this is a guide to creating an audit

1. NICU AND NEONATAL WARD
CENSUS CHAITRA , 2080

2. 19
16
27
21
0
5
10
15
20
25
30
POUSH MAGH FALGUN CHAITRA
TOTAL NICU ADMISSION:21

3. INBORN/OUTBORN
INBORN OUTBORN
16(76.2%)
5(23.8%)

4. GENDER DISTRIBUTION
11(52.4%)
10(47.6%)
MALES FEMALES

5. WEEKS OF GESTATION
WEEKS OF GESTATION N=21
<28 WOG -
28 – 31+6 WOG 1(4.8%)
32-36+6 WOG 4 (19%)
37- 41+6 WOG 15 (71.4%)
> = 42 WOG 1(4.8%)

6. WEIGHT IN GRAMS
WEIGHT(GRAMS) N=21
<1000 -
1000- 1499 1 (4.8%)
1500-2499 4 (19%)
2500-3499 14 (66.7%)
>3500 2 (9.5%)

7. ADMISSIONS FROM
6(28.6%)
6(28.6%)
5(23.8%)
0
1
2
3
4
5
6
7
ER GYNAE OT LR PNC NNW
3 (14.2%)
1(4.8%)

8. INTERVENTION
9(42.9%)
8(38.1%)
1 (4.7%) MECHANICAL VENTILATOR
BUBBLE CPAP
OXYGEN
NONE
3(14.3 %)
SURFACTANT:1

9. FINAL DIAGNOSIS
PRETERM (5)
N=5
1. PRETERM ( 34+4 WOG )/ MBS (34 WOG)/AGA/ LOW BIRTH WEIGHT(2 KGS)/ RESPIRATORY DISTRESS
SYNDROME GRADE II/ POST SURFACTANT STATUS
2. PRETERM ( 34+6 WOG )/ MBS (36 WOG)/AGA/ LOW BIRTH WEIGHT(2.135 KGS)/ PRESUMED NEONATAL
SEPSIS/TRANSIENT NEONATAL HYPOGLYCEMIA
3. PRETERM(34+1 WOG)/ MBS(35 WOG)/AGA/LOW BIRTH WEIGHT (1.895 KGS)/ PERINATAL
ASPHYXIA/HYPOXIC ISCHEMIC ENCEPHALOPATHY STAGE I/RESPIRATORY DISTRESS SYNDROME
GRADE I
4. PRETERM (32+3WOG)/MBS (34WOG)/AGA/ LOW BIRTH WEIGHT (1.89KGS)/RESPIRATORY DISTRESS
SYNDROME GRADE I
5. PRE-TERM(29WOG)/ MBS(31WOG)/AGA/ VLBW(1.07KGS) RESPIRATORY DISTRESS SYNDROME GRADE
I/PERINATAL ASPHYXIA/POST CPR STATUS/HYPOCALCEMIA/BRONCHOPULMONARY DYSPLASIA
1
1
1
1
1

10. FINAL DIAGNOSIS
TERM/AGA (16)
N=8
1. PERSUMED NEONATAL SEPSIS
2. EARLY ONSET NEONATAL SEPSIS/INFANT OF HYPOTHYROID MOTHER
3. TRANSIENT TACHYPNEA OF NEWBORN
4. SYMMETRICAL INTRAUTERINE GROWTH RESTRICTION (PI 2.1)/NEONATAL
HYPOGLYCEMIA/EARLY ONSET NEONATAL SEPSIS/ PERSISTENT PULMONARY HYPERTENSION
5. TWIN B/PERINATAL ASPHYXIA/HYPOXIC ISCHEMIC ENCEPHALOPATHY STAGE I/EARLY ONSET
NEONATAL SEPSIS
6. EARLY ONSET NEONATAL SEPSIS/INTRAVENTRICULAR HEMORRHAGE GRADE II/ MUSCULAR
VENTRICULAR SEPTAL DEFECT
7. LARGE FOR GESTATIONAL AGE(4.085 KGS)/ PERINATAL ASPHYXIA/HYPOXIC ISCHEMIC
ENCEPHALOPATHY STAGE II/EARLY ONSET NEONATAL SEPSIS
8. ASYMMETRICAL INTRAUTERINE GROWTH RESTRICTION (PI 1.9)/ LOW BIRTH WEIGHT (2.25 KGS)/
MECONIUM ASPIRATION SYNDROME/PERINATAL ASPHYXIA/HYPOXIC ISCHEMIC
ENCEPHALOPATHY STAGE II/ EARLY ONSET NEONATAL SEPSIS
1
1
1
1
1
1
1
1

11. FINAL DIAGNOSIS
TERM/AGA (16)
N=8
1. PERINATAL ASPHYXIA/HYPOXIC ISCHEMIC ENCEPHALOPATHY STAGE II/EARLY ONSET NEONATAL
SEPSIS
2. PERINATAL ASPHYXIA/HYPOXIC ISCHEMIC ENCEPHALOPATHY STAGE I/EARLY ONSET NEONATAL
SEPSIS
3. PERINATAL ASPHYXIA/HYPOXIC ISCHEMIC ENCEPHALOPATHY STAGE II/EARLY ONSET NEONATAL
SEPSIS/ET TUBE TIP CULTURE POSITIVE (ENTEROBACTER AND PSEUDOMONAS ISOLATED)
4. MECONIUM ASPIRATION SYNDROME/PRESUMED NEONATAL SEPSIS
5. LATE ONSET NEONATAL SEPSIS/ BRONCHIOLITIS WITH SECONDARY CHEST INFECTION
6. HYPERNATREMIC DEHYDRATION/LATE ONSET NEONATAL SEPSIS/ PRERENALAKI/SEVERE
METABOLIC ACIDOSIS/HYPOVOLEMIC SHOCK/SUPRAVENTRICULAR TACHYCARDIA
7. MECONIUM ASPIRATION SYNDROME/ PERINATAL ASPHYXIA/ HYPOXIC ISCHEMIC
ENCEPHALOPATHY STAGE III/ SEVERE METABOLIC ACIDOSIS (CORRECTED)
8. POST TERM (42+4 WOG)/ ASYMMETRIC IUGR (PI 1.9)/PERINATAL ASPHYXIA/ HYPOXIC ISCHEMIC
ENCEPHALOPATHY STAGE II/EARLY ONSET NEONATAL SEPSIS
1
1
1
1
1
1
1
1

12. DURATION OF STAY
12(57.1 %)
7(33.4%%)
2(9.5%)
0
2
4
6
8
10
12
14
< 5 DAYS 5 TO 10 DAYS >10 DAYS

13. OUTCOME
17(81%)
2(9.5%) 2(9.5%)
0
2
4
6
8
10
12
14
16
18
SHIFT TO NEONATAL WARD LAMA NICU

14. LAMA CASE
NAME DOA LAMA
DATE
DIAGNOSIS CAUSE CONDITIO
N NOW
B/O ARUNA
TAMANG
2024/03/20 2024/03/21 TERM/ APPROPRIATE FOR
GESTATIONAL AGE (3.55
KGS)/MECONIUM ASPIRATION
SYNDROME/ PERINATAL ASPHYXIA/
HYPOXIC ISCHEMIC
ENCEPHALOPATHY STAGE III/
SEVERE METABOLIC ACIDOSIS
(CORRECTED)
POOR
PROGNOSIS
EXPIRED
B/O DIPA
THAKURI
2024/03/18 2024/03/19 TERM/ MECONIUM ASPIRATION
SYNDROME/PRESUMED NEONATAL
SEPSIS
FINANCIAL ALIVE

15. NEONATAL WARD
TOTALADMISSION=29

16. TOTALADMISSION= 29
22
23
30
0
10
20
30
40
50
60
POUSH MAGH FALGUN CHAITRA
29

17. INBORN/OUTBORN
21(72.4%)
8 (27.6%)
INBORN OUTBORN

18. GENDER DISTRIBUTION
16(55.2%)
13(44.8%)
MALES FEMALES

19. WEEKS OF GESTATION
WEEKS OF GESTATION N= 29
< 28 -
28 – 31+6 -
32 – 36+6 5 (17.2%)
37 – 41+6 23 (79.4%)
>= 42 1 (3.4%)

20. BIRTH WEIGHT( GRAMS)
WEIGHT N=29
<1000 -
1000- 1499 -
1500- 2499 7 (24.1%)
2500 -3499 17 (58.6%)
> = 3500 5 (17.3%)

21. 17(58.6%)
6(20.7%)
2(6.9%) 2(6.9%)
0
2
4
6
8
10
12
14
16
18
NICU OPD ER PNC OT
ADMITTED/ SHIFTED FROM
2(6.9%)

22. FINAL DIAGNOSIS
PRETERM (4)
N=4
1. PRETERM ( 34+4 WOG )/ MBS (34 WOG)/AGA/ LOW BIRTH WEIGHT(2 KGS)/ RESPIRATORY DISTRESS
SYNDROME GRADE II/ POST SURFACTANT STATUS
2. PRETERM ( 34+6 WOG )/ MBS (36 WOG)/AGA/ LOW BIRTH WEIGHT(2.135 KGS)/ PRESUMED NEONATAL
SEPSIS/TRANSIENT NEONATAL HYPOGLYCEMIA
3. PRETERM(34+1 WOG)/ MBS(35 WOG)/AGA/LOW BIRTH WEIGHT (1.895 KGS)/ PERINATAL
ASPHYXIA/HYPOXIC ISCHEMIC ENCEPHALOPATHY STAGE I/RESPIRATORY DISTRESS SYNDROME
GRADE I
4. PRETERM (32+3WOG)/MBS (34WOG)/AGA/ LOW BIRTH WEIGHT (1.89KGS)/RESPIRATORY DISTRESS
SYNDROME GRADE I
1
1
1
1

23. FINAL DIAGNOSIS
TERM/AGA (24)
N=8
1. PERSUMED NEONATAL SEPSIS
2. EARLY ONSET NEONATAL SEPSIS/INFANT OF HYPOTHYROID MOTHER
3. TRANSIENT TACHYPNEA OF NEWBORN
4. SYMMETRICAL INTRAUTERINE GROWTH RESTRICTION (PI 2.1)/NEONATAL
HYPOGLYCEMIA/EARLY ONSET NEONATAL SEPSIS/ PERSISTENT PULMONARY HYPERTENSION
5. TWIN B/PERINATAL ASPHYXIA/HYPOXIC ISCHEMIC ENCEPHALOPATHY STAGE I/EARLY ONSET
NEONATAL SEPSIS
6. EARLY ONSET NEONATAL SEPSIS/INTRAVENTRICULAR HEMORRHAGE GRADE II/ MUSCULAR
VENTRICULAR SEPTAL DEFECT
7. LARGE FOR GESTATIONAL AGE(4.085 KGS)/ PERINATAL ASPHYXIA/HYPOXIC ISCHEMIC
ENCEPHALOPATHY STAGE II/EARLY ONSET NEONATAL SEPSIS
8. TERM(40+2 WOG)/ ASYMMETRICAL INTRAUTERINE GROWTH RESTRICTION (PI 1.9)/ LOW BIRTH
WEIGHT (2.25 KGS)/ MECONIUM ASPIRATION SYNDROME/PERINATAL ASPHYXIA/HYPOXIC
ISCHEMIC ENCEPHALOPATHY STAGE II/ EARLY ONSET NEONATAL SEPSIS
1
1
1
1
1
1
1
1

24. FINAL DIAGNOSIS
TERM/AGA (24)
N=5
1. PERINATAL ASPHYXIA/HYPOXIC ISCHEMIC ENCEPHALOPATHY STAGE II/EARLY ONSET NEONATAL
SEPSIS
2. PERINATAL ASPHYXIA/HYPOXIC ISCHEMIC ENCEPHALOPATHY STAGE I/EARLY ONSET NEONATAL
SEPSIS
3. PERINATAL ASPHYXIA/HYPOXIC ISCHEMIC ENCEPHALOPATHY STAGE II/EARLY ONSET NEONATAL
SEPSIS/ET TUBE TIP CULTURE POSITIVE (ENTEROBACTER AND PSEUDOMONAS ISOLATED)
4. LATE ONSET NEONATAL SEPSIS/ BRONCHIOLITIS WITH SECONDARY CHEST INFECTION
5. POST TERM (42+4 WOG)/ ASYMMETRIC IUGR (PI 1.9)/PERINATAL ASPHYXIA/ HYPOXIC ISCHEMIC
ENCEPHALOPATHY STAGE II/EARLY ONSET NEONATAL SEPSIS
1
1
1
1
1

25. FINAL DIAGNOSIS
TERM/AGA (24)
N=12
1. FEMALE(FOR OBSERVATION)
2. EARLY ONSET NEONATAL SEPSIS
3. PROLONGED NEONATAL JAUNDICE/CULTURE POSITIVE URINARY TRACT INFECTION (E.COLI
ISOLATED)
4. PROLONGED NEONATAL JAUNDICE/INFANT OF HYPOTHYROID MOTHER/ CULTURE POSITIVE
URINARY TRACT INFECTION(ENTEROCOCCUS ISOLATED)
5. PROLONGED NEONATAL JAUNDICE/BREASTMILK JAUNDICE
6. HYPERNATREMIC DEHYDRATION
7. LATE ONSET NEONATAL SEPSIS
8. HYPERNATREMIC DEHYDRATION/PRE-RENAL ACUTE KIDNEY INJURY/NEONATAL JAUNDICE
9. SYMMETRICAL IUGR/ NEONATAL HYPOGLYCEMIA(CORRECTED)/ EARLY ONSET NEONATAL
SEPSIS/PERSISTENT PULMONARY HYPERTENSION
10. DEHYDRATION FEVER
1
2
2
1
1
1
1
1
1
1

26. DURATION OF STAY
23(79.3%)
6(20.7%)
0
5
10
15
20
25
<5 DAYS 5-10 DAYS

27. 0
5
10
15
20
25
30
DISCHARGE LAMA
OUTCOME
28(96.5 %)
1 (3.5 %)

28. LAMA CASE
NAME DOA LAMA
DATE
DIAGNOSIS CAUSE CONDITION
NOW
B/O ANITA
TAMANG
2024/03/28 2024/03/31 TERM/ PROLONGED NEONATAL
JAUNDICE/ CULTURE POSITIVE
URINARY TRACT INFECTION(E.COLI
ISOLATED)
FINANCIAL ALIVE

29. THANK YOU!