This slides contain detailed description of radiant warmer used in hospital setting, various modes , alarms, do's and don't of radiant warmer and nursing care management for the baby under radiant warmer
This slides contain detailed description of radiant warmer used in hospital setting, various modes , alarms, do's and don't of radiant warmer and nursing care management for the baby under radiant warmer
Phototherapy in neonatal jaundice: Introduction, definition, indication, purposes, rule of thumb, lights used in phototherapy mechanism of phototherapy, techniques of phototherapy, phototherapy units, nursing care in phototherapy, short term and long term complications, nursing diagnosis in phototherapy.
Role of Child Health Nurse in caring of Hospital ChildAlka Singh
Subject : Child Health Nursing. Topic : Role Of Child Health Nurse In Child care at Hospital, Nursing Diagnosis, Various Measures to make hospital Child Friendly, Nurses Role in Care Of Toddlers, Infants, School Children, Adolescent.
Defines Exchange Transfusion, the Aims, and indications of Exchange Transfusion. Articles required, choice of donor, the procedure of exchange transfusion. Post transfusion care and the complications that can occur due to exchange transfusion. The Ppt also describes the special considerations during the procedure.
This slides contain description about breast feeding, anatomy of breast, types of human milk, good position for latching, holding for the baby, advantages of breast feeding, contraindication of breast feeding, barriers and problems associated with breast feeding with their management
The Apgar score is a test given to newborns soon after birth. This test checks a baby's heart rate, muscle tone, and other signs to see if extra medical care or emergency care is needed. The test is usually given twice: once at 1 minute after birth, and again at 5 minutes after birth
Different medications must be absorbed to be effective. For absorption, the drug must be administered in proper manner. To choose a route of administration we need to relate the dosage form, the advantages and disadvantages etc.
Phototherapy in neonatal jaundice: Introduction, definition, indication, purposes, rule of thumb, lights used in phototherapy mechanism of phototherapy, techniques of phototherapy, phototherapy units, nursing care in phototherapy, short term and long term complications, nursing diagnosis in phototherapy.
Role of Child Health Nurse in caring of Hospital ChildAlka Singh
Subject : Child Health Nursing. Topic : Role Of Child Health Nurse In Child care at Hospital, Nursing Diagnosis, Various Measures to make hospital Child Friendly, Nurses Role in Care Of Toddlers, Infants, School Children, Adolescent.
Defines Exchange Transfusion, the Aims, and indications of Exchange Transfusion. Articles required, choice of donor, the procedure of exchange transfusion. Post transfusion care and the complications that can occur due to exchange transfusion. The Ppt also describes the special considerations during the procedure.
This slides contain description about breast feeding, anatomy of breast, types of human milk, good position for latching, holding for the baby, advantages of breast feeding, contraindication of breast feeding, barriers and problems associated with breast feeding with their management
The Apgar score is a test given to newborns soon after birth. This test checks a baby's heart rate, muscle tone, and other signs to see if extra medical care or emergency care is needed. The test is usually given twice: once at 1 minute after birth, and again at 5 minutes after birth
Different medications must be absorbed to be effective. For absorption, the drug must be administered in proper manner. To choose a route of administration we need to relate the dosage form, the advantages and disadvantages etc.
Essential new born care is the care provided to the baby immediate after the birth of the baby which is very important to reduce the neonatal mortality rate includes
supporting breastfeeding.
providing adequate warmth.
ensuring good hygiene and cord care,
recognizing early signs of danger and providing prompt treatment and.
referral, giving extra care to small babies, and.
having skilled health workers attend mothers and babies at delivery.
kindly give your suggestion if you like this. Newborn care and safety are the activities and precautions recommended for new parents or caregivers. It is also an educational goal of many hospitals. it helpful for the students also for educative purpose.
NEONATAL HYPOTHERMIA PAEDIATRICS BY DR. PARTHASARATHYSamDilipPrasanth1
The World Health Organization (WHO) defines
neonatal hypothermia as an axillary temperature
below 36.5°C (97.7°F) among newborns aged
below 28 days.
Normal axillary temperature is
36.5–37.5°C
Severity Of Hypothermia
1)Mild hypothermia/cold stress 36.0–36.4°C
2)Moderate hypothermia 32.0–35.9°C
3)Severe hypothermia <32°C.
It is an environmental temperature at which the newborn has minimal
rates of oxygen consumption and expends the least energy to maintain
its temperature is needed.
Mechanism Of Heat Production in
Newborn
1)Nonshivering thermogenesis—occurs by utilizing brown fat in
newborns. Thermoreceptors on sensing a low temperature result in
elevated sympathetic output and this stimulates the beta-adrenergic
receptors in the brown fat increasing cAMP. This results in
increased metabolism and increases heat production.
2) Increased metabolic activity—the brain, heart, and liver produce
metabolic energy by oxidative metabolism of glucose, fat, and
protein.
3)Peripheral vasoconstriction—reduces blood flow to the skin and
decreases loss of heat.
MECHANISM OF HEAT LOSS IN NEWBORN
Evaporation
Radiation
Due to the
evaporation of
amniotic fluid
from skin surface
Conduction
By coming in
contact with
cold objects
such as cloth
and weighing
tray
Convection
Convection by
air currents
where cold air
replaces warm
air around baby
due
to open windows,
fans, etc.
Radiation to
colder solid
objects in
vicinity-like
walls
Risk Factors
PRETERM,
LBW,IUGR,Asphyxia
Congenital
Abdominal Wall
defects
Low delivery room
temperature, Bathing
the baby after
delivery
Removal of vernix
caseosa, Reduced
contact with mother
Delayed initiation of
breastfeed
Surgical procedures
PREVENTION OF HYPOTHERMIA IN VARIOUS
SETUPS
Memories flashed across my
mind as I came
across the first photo
of myself as a little
baby..
In delivery room and operation theater:
• Follow the 10 steps of “warm chain” recommended by the WHO.
Draught free and warm delivery room temperature of 25–28°C.
Radiant warmer to be prewarmed along with all the linen and clothes/cap before
delivery.
Cap prevents significant heat loss in preterm as well as in term infants. Remove wet towel.
Baby is placed directly on the mother’s abdomen or chest after delivery in both vaginal
and cesarean delivery.
Provide warmth by skin-to-skin contact after drying with a warm and dry linen if baby
is doing well.
Breastfeeding can be started immediately and the baby and the mother are covered
with a warm blanket. Delay bathing. No bathing in the hospital.
Resuscitation, if required, should be done under the radiant warmer and heated
humidified gases to be used if oxygen or positive pressure ventilation is required.
Prewarm medications and intravenous (IV) fluid, if required.
During surgery, abdominal organ coverage reduces the incidence of hypothermia.
Additional measures for very preterm infants (who are more prone to hypothermia due
to greater surface-to-mass ratio and lesser brown fat):
In the NICU:
• Use servocontrolled warmer or
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
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These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
2. Introduction
Incubator is an apparatus for maintaining an
infant,especially a premature infant, in an
environment of controlled
temperature, humidity, and oxygen
concentration.(Online medical dictionary).
3.
4. Incubators have simple alarm system to
alert the clinical staffs if there is any danger of
overheating of the device.In some cases power is
reduced automatically to prevent overheating
5. Principle of Incubator
Infant incubator is in the form of trolley normally
with mattress on the top covered by plastic cover.
This chamber provides a clean environment and
helps to protect the baby noise, infection, and
excessive handling.
6. Principle of Incubator
A temperature sensor is tapped into the baby’s
skin and the incubator heater adjusts to maintain
the baby at a constant temperature or the
temperature is controlled by thermostat in the
heated air stream.
7. Purpose of Incubator
An infant may require an incubator for the
following reasons:
When they are not maintaining their own temperature
with clothing and wrapping.
When they are acutely unwell and close observation is
required.
When they are at risk of abnormal heat loss.
They have a known infection/ or the potential to develop
sepsis.
8. Purpose of Incubator
Main purpose of keeping and caring a neonate in
incubator are
1. Maintenance of thermoneutral ambient
temperature
2. Provision of desired humidity and
oxygenation
3. Observation of very sick neonates
4. Isolation newborn babies from
infections, unfavorable external environment
9. Main functions of infant incubators are:
1.Temperature control
2.O2 Concentration
3.Humidity control
4.Breathing gas filtration
10. Indications of incubator
Indication of incubation care depends on ability of
neonates to sustain and adopt in external
environment. But generally all premature
babies, babies with low birth weight(<1000g) may be
stable, hypothermic child (<32˚c), Sick children need
luenbotor and its care.
Frequently incubator is used to transport babies from
one place to another, like referral to another
hospital, within the hospital for various investigations
e.g. CT scan & MRI. Neonates who need close
observation are also kept in the incubators.
11. Types:
Incubation can be of various types
1. Portable and non portable– Portable incubation can
be used to shift the patient to another area of hospital
as needed.
2. Open box type- It is also known as Armstrong, here
neonate is keep on the Plexiglas bassinet to keep
unstable babies or newly born babies. A radiant
warmer can be attached if child needs.
12. The main disadvantage of this type of incubator is it
can not maintain thermoneutral environment if lids are
open frequently. Despite it can not filter the air and
neonate is directly in the contact with external
environment. It has only advantage that neonate in
this incubator can be observed well and can be
handled easily.
13. 3. Close type - Close type of incubator has special
function to concentrate fresh air after filtration. It
prevents water loss from radiation. As neonate
remain inside the box the
risk of infection is minimum.
4. Double walled- The incubator has two walls. As
air is not good conductor of heat the incubator
prevents heat and fluid loss.
14. STEP 1.Prepare the incubator
Pre-warmed to a temperature appropriate to the
infant’s age, size and condition.
Use in Air mode and must always be switched on
with the motor running if in use for a baby.
Check and record the incubator temperature
hourly.
Position away from draughts or direct sunlight.
17. Note: Ensure alarms self-test has been completed
(automatic). If the unit fails the self test, the alarm
sounds, and one or more messages are
displayed in the trend/alarm window.
18. STEP2:Care of Baby
Maintain axilla temperature between 36.5°C and 37.2°C
Access baby by using the portholes, limit opening of large
door as this interferes with air temperature.
Ensure baby is nursed naked apart from a nappy.
Position baby utilizing rolled towels/cloth nappies to
provide boundaries that support ‘nesting’ and flexion of
limbs but keeping face clear
19.
20. Explain to parents/caregivers the purpose of an
incubator for their baby
Ensure they are familiar with how to access baby as it
is optimal for parents to continue to touch and provide
comfort.
Maintain a quiet environment
There is no tapping on the canopy.
No equipment is placed on top of the canopy.
Careful opening and closing of doors.
21. STEP 3:Adjusting incubator temperature
Default incubator temperature in NICU is 35
degrees
Adjust the incubator temperature by no more or
less than 0.5 of a degree at a time.
Re-check the temperature within half an hour of
making any adjustment.
22. STEP 4:Monitoring
Axilla temperature is taken on admission into the
incubator and rechecked in the first hour.
Temperature is documented 4-6 hourly as per the
condition.
23. STEP 5: Use of Humidification Is utilized for
incubator care of preterm babies only – NOT
required for babies >32weeks.
24. Cleaning and sterilization
When the incubator is occupied, it should be cleaned
daily with mild detergent.
Humidifier chamber must be emptied and cleaned
daily, fill with fresh distilled water.
After seven days neonate should be sifted to another
incubator and used incubator should be cleaned with
antiseptic solution.
1-2 ml of Glacial acetic acid or vinegar can be added
to water in the humidifier to prevent bacterial growth.
25. Special considerations-
1. It is important that the incubator should not
interfere with observation of the neonate and
quality of care.
2. Sensory stimuli like light and pain should be kept
to the minimal.
3. When neonate develops fever, the incubator
modes have to be changed in normal modes.
26. 4. When the neonate is nursed in prone
position, skin sensor is placed over the flank and
it should not touch the bed.
5. The neonate in the incubator should not be
bathed.
6. The daily linens should be kept within the
Nursery to keep warm.
7. No alarm should be ignored.