NICU

 The unit is comprised of two sections for the infants and neonatal (neonatal intensive care unit). The unit is dedicated to the hospitalization of one to thirty-day old babies

The infants in need of intensive cares are hospitalized in ICU. In infant ward the services are provided as stated below

Phototherapy, Blood Transfusions, Vaccination, Infants Screening, Audiology: Breast-Feeding Training to Mothers by the Mother Milk Experts, Teaching Infants Healthcare, 24-Hour Response to Mothers’ Problems, Children and Infants Specialized Doctors Present Round the Clock are all present in this unit. To accommodate the mothers whose infants are hospitalized in this section, a separate room has been provided.

Congenital Diseases Screening Program: this program is carried out in the delivery room section and the neonatal ward based on the nationwide screening program. Screening centers list spread in Tehran is available in infants ward.

Infants’ vaccination based on a nationwide vaccination program is carried out in this section

After the preliminary cares are performed and the infants are admitted, the infant and the mother can reside in mother’s room with the implementation of Rooming-In plan (mother and infant residence in a single room)

Laleh Hospital is proud to have received an appreciation plate for being a child-friendly hospital

 

 

 

Laleh Hospital is known as a child-friendly center.              

 

This section includes two infants and ICUs (infants' specialist care). This is a special section for infants 1 to 30 days old. In ICU infants, babies who need special care are taken care of. In the neonatal department, the services are provided as follows:

Phototherapy, blood transfusion, vaccination, neonatal screening, audiometric assessment, breastfeeding training for mothers, health education for infants, 24 hour response to mothers' problems. Pediatrician and neonatal specialist is 24 hours a day. There are separate rooms to accommodate the mothers of infants admitted to the department.

 

 

 

 

Section introduction:

Laleh Hospital is located in the second floor of the hospital adjacent to the Department of Obstetrics and Gynecology and Pediatrics. This unit has been operational since the completion of equipment and personnel on February 1, 2005, and the opening of this unit is important due to the high reception capacity of high risk pregnant mothers and the presence of the infertility department in this hospital. At the entrance to this section there is a nursing station. Facing the Nursing Station, the health service is located in the staff and the dirty room and the warehouse, and the main hall is divided into 5 sections, which include:

Room 245 Special - Room 246 Post - Room 255 NERSU located next to the NICU Special Room and the 254 Lunch Room , and next to that room there are 253 exchanges and at the end of the left of the main hall, the 247 staff restroom and the Pavilion 248 And a 250-room isolation room and a sanitary service. The neonatal unit is equipped with 5 varmers, 7 ventilators, 8 rebreathing devices, 3 ultrasonic suction devices, 3 balance devices, one height meter, one electric shower valve, 3 pulsed oximetry devices, 2 nebulizer units, 25 cathodes baby, 4 phototherapy   Intensive , 10 Ftvtrapv single , 9 incubator baby, 1 ECG, 6 signs monitoring devices, blood pumps 10, 8 blender  are available.

 

 

Room 245 Special:

In this section, 6 symptom monitoring devices, and one electrocoriographic device, 2 refrigerators including pharmaceutical refrigerator and breast milk, medication stokes, trilogy coding 6, central suction, and depending on the type of disease and patient admission, in this part of the restoration bed or incubator it is possible .

Room 246 or post :

In this room incubator, pulse oximetry, central suction, manometer, hood, stereochemistry, tetralogy post code of 4 droplets , phototherapy devices, breast milk storage and preserving refrigerated medication, a scale unit and a number of side chairs For parents. This part is equipped with two rooms. One of these rooms is admitted inside and outside the hospital and the other is the discharge room.

Isolated room 250:

The room is equipped with an incubator, a serum pump, a Blender , a drug stoker, a sterile glove, a sterile gloves, eye protector, an oxygen, a central suction device, a pulse oximeter, a washbasin sink.

Isolated room with two entrance doors, which is located in the right side, which is for the patient and the parents, and the door to the left of the entrance of the staff and the doctor, is a square corridor, which is a wash basin for hand washing before contact with the patient, sterile and There is a mask and gloves for the mother to contact the isolated patient.

Follow the instructions for isolation in the patient's contact with the staff and the fellows. After determining the type of patient's isolation by the physician, the patient is placed on the patient's recommended card (reverse, contagious, respiratory isolate)

Attraction 255 Nursery:

In this room, all baby adopting equipment, incl. Portable incubator, 1 bed restoration unit and varmler, all baby screening equipment, vaccine reflux, balance gauge, portable oxygen, hood, etc. are available.

Transfusion Room:

In this room, all equipment for exchange of blood exchange equipment, including bed rest, Varmerm, a complete set of blood transfusion, a complete package, and a sterile sterile glove, mask, a blood transfusion medicine, portable suction, lacquer, pulse oxy There are seats.

Babies who are hospitalized after diagnosis and have Bili> 27 and require a blood transfusion according to the physician's order. In this hospital room and related procedures, they are monitored until they are ordered by the physician and according to the Bilitest, 10 due to age and weight can be released.

 

Lactation Training Room:

 In this room, breastfeeding pamphlets, breastfeeding, breastfeeding, phenylcotnoric disease are installed on the wall, and also the importance of breastfeeding and ICD and a Tv , DVD deviceThere is a breastfeeding film for breastfeeding, and there are enough seats, four bases, a table, an electric shower with a special breast milk. The lactation class will be held in this room. Every morning after the examination of newborns by the doctor, the mother of the mothers in the room together with the midwife or nurse will gather together about the problems and problems of the baby and the importance of breastfeeding, how to care and take care of Umbilical cord, bathing, baby's temperature, room temperature between 24-26 ° C, suitable cover for the baby, illness, screening tests, follow-up visit by the physician, how to get huggered by parents, how to hand milk through the hands , Vaccination, breastfeeding in the refrigerator, etc., and the physician will be in charge of the problems of the baby if during a case examination or a problem Or need follow-up after discharge are informed and trained. And is finally signed by the midwife and nurse at the office called Parent Registration. In this room, in addition to breastfeeding, there is a breastfeeding room for babies who are hospitalized in a breastfeeding department in which the parents are given breastfeeding babies. Or use breast milk to store breast milk. If a mother needs help or training, she will be given by nurses or midwives.

 

 

Physicians Introduction:

Neonatal specialist physicians:

  1. Mr. Dr. Turkman (Technical Officer)
  2. Mr. Dr. Rezvanian

 

Pediatricians (Shareholders):

  1. Mr. Dr. Rahmani (Head of Division)
  2. Mr. Dr. Bidar Magghas
  3. Mr. Dr. Salehpour
  4. Mr. Dr. Ghanipoor
  5. Mr. Dr. Rabbani
  6. Ms. Dr. Talachian

 

Resident physicians:

  1. Ms. Azar Houshang
  2. Dr. Safarzadeh
  3. Mr. Esfandiar
  4. Mr. Dr. Mahyar
  5. Mr. Dr. Ehadi
  6. Dr. Najaflu
  7. Dr. Omidian

 

How to accept:

In the NICU section, the patient is admitted directly or indirectly.

Admission directly from the operating room or delivery room to the portable incubator through the elevator in the neonatal department, which is part of the room, is delivered to one of the nurses or midwives. The baby is immediately restored to the bed and submucosa, and the oral and nasal secretions are soaked and emptied. And then monitor and control vital signs, weight and height measurements, and Vitk . And examined by a resident physician, and then admitted to an Ancal doctor service. Based on the clinical status of infants admitted to the NICU or post becomes the order of the physician performing the routine in newborns admitted to the NICU or postBe sure to send and receive graphs from the lung and execute them. Sero-therapy begins. And the course of antibiotic treatment. And in some cases, the infant is injected and injected into the Syrovanta. In the intensive care unit, the kidney is visited by ultrasound physicians. The appointment letter is written by a resident physician and is provided with one of the parents for admission to work, and then the admission and admission card is delivered to the department by the parent. This admission is made through a clinic or an emergency department or an office or other hospital. Take The baby is enrolled with the admission card admitted to the service of one of the ankles and examined by a resident physician. And is admitted to the service of one of the ankles. And the rest of the cases and enforcement is like the previous process.

All babies born in this hospital are brought in by midwives of the delivery room with portable incubator by elevator in the neonatal department, which is delivered directly from the operating room to the neonatal department, and delivered to one of the nurses or midwives of the neonatal department.

After hand washing and wearing gloves in the presence of midwives, the baby's room will be placed underneath the varmer. Then they start checking the baby, which include:

  1. The baby's bracelet is checked with the baby's Apgar leaf. Mother's First Name, Father's Name, Mother's Female Physician Name
  2. The sex of the baby is matched to the Apgar score sheet.
  3. The baby's umbilical cord is checked out by clamping and bleeding.
  4. The apparent condition is completely checked. If an abnormal case is seen, the midwife of the delivery room must be told verbally and recorded in the Apgar leaflet.
  5. The umbilical cord blood sample is also delivered.
  6. The back of the Apgar leaflet must be filled completely by the delivery person.
  7. In the last phase, in the absence of the problem, the obstetrician leaves the neonatal department.

 

           Be sure to have wet towels and dry the baby before starting the urinite.

          The administration of one hour after birth is one of the following:

  1. The nurse starts with the midwife with a midwife, meaning height, weight, head circumference, and chest circumference.
  2. The nasal and nasal secretions are evacuated with suction.
  3. Then they are checked with an open-ended baby probe with an analgesic.
  4. If the feeder does not pass the tube from the nasal passage and anus, the physician in the area will be informed and the nurse responsible for the shift will be notified very quickly.
  5. Cross NGT Azmry baby evaluate the accuracy of the esophagus Tzry
  6. The baby is being visited by a resident physician.

            After all these steps are completed, the next step is to vaccinate:

  1. Injection of hepatitis B                     vaccine mg       I   5/0
  2. Injection of vitamin K                           1 mg I M     
  3. All the characteristics of the baby's admission are recorded on the vaccine card and the card above the baby's head.

The baby's clothes are covered in the form of a girl or a boy, and then the baby is placed inside the cat. And then delivered by the Nurse to the mother's room (in the women's section) by the Nurse's Department of Babies, and the baby's newborn's check is re-checked with the father or one of the relatives of the woman present at the training room. The section numbers that include 2243 and 2246 are written on the back of the card above the head of the baby.

After bringing a mother, a nurse or midwife responsible for Breast feeding to the mother's room, this baby's breastfeeding will be done. It is taught to the father or relatives who can embrace the baby. And if the baby has a bruising or groin. Do not wait for the mother to arrive and inform the infant immediately.

If the mother did not enter the women's department for the first time after birth for the first time, she must be followed up by the neonatal staff so that the baby can be rehabilitated again for breastfeeding if necessary, or by the primary care physician to decide on the primary breastfeeding To be caught.

 

Discharge of patients:

The room for the discharge of the baby in this room is equipped with a baby seat beside a nurse. Babies who have been treated in the hospital and treatment period and have achieved complete recovery and BF . And ready to be discharged. In this room, the babies are given maternity and milk and dressing, bathing, changing the clothes of the baby, how to hold the umbilical cord, taking the baby, giving oral medications such as vitamins, pharmaceutical prescriptions, follow-up for example, if you need medical discharge and ordered to perform ultrasound and eye examination, especially in infants and Ayntvyh or pre-maturity (immature) on w 36 is doing ROP (retinopathy) after discharge - ABR(Hearing Aid) Three months old, ultrasound is recommended for a 48-hour visit by a doctor to continue vaccination. Screening tests, and copies of case summaries, educational pamphlets, and a childhood memo album and educational CD are provided to parents. Signature and fingerprints are taken from the parents' registration desk. And when one of the parent's parents sends the discharge card to the department, the baby is given a drop of polio and then leaves the department and hospital.

Salvage of a healthy baby:

After the visit of a pediatrician physician, following a discharge order, these steps should be followed:

1. In the case of Kate and with his father and his father's identification card, in the absence of the father for any reason or uncle of the baby, and in the absence of them, in coordination with the supervisor and Dr. Moazzami, the infant will be brought.

Continue after taking the exit tab

2. Oral polio is given to the baby.

3.Recommend to a visit in the next 48 hours

4. Screening education pamphlets are given.

5. It is recommended that screening tests be carried out between the 4-6 birthdays and the address of the screening centers in the neonatal department, which will be delivered to the parents.

6. The vaccine card is given to parents and adequate advice on vaccination is advised.

7. The CD of the Lactation Training and the Children's Diary Album will be delivered.

8. In the case of symptoms of infertility in breast milk and in addition to icterus it is recommended.

9. The baby's check is re-checked and the baby is delivered to the father and signed and fingerprinted at the delivery office to the parents.