Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Nicu proposal for msc
1. NEONATAL INTENSIVENEONATAL INTENSIVE
CARE UNITCARE UNIT
AA
PROJECT FOR THE JUST BORNPROJECT FOR THE JUST BORN
BABIESBABIES
PRESENTOR
Aruna Shastri
Msc. Nursing 1st
year student
2. NEONATAL ICUNEONATAL ICU
(NICU)(NICU)
SOME BABIES NEED SPECIAL CARESOME BABIES NEED SPECIAL CARE
If a child is premature or hasIf a child is premature or has
health problems at birth, such ashealth problems at birth, such as
an infection, he may need toan infection, he may need to
spend some time in a specialspend some time in a special
area with facilities for specialarea with facilities for special
care….care….
………………………… THE NICUTHE NICU
3. NEONATAL ICUNEONATAL ICU
BACKGROUNDBACKGROUND
Neonatal mortality accounts for most infantNeonatal mortality accounts for most infant
mortality in Indiamortality in India
Neonatal mortality is closely associated withNeonatal mortality is closely associated with
low birth weight (<1400gms,30 weeks) andlow birth weight (<1400gms,30 weeks) and
VLBW (<500gms,26 weeks) prematureVLBW (<500gms,26 weeks) premature
babiesbabies
Premature delivery accounts for mostPremature delivery accounts for most
LBW/VLBWLBW/VLBW
Social disadvantage is associated with preSocial disadvantage is associated with pre
term deliveryterm delivery
4. NEONATAL ICUNEONATAL ICU
THE NEEDTHE NEED
NICU plays a critical role in reducing infantNICU plays a critical role in reducing infant
mortality rate (IMR) in poor urbanmortality rate (IMR) in poor urban
populationspopulations
An NICU at a nominal cost will benefitAn NICU at a nominal cost will benefit
many and save the babies.many and save the babies.
5. The SCNU at a district hospital isThe SCNU at a district hospital is
expected to provide the followingexpected to provide the following
services:services:
1.1. Care at birth, including resuscitationCare at birth, including resuscitation
of asphyxiated newbornsof asphyxiated newborns
2. Managing sick newborns2. Managing sick newborns
6. 3. Post-natal care3. Post-natal care
4. Follow-up of high risk newborns4. Follow-up of high risk newborns
5. Referral services5. Referral services
6. Immunisation services6. Immunisation services
8. CORE COMPONENTS OF AN ICUCORE COMPONENTS OF AN ICU
CONSTANT MONITORINGCONSTANT MONITORING
RAPID SKILLED INTERVENTIONRAPID SKILLED INTERVENTION
MULTI DISCIPLINARY TEAM WORKMULTI DISCIPLINARY TEAM WORK
9. LEVELS OF ICU CARELEVELS OF ICU CARE
LEVEL ILEVEL I –– PROVIDES MONITORING,PROVIDES MONITORING,
OBSERVATION AND SHORT TERMOBSERVATION AND SHORT TERM
VENTILATION.VENTILATION.
LEVEL IILEVEL II –– PROVIDES OBSERVATION,PROVIDES OBSERVATION,
MONITORING & LONG TERMMONITORING & LONG TERM
VENTILATION WITH RESIDENTVENTILATION WITH RESIDENT
DOCTORS.DOCTORS.
10. Levels of ICULevels of ICU
LEVEL IIILEVEL III
PROVIDES ALL ASPECTS OF INTENSIVEPROVIDES ALL ASPECTS OF INTENSIVE
CARE INCLUDING INVASIVE HAEMOCARE INCLUDING INVASIVE HAEMO
DYNAMIC MONITORING & DIALYSIS.DYNAMIC MONITORING & DIALYSIS.
11. DESIGNING AN ICUDESIGNING AN ICU
THE TEAM SHOULD CONSIST OFTHE TEAM SHOULD CONSIST OF
AN INTENSIVE CARE DIRECTORAN INTENSIVE CARE DIRECTOR
NURSING ADMINISTRATORS &NURSING ADMINISTRATORS &
SUPERVISORSSUPERVISORS
HOSPITAL ADMINISTRATORSHOSPITAL ADMINISTRATORS
12. AN ARCHITECTAN ARCHITECT
ENGINEERS (Electrical, Civil,ENGINEERS (Electrical, Civil,
Bioengineering, Electronics etc)Bioengineering, Electronics etc)
ENVIRONMENTAL ENGINEERS, INTERIORENVIRONMENTAL ENGINEERS, INTERIOR
DESIGNERS, STAFF NURSES,DESIGNERS, STAFF NURSES,
PHYSICIANS, PATIENTS AND FAMILIESPHYSICIANS, PATIENTS AND FAMILIES
MAY BE ASKED FOR COMMENTS.MAY BE ASKED FOR COMMENTS.
13. DESIGNDESIGN
PNEUMATICS - VPNEUMATICS - V
P – PATIENT CAREP – PATIENT CARE
N- NURSINGN- NURSING
E- EATING (Clean area forE- EATING (Clean area for
food preparation & delivery)food preparation & delivery)
U- UNCLEAN (Dirty linen &U- UNCLEAN (Dirty linen &
equipment)equipment)
M- MEDICATION STORAGEM- MEDICATION STORAGE
14. DesignDesign
A – ADMINISTRATION (CLERKING &A – ADMINISTRATION (CLERKING &
STATIONARY)STATIONARY)
T – TEACHINGT – TEACHING
I – INFECTION CONTROL & ELIMINATIONI – INFECTION CONTROL & ELIMINATION
(STERILIZATION & DISINFECTION)(STERILIZATION & DISINFECTION)
C – CLEAN AREAC – CLEAN AREA
16. DesignDesign
TECHNICAL SPACE FOR A LAB,TECHNICAL SPACE FOR A LAB,
BLOOD GAS ANALYSER etc.BLOOD GAS ANALYSER etc.
RELATIVES’ WAITING ROOM WITHRELATIVES’ WAITING ROOM WITH
A TELEPHONE, TV etc.A TELEPHONE, TV etc.
17. LOCATIONLOCATION
Should be a geographically distinct areaShould be a geographically distinct area
within the hospital, with controlledwithin the hospital, with controlled
access.access.
No through traffic to otherNo through traffic to other
departments should occur. Supply anddepartments should occur. Supply and
professional traffic should beprofessional traffic should be
separated from public/visitor trafficseparated from public/visitor traffic.
18. LocationLocation
Location should be chosen so that theLocation should be chosen so that the
unit is adjacent to, or within directunit is adjacent to, or within direct
elevator travel to and from, theelevator travel to and from, the
Emergency Department, OperatingEmergency Department, Operating
Room, Intermediate care units, and theRoom, Intermediate care units, and the
Radiology DepartmentRadiology Department..
19. LocationLocation
The unit should be in closeThe unit should be in close
proximity. Or should preferably beproximity. Or should preferably be
situated close to the labour roomsituated close to the labour room
If obstetric and neonatal services areIf obstetric and neonatal services are
on separate floors of the hospital,on separate floors of the hospital,
provision for quick access like a rampprovision for quick access like a ramp
or an elevator should be provided foror an elevator should be provided for
service between the birthing unit andservice between the birthing unit and
the care unit.the care unit.
20. SizeSize
As a general guide for all deliveriesAs a general guide for all deliveries
occurring within the health facility, threeoccurring within the health facility, three
beds for every 1,000 annual deliveriesbeds for every 1,000 annual deliveries
may be dedicated to the newborn caremay be dedicated to the newborn care
size.size.
Additionally, for newborns deliveredAdditionally, for newborns delivered
outside the hospital and being brought tooutside the hospital and being brought to
the hospital for special care, an extrathe hospital for special care, an extra
allowance of 30 per centallowance of 30 per cent
21. Cont…Cont…
deliveries per year, the number ofdeliveries per year, the number of
beds required would be:beds required would be:
For intramural: 3/1000 X 3000 = 9For intramural: 3/1000 X 3000 = 9
bedsbeds
For extramural: 30%*9= 3 bedsFor extramural: 30%*9= 3 beds
Total beds required = 12Total beds required = 12
22. BED STRENGTHBED STRENGTH
IDEALLY 8 TO 12 BEDSIDEALLY 8 TO 12 BEDS
LARGER AREAS – DIFFICULT TO ADMINISTER AND SMALLERLARGER AREAS – DIFFICULT TO ADMINISTER AND SMALLER
AREAS NOT BEING COST EFFECTIVEAREAS NOT BEING COST EFFECTIVE
3 TO 5 BEDS PER 100 HOSPITAL BEDS FOR A LEVEL III ICU / 23 TO 5 BEDS PER 100 HOSPITAL BEDS FOR A LEVEL III ICU / 2
TO 20% OF THE TOTAL NUMBER OF HOSPITAL BEDSTO 20% OF THE TOTAL NUMBER OF HOSPITAL BEDS
1 ISOLATION BED FOR EVERY 10 ICU BEDS1 ISOLATION BED FOR EVERY 10 ICU BEDS
23. BED SPACE & BEDSBED SPACE & BEDS
Each newborn space shall contain a minimum ofEach newborn space shall contain a minimum of
100 square feet (9.9 square metres) of clear floor100 square feet (9.9 square metres) of clear floor
space, excluding hand washing stations andspace, excluding hand washing stations and
columns.columns.
This 100 sq ft per bed of space should be utilisedThis 100 sq ft per bed of space should be utilised
as follows:as follows:
•• Baby care area: 50 sq ft per bedBaby care area: 50 sq ft per bed
•• General support and ancillary areas: 50 sq ftGeneral support and ancillary areas: 50 sq ft
24. INFRASTRUCTUREINFRASTRUCTURE
PATIENTS MUST BE SITUATED SO THAT DIRECTPATIENTS MUST BE SITUATED SO THAT DIRECT
OR INDIRECT (E.G. BY VIDEO MONITOR)OR INDIRECT (E.G. BY VIDEO MONITOR)
VISUALIZATION BY HEALTH CARE PROVIDERS ISVISUALIZATION BY HEALTH CARE PROVIDERS IS
POSSIBLE AT ALL TIMES.POSSIBLE AT ALL TIMES.
THE PREFERRED DESIGN IS TO ALLOW A DIRECTTHE PREFERRED DESIGN IS TO ALLOW A DIRECT
LINE OF VISION BETWEEN THE PATIENT ANDLINE OF VISION BETWEEN THE PATIENT AND
THE CENTRAL NURSING STATION.THE CENTRAL NURSING STATION.
25. InfrastructureInfrastructure
Modular Design – Sliding Glass Doors &Modular Design – Sliding Glass Doors &
Partitions To Facilitate Visibility.Partitions To Facilitate Visibility.
Alcoves should provide for the storage andAlcoves should provide for the storage and
rapid retrieval of crash carts and portablerapid retrieval of crash carts and portable
monitor/defibrillators.monitor/defibrillators.
26. InfrastructureInfrastructure
There should be a separate medication
area of at least 50 square feet
containing a refrigerator for
pharmaceuticals, a double locking safe
for controlled substances, and a table
top for preparation of drugs and
infusions.
28. Configuration of unitConfiguration of unit
Baby care areaBaby care area
The baby care area (50 sq ft perThe baby care area (50 sq ft per
bed) may be divided into twobed) may be divided into two
interconnected rooms separated byinterconnected rooms separated by
transparent observation windowstransparent observation windows
with the nurses’ work place inwith the nurses’ work place in
between. This facilitates temporarybetween. This facilitates temporary
closure of one section for disinfectionclosure of one section for disinfection
29. Space for ancillary servicesSpace for ancillary services
Distinct support space should beDistinct support space should be
provided for all clinical services thatprovided for all clinical services that
are routinely performed in the SCNU.are routinely performed in the SCNU.
The ancillary area should includeThe ancillary area should include
space for the following:space for the following:
•• Gowning area at the entranceGowning area at the entrance
•• Hand washing stationsHand washing stations
30. • Examination areaExamination area
• Clean area for mixing intravenousClean area for mixing intravenous
fluids and medicationsfluids and medications
• Mother’s area for expression ofMother’s area for expression of
breast milk, breastfeeding andbreast milk, breastfeeding and
learning mother craftslearning mother crafts
• Side laboratorySide laboratory
• Boiling and autoclavingBoiling and autoclaving
31. Gowning roomGowning room
clear floor space, excluding entryclear floor space, excluding entry
work area, for gowning.work area, for gowning.
A hands-free, elbow-operated hand-A hands-free, elbow-operated hand-
washing station for hand hygienewashing station for hand hygiene
and areas for gowning and storage ofand areas for gowning and storage of
clean and soiled materials should beclean and soiled materials should be
provided near the entrance.provided near the entrance.
The room should have self-closingThe room should have self-closing
devices on all exitsdevices on all exits
32. Hand washing stationsHand washing stations
stations should be so positioned thatstations should be so positioned that
every newborn bed is within 20 feetevery newborn bed is within 20 feet
(6 metres).(6 metres).
Handwashing stations should be noHandwashing stations should be no
closer than three feet (0.9 metres)closer than three feet (0.9 metres)
from a newborn bed or clean supplyfrom a newborn bed or clean supply
storage.storage.
33. Cont…Cont…
Hand washing sinks should be largeHand washing sinks should be large
enough to control splashing andenough to control splashing and
designed to prevent standing ordesigned to prevent standing or
retained water.retained water.
Preferably, the hand washing sinkPreferably, the hand washing sink
should be 24” wide x 16” front toshould be 24” wide x 16” front to
back x 10” deepback x 10” deep
34. Cont…Cont…
Space for pictorial hand washingSpace for pictorial hand washing
instructions should be provided above allinstructions should be provided above all
sinks.sinks.
Walls adjacent to hand washing sinksWalls adjacent to hand washing sinks
should be constructed of non-porous/non–should be constructed of non-porous/non–
absorbent material to prevent growth ofabsorbent material to prevent growth of
moulds.moulds.
Space should be provided for soap andSpace should be provided for soap and
towel dispensers, and for appropriatetowel dispensers, and for appropriate
trash receptaclestrash receptacles..
35. Examination areaExamination area
This should includeThis should include
comfortable seating and allowcomfortable seating and allow
complete visual and acoustic privacycomplete visual and acoustic privacy
36. Mother’s areaMother’s area
Comfortable seating and privacyComfortable seating and privacy
should be provided within the unit toshould be provided within the unit to
allow mothers to breastfeedallow mothers to breastfeed
comfortably.comfortably.
This area should have communicationThis area should have communication
aides so that families can learn aboutaides so that families can learn about
newborn care practices.newborn care practices.
37. General support spaceGeneral support space
Clean utility/holding area(s):Clean utility/holding area(s):
SuchSuch areas should be there for storage ofareas should be there for storage of
supplies frequently used in the care ofsupplies frequently used in the care of
newborns. Routinely used supplies such asnewborns. Routinely used supplies such as
diapers, linen, cover gowns, charts, etc.,diapers, linen, cover gowns, charts, etc.,
may be stored in this space.may be stored in this space.
Space should also be provided for storageSpace should also be provided for storage
of syringes, needles, intravenous infusionof syringes, needles, intravenous infusion
sets and sterile trays.sets and sterile trays.
38. Soiled utility roomSoiled utility room
This is essential for storing used andThis is essential for storing used and
contaminated material before itscontaminated material before its
removal from the care area.removal from the care area.
Unless used only as a holding room,Unless used only as a holding room,
this room should contain a counterthis room should contain a counter
and a handsfree hand washing stationand a handsfree hand washing station
separate from any utility sinks.separate from any utility sinks.
39. Soiled utility roomSoiled utility room
Ideally the ventilation system in theIdeally the ventilation system in the
soiled utility/holding room should besoiled utility/holding room should be
engineered to have negative airengineered to have negative air
pressure with all air being exhaustedpressure with all air being exhausted
to the outside; a simple exhaust fanto the outside; a simple exhaust fan
can also improve ventilation in thecan also improve ventilation in the
area.area.
40. staff work areasstaff work areas
Along with the provision of chartingAlong with the provision of charting
space on each bedside, an additionalspace on each bedside, an additional
separate area or desk for tasks, suchseparate area or desk for tasks, such
as compiling records, completingas compiling records, completing
requisitions, etc., should be provided,requisitions, etc., should be provided,
Dedicated space can also be allocatedDedicated space can also be allocated
for electronic medical record keeping.for electronic medical record keeping.
41. Linen washing/laundry areaLinen washing/laundry area
If laundry facilities are notIf laundry facilities are not
provided, a separate laundryprovided, a separate laundry
room can serve the functions ofroom can serve the functions of
laundry.laundry.
Space should accommodate aSpace should accommodate a
washing machine with dryer.washing machine with dryer.
42. Staff support spaceStaff support space
Space should be provided within theSpace should be provided within the
unit to meet the professional,unit to meet the professional,
personal and administrative needs ofpersonal and administrative needs of
the staff.the staff.
These areas include doctors’ dutyThese areas include doctors’ duty
room ,nurses’ changing room, etc.room ,nurses’ changing room, etc.
Rooms should be sized and located toRooms should be sized and located to
provide easy access to the SCNU.provide easy access to the SCNU.
43. Step down areaStep down area
An additional five bed step down areaAn additional five bed step down area
where recovering neonates can stay withwhere recovering neonates can stay with
their mothers before discharge is of addedtheir mothers before discharge is of added
advantage to a SCNU. This will relieve theadvantage to a SCNU. This will relieve the
pressure on the SCNU to some extent.pressure on the SCNU to some extent.
The additional space requirement shouldThe additional space requirement should
be about 40-50 sq ft per bed: the spacebe about 40-50 sq ft per bed: the space
can be in the SCNU or in the vicinity or incan be in the SCNU or in the vicinity or in
the postnatal wardthe postnatal ward..
45. Power supplyPower supply – The unit should have a– The unit should have a
24-hour uninterrupted stabilised power24-hour uninterrupted stabilised power
supply.supply.
Back up power supply is a must, with oneBack up power supply is a must, with one
or two outlets.or two outlets.
Lighting of the unitLighting of the unit – The unit should be– The unit should be
well illuminated with adequate daylight.well illuminated with adequate daylight.
Panel of lights with cool white fluorescentPanel of lights with cool white fluorescent
tubes, preferably CFL or LED (light-tubes, preferably CFL or LED (light-
emittingemitting
46. Electrical outlet for individualElectrical outlet for individual
beds –beds –
To handle equipment, 6-8 central voltageTo handle equipment, 6-8 central voltage
stabilised outlets are required per bed:stabilised outlets are required per bed:
4 of them should be of 5 amperes and4 of them should be of 5 amperes and
another 4 of 15 amperes. Two alternateanother 4 of 15 amperes. Two alternate
sockets for mobile bed-side X raysockets for mobile bed-side X ray
equipment or USG machine need to beequipment or USG machine need to be
planned.planned.
47. Lighting of the unitLighting of the unit
The unit should be well illuminatedThe unit should be well illuminated
with adequate daylight. Panel ofwith adequate daylight. Panel of
lights with cool white fluorescentlights with cool white fluorescent
tubes, preferably CFL or LED (light-tubes, preferably CFL or LED (light-
emitting diodes) will be required foremitting diodes) will be required for
adequate illumination.adequate illumination.
48. Mechanical needsMechanical needs
Floor surfacesFloor surfaces
Floor surfaces should be easily cleanableFloor surfaces should be easily cleanable
and should minimise the growth ofand should minimise the growth of
microorganisms.microorganisms.
Materials should permit cleaning withoutMaterials should permit cleaning without
the use of chemicals.the use of chemicals.
floors should be highly durable tofloors should be highly durable to
withstand frequent cleaning and heavywithstand frequent cleaning and heavy
traffictraffic
49. Flooring cont...Flooring cont...
Vitrified tiles are preferred. Other flooringVitrified tiles are preferred. Other flooring
that may be used includes Kota Stone orthat may be used includes Kota Stone or
chip flooringchip flooring
however, such flooring needs to be well-however, such flooring needs to be well-
polished.polished.
50. Wall surfaceWall surface
Durability, and acoustical propertiesDurability, and acoustical properties
of wall surfaces must be considered.of wall surfaces must be considered.
AlthoughAlthough
commonly used, vinyl wall coveringcommonly used, vinyl wall covering
contains PVC (which degrades indoorcontains PVC (which degrades indoor
air quality), and thus should beair quality), and thus should be
avoided.avoided.
Walls should be glazetiled up to aWalls should be glazetiled up to a
height of at least seven feet.height of at least seven feet.
51. Water SupplyWater Supply
The unit should have 24 hourThe unit should have 24 hour
uninterrupted running water supply.uninterrupted running water supply.
A separate overhead tank with aA separate overhead tank with a
capacity of 1,000 to 2,000 litres.capacity of 1,000 to 2,000 litres.
52. LightingLighting
Perception of skin tones is critical inPerception of skin tones is critical in
a SCNU; light sources should providea SCNU; light sources should provide
accurate skin-tone recognition.accurate skin-tone recognition.
Light sources should be as free asLight sources should be as free as
possible of glare or veilingpossible of glare or veiling
reflections.reflections.
54. TemperatureTemperature
The unit should be designed toThe unit should be designed to
provide an air temperature of 78.8°Fprovide an air temperature of 78.8°F
to 82.4°F (26-28° C).to 82.4°F (26-28° C).
AIRCONDITIONING (SPLIT / CENTRAL) – 25 + OR – 2AIRCONDITIONING (SPLIT / CENTRAL) – 25 + OR – 2
DEGREES CENTIGRADEDEGREES CENTIGRADE
55. VentilationVentilation
Ventilation in the unit should inhibitVentilation in the unit should inhibit
particulate matter from movingparticulate matter from moving
freely in the space and to minimisefreely in the space and to minimise
drafts on or near the newborn beds,drafts on or near the newborn beds,
General ventilation can be providedGeneral ventilation can be provided
in two waysin two ways
exhaust-only andexhaust-only and
supply-and-exhaust.supply-and-exhaust.
56. VentilationVentilation
Exhaust fansExhaust fans
pull stale air out of the unit while drawingpull stale air out of the unit while drawing
fresh air in through cracks, windows orfresh air in through cracks, windows or
fresh air intakes.fresh air intakes.
Exhaust-only ventilation is a good choiceExhaust-only ventilation is a good choice
for units that do not have existingfor units that do not have existing
ductwork to distribute heated or cooledductwork to distribute heated or cooled
air.air.
58. Neonatal ICUNeonatal ICU
Facilities in the NICUFacilities in the NICU
We propose to have all equipment andWe propose to have all equipment and
monitors to support the newbornmonitors to support the newborn
59. ACCESSORIESACCESSORIES
3 OXYGEN OUTLETS,3 OXYGEN OUTLETS,
3 SUCTION OUTLETS (GASTRIC,3 SUCTION OUTLETS (GASTRIC,
TRACHEAL & UNDERWATER SEAL),TRACHEAL & UNDERWATER SEAL),
TWO COMPRESSED AIR OUTLETS AND 16TWO COMPRESSED AIR OUTLETS AND 16
POWER OUTLETS PER BED.POWER OUTLETS PER BED.
STORAGE BY EACH BEDSIDE (BUILT IN /STORAGE BY EACH BEDSIDE (BUILT IN /
ALCOVE).ALCOVE).
60. ACCESSORIESACCESSORIES
HAND RINSE SOLUTION BY EACHHAND RINSE SOLUTION BY EACH
BEDSIDE.BEDSIDE.
EQUIPMENT SHELF AT THE HEADEQUIPMENT SHELF AT THE HEAD
END (MIND THE HEIGHT OF THEEND (MIND THE HEIGHT OF THE
CARE GIVER).CARE GIVER).
61. ACCESSORIESACCESSORIES
HOOKS & DEVICES TO HANGHOOKS & DEVICES TO HANG
INFUSIONS / BLOOD BAGS – SUSPENDEDINFUSIONS / BLOOD BAGS – SUSPENDED
FROM THE CEILING WITH A SLIDINGFROM THE CEILING WITH A SLIDING
RAIL TO POSITION.RAIL TO POSITION.
INFUSION PUMPS TO BE MOUNTED ONINFUSION PUMPS TO BE MOUNTED ON
STANDS / POLES.STANDS / POLES.
62. EQUIPMENTEQUIPMENT
MONITORING EQUIPMENTMONITORING EQUIPMENT
THERAPEUTIC EQUIPMENTTHERAPEUTIC EQUIPMENT
DIGITAL & ANALOGUE DISPLAYDIGITAL & ANALOGUE DISPLAY
AUDIO & VISUAL ALARMSAUDIO & VISUAL ALARMS
BATTERY BACK UP & CHARGINGBATTERY BACK UP & CHARGING
63. EquipmentsEquipments
EssentialEssential
1. Open care system: radiant warmer, fixed1. Open care system: radiant warmer, fixed
height, with trolley, drawers,height, with trolley, drawers,
O2-bottle (12)O2-bottle (12)
2. Phototherapy unit, single head, high2. Phototherapy unit, single head, high
intensity (6)intensity (6)
3. Resuscitator, hand-operated, neonate,3. Resuscitator, hand-operated, neonate,
250 ml (2)250 ml (2)
4. Resuscitator, hand-operated, neonate,4. Resuscitator, hand-operated, neonate,
500ml (4)500ml (4)
65. EquipmentsEquipments
10. Oxygen hood, S and M, set of 3 each,10. Oxygen hood, S and M, set of 3 each,
including connecting tubes.(6)including connecting tubes.(6)
11. Oxygen concentrator (4)11. Oxygen concentrator (4)
12. Thermometer,clinical,digital,32-43ºC12. Thermometer,clinical,digital,32-43ºC
(12)(12)
13. Scale, baby, electronic, 10 kg <5g> (4)13. Scale, baby, electronic, 10 kg <5g> (4)
14. Pulse oxymeter, bedside, neonatal (6)14. Pulse oxymeter, bedside, neonatal (6)
71. PREPARATION TO PARTICIPATE IN THE ON-SITEPREPARATION TO PARTICIPATE IN THE ON-SITE
EDUCATION OF CRITICAL CARE UNIT NURSINGEDUCATION OF CRITICAL CARE UNIT NURSING
STAFF.STAFF.
ABILITY TO FOSTER A COOPERATIVEABILITY TO FOSTER A COOPERATIVE
ATMOSPHERE WITH REGARD TO THEATMOSPHERE WITH REGARD TO THE
MULTIDISCIPLINARY TRAININGMULTIDISCIPLINARY TRAINING
PERSONNEL INVOLVED IN THE CARE OF CRITICALPERSONNEL INVOLVED IN THE CARE OF CRITICAL
CARE UNIT PATIENTS.CARE UNIT PATIENTS.
72. REGULAR PARTICIPATION IN ONGOINGREGULAR PARTICIPATION IN ONGOING
CONTINUING NURSING EDUCATIONCONTINUING NURSING EDUCATION
KNOWLEDGE ABOUT CURRENTKNOWLEDGE ABOUT CURRENT
ADVANCES IN THE FIELD OF CRITICALADVANCES IN THE FIELD OF CRITICAL
CARE NURSING.CARE NURSING.
PARTICIPATION IN STRATEGICPARTICIPATION IN STRATEGIC
PLANNING AND REDESIGN EFFORTSPLANNING AND REDESIGN EFFORTS
73. MEDICAL STAFFING – COVER FOR EVERYMEDICAL STAFFING – COVER FOR EVERY
SHIFT WITH COMPETENCE TO HANDLESHIFT WITH COMPETENCE TO HANDLE
ANY EMERGENCY.ANY EMERGENCY.
ANCILLARY STAFF – THERAPISTS,ANCILLARY STAFF – THERAPISTS,
TECHNICIANS, RADIOGRAPHERS etc.TECHNICIANS, RADIOGRAPHERS etc.
RECEPTIONIST, CHAPLAIN /RECEPTIONIST, CHAPLAIN /
COUNSELLOR.COUNSELLOR.
74. PERSONNEL DEVELOPMENTPERSONNEL DEVELOPMENT
IN SERVICE EDUCATION PROGRAMMESIN SERVICE EDUCATION PROGRAMMES
DEBRIEF SESSIONS – TO BURN OUTDEBRIEF SESSIONS – TO BURN OUT
TEAM BUILDING EXERCISESTEAM BUILDING EXERCISES
INVOLVEMENT IN POLICY DEVELOPMENTINVOLVEMENT IN POLICY DEVELOPMENT
77. DOCUMENTATIONDOCUMENTATION
CONVENTIONALCONVENTIONAL
ELECTRONIC MEDICAL RECORDS (EMR)ELECTRONIC MEDICAL RECORDS (EMR)
Bedside terminals
Interfaced with existing hospital data
Systems, data retrieval (laboratory
Results, x-ray reports, etc.).
Remote data transmission capabilities
(to offices, on-call rooms, etc.)
78. OTHER FACILITIESOTHER FACILITIES
BEREAVEMENT & AFTER CARE SERVICESBEREAVEMENT & AFTER CARE SERVICES
COUNSELLINGCOUNSELLING
LAST OFFICELAST OFFICE
SUPPORT SYSTEMS FOR PATIENTSUPPORT SYSTEMS FOR PATIENT
RELATIVES & STAFFRELATIVES & STAFF
79. REFERENCESREFERENCES
Guidelines for Intensive Care Unit Design –
Crit Care Med 1995 Mar; 23(3):582-
588.
John, G. Essentials of Critical Care, Edition IV,
(2003), Shakti Prints, Vellore.
Worthley, L.I.G. Clinical Examination of the
Critically Ill Patient, Edition II, (2000), The
Australasian Academy of Critical Care Mediicne,
South Australia.
