Neonatal intensive care organization: Problems and solutions

Abstract

Development of neonatal intensive care unit requires careful planning with the joint efforts of physicians, nurses and architects. The plan should be based on functional efficiency. Neonatal intensive care unit ideally should be next to the obstetric suite. Components of the NICU plan should include supportive services, such as microchemistry laboratory, x-ray, and other facilities for social service and continuing education. Minimal monitoring equipment required is heart and respiratory rate monitors and temperature recorders. Newer techniques of blood gas monitoring along with bedside techniques of biochemical monitoring should be freely utilized. While it is obvious that the cost of building an NICU is prohibitive, one should establish the priorities within the local unit and work out plans within ones resources. Innovative ideas should be developed to suit local facilities and talents.