Mandatory practice for all neonatal unit staff. Instruct attendants and mothers (especially in Kangaroo Mother Care room) regarding hand and chest hygiene.
📹 Hand Hygiene (Hand wash & Hand Rub) – Video
Follow these instructions to ensure proper and consistent record keeping.
📹 Documentation Guidelines – Video
Staff must wear clean scrubs, roll sleeves till mid-forearm, avoid rings/watches, and ensure clothing does not brush surfaces. Scarfs are permitted.
Before shift ends, enter patient admission and death data in the online proforma.
Do not use your phone in front of attendants—they may not understand you're performing clinical work.
Use designated formats for specific situations. Prefer printed formats, or replicate manually.
📄 Vital Signs Monitoring Sheet
📄 Vital Signs + Mechanical Ventilation Sheet
🕐 Exchange Transfusion Sheet: (Upcoming)
Use this sample format to document procedures and ensure safe care.
📄 Procedure Documentation Format
On-call residents must record detailed handovers in the register — including observations and morning plans for each patient.
Review the official protocol before initiating discharge on request or LAMA.
Follow standardized protocols when transferring a neonate between facilities to ensure continuity of care and proper documentation.
🔗 Transfer Documentation Guide
The postgraduate resident on morning duty in Nursery Emergency will conduct a morning round in postnatal wards of all gyne units, and document the names of the babies in a separate round register that will be provided and maintained by Sister Incharge of the nursery emergency. Motherfeeding, vaccinations, and general hygiene will be advised to mothers of all babies. Danger signs (red flag signs) will be narrated to all mothers.
To ensure optimal neonatal care, the NICU environment must meet the following standards:
- The distance between two baby cots or bay incubators should be at least 2.4 meters.
- Each baby should be accessible from both sides of the incubator (windows on both sides).
- Routine light intensity should be 600 lux. A lux meter must be available to measure indoor light intensity, and staff should specify how many bulbs/light sources are required to maintain this level. (600 lux is slightly brighter than outdoor light during sunrise/sunset, and comparable to a well-lit office desk).
- For procedures, light intensity should be increased to 2000 lux. (This is similar to natural light levels on a bright overcast day outdoors).
- Sound/noise levels should not exceed 60 dB (equivalent to normal conversation at regular volume).
No comments:
Post a Comment