I am working as an RN at a small mission hospital in village India, and need suggestions for educating the nursing staff and setting up a small NICU. The hospital has fairly limited resources (in terms of technology, meds, etc), and the patients we serve are very poor and uneducated. Our main patient population is maternal-child, and we deal with many complicated cases of eclampsia, premature births, placenta previa, placental abruption, birth asphyxia, maternal anemia (hemoglobins as low as 1-3 gms at times), neonatal sepsis and tetanus, etc
I am not a neonatal nurse (I mainly worked Adult Med surg in the US), and would love any suggestions from NICU nurses or helpful websites about neonatal nursing care:
1. I am looking for good, fairly simple neonatal assessment charting forms that could be modified and used by the nurses here...physical assessment at birth and the following days, intake/output, etc.
2. What are the common protocols/medical management of premature newborns?...concerning feedings (when to start, method, frequency, etc), positioning, and IV fluids and meds
3. Respiratory status: tips for assessment, dealing with apnea, etc. Along this line, we are considering getting a neonatal CPap - what are the indications/contraindications for its use, benefits of its use, settings, etc?
4. Jaundice and phototherapy