STANDARD PRACTICES

1. Hand Hygiene

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

2. Documentation Best Practices

Follow these instructions to ensure proper and consistent record keeping.

📹 Documentation Guidelines – Video

3. Dress Code

Staff must wear clean scrubs, roll sleeves till mid-forearm, avoid rings/watches, and ensure clothing does not brush surfaces. Scarfs are permitted.

4. Daily Admission & Discharge Entry

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.

🔗 NNU 1 Data Entry Form

📹 Data Entry Training Video

5. Monitoring Sheets

Use designated formats for specific situations. Prefer printed formats, or replicate manually.

📄 Vital Signs Monitoring Sheet

📄 Vital Signs + Mechanical Ventilation Sheet

📄 Vital Signs + nCPAP Sheet

🕐 Exchange Transfusion Sheet: (Upcoming)

6. Procedure Documentation

Use this sample format to document procedures and ensure safe care.

📄 Procedure Documentation Format

7. Patient Handover

On-call residents must record detailed handovers in the register — including observations and morning plans for each patient.

8. Discharge on Request & LAMA

Review the official protocol before initiating discharge on request or LAMA.

🔗 Discharge Guidelines

9. Documentation for Hospital Shifting

Follow standardized protocols when transferring a neonate between facilities to ensure continuity of care and proper documentation.

🔗 Transfer Documentation Guide

10. Morning Round in Postnatal Wards

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.

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