 Oxygen therapy/ perinatal nutrition
 Cardiovascular Monitoring
 Exchange blood transfusion
 Mother of ‘Hepatitis B Carrier‘
 Injured Neonate etc

7. Preparation of Nicu
 Warm incubator (36°C)
 Adequate light supply
 Resuscitatin and Treatment trolley
stocked
 History , diet , treatment, problem list /
sheet and flow chart
 Oxygen air and suction apparatus
 Oxygen air tubing or flow meter
 Vital sign monitoring apparatus
 Specific equipment as indicated by
diagnosis.

8. Admission procedure Data should be collected within
24hours(if possible much sooner)
 Historyandexamination
1. Maternal history
2. Paternal history
3. Obstetrical history
4. Labour
5. Delivery
6. Apgar score
7. Vital Signs
 Onadmission
1. Notify the doctor and nurse incharge.
2. Check infant identification Label.
3. Quickly examine/observe the infant head to toe for obvious abnormalities condition.

9. Conti…..
4. Resuscitate infant as necessary and maintain
warmth.
5. Anthropometric examination
6. Transfer to normal environment as soon as possible.
7. Commonest observations:
 Temperature
 Heart rate
 Respiration
 Color
 Apgar score
 Reflexs.

10. Conti….
Recordkeeping
1. Birth History (Done in labour room)
2. Ward History Contains
Patient Registration Sheet
Apgar score and examination sheet
Feed chart and progress chart
Treatment chart
Growth chart

11. DOUBT…