The document discusses the organization and setup of a Neonatal Intensive Care Unit (NICU). It describes the personnel, equipment, and facilities required in a NICU. Key personnel include neonatologists, nurses, respiratory therapists, and other support staff. Essential equipment includes incubators, monitors to assess vital signs, oxygen supplies, feeding equipment, and ventilators. Transport of sick infants to the NICU is also addressed, emphasizing the importance of stabilizing infants before transferring and maintaining their body temperature. Nurses play an important role in providing physical, emotional and family support to critically ill newborns in the NICU.

1. ORGANIZATION
OF NICU
KHUSHBU PATEL
GCS COLLEGE OF NURSING

2. • A Neonatal Intensive Care
Unit (NICU)—also called a Special Care
Nursery, newborn intensive care
unit, intensive care nursery (ICN),
and special care baby unit (SCBU)—is
an intensive care unit specializing in the
care of ill or premature newborn infants.

4. PHYSICAL LAYOUT

10. • PERSONNEL OF NICU:-
• Medical personnel:-
Doctor(Neonatologist/H.O.D.)
• Paramedical personnel:- Nurses
• Others:Class 4

11. • Medical personnel:-
• 3 neonatal physician for each 6 to 10
admissions
• 1:5 ratio of neonatal physician to patient
• 1 resident doctor available for 24 hours.
• Paramedical personnel:-
• 1 respiratory therapist
• Nurse:patient ratio:-1:1 in special care units
& In PICU, the ratio is 1:3 and Nurse
should have specialized degree in neonatal
care

12. • Other staff:-
• Maintenance staff:1 sweeper should be
there for 24 hours & 1 laundry boy,
• 1 lab technician
• 1 social worker attached to NICU care
• Nursing staff:-
• The nurse to patients ratio should be 1:4-5
per shift in SICU. While in more intensive
care area providing mechanical ventilation
support,nurse: baby ratio should be 1:1-2
per shift.

13. EQUIPMENTS
THERMOMETER STETHOSCOPE

14. ELECTRONIC BABY
WEIGHING SCALE

15. INCUBATOR

16. OVERHEAD RADIANT
WARMERS

17. RESUSCITATION
EQUIPMENT

18. HEART RATE
MONITOR

19. Respiratory support
equipment

21. OXYGEN AND
SUCTION FACILITIES

22. CATHETERS,SYRINGES
AND NEEDLES

23. FEEDING EQUIPMENTS

24. LAMINAR FLOW
SYSTEM

25. • These systems are useful for safe and
aseptic formulation and mixing of
drugs,parenteral fluids and nutrients.High
efficiency particulate aggregate(HEPA)
filter is used to filter out bacteria.Two types
of systems are available.In a vertical type
system,the air flow from above downwards
and it is recommended for use in the NICU.

26. BASSINETS

27. OXYGEN ANALYZER

28. BLOOD PRESSURE
MONITOR

29. MULTI-CHANNEL
VITAL SIGN MONITOR

30. INFUSION PUMP

31. PULSE OXIMETRY

32. CAPNOGRAPHY OR EtCO2
MONITORING

33. VENTILATORS

35. TRANSPORT OF SICK
INFANTS
• The goal of every transport is to bring
a sick neonate to specialized neonatal
center in a stable condition.
• To avoid complications during
transport, the infant should be as
stable as possible before leaving the
referring hospital and warm chain
should be maintained.

36. NURSES’ ROLE AND
REPONSIBILITY
To provide-
• continuing, comprehensive physical care
and supportive treatment.
• emotionally supportive care to acutely ill
children.
• empathetic support to parents and
families of children in the NICU.

37. • To function effectively and safely, the
ICU nurse should demonstrate the
following capabilities :
• Good physical and emotional health
• Understanding or pathophysiology
underlying diseases.
• Knowledge and understanding of
sophisticated monitoring equipment
and special apparatus.

38. • Ability to reason objectively and to
judge and be aware of rapidly
changing situations.
• Ability to interpret data and to take
rapid, decisive action.
• Ability to perform complex technical
skills correctly and organized manner.

39. • Understanding of the impact of
illness and hospitalization on the life
of the child.
• Understanding of parental responses
and ways of coping with the stress of
a critically ill child.
• Ability to record data concisely,
accurately and thoroughly.

40. PHYSICAL CARE OF THE
CHILD
• Apply understanding of the
pathogenesis of the disease.
• Perform complex technical skills to
monitor and support the child.
• Perform nursing activities related to
life support of child.

41. • Apply general nursing measures
for patient comfort and
prevention of complications.
• Provide careful, continuous
clinical observations of the
child.

43. THANK YOU