1.1 - Levels Of Neonatal Services Flashcards
1
Q
Describe the six Victorian newborn services level of care
A
Primary newborn services
secondary newborn services
tertiary newborn services
2
Q
Level one >2500grams + 37 weeks
A
Primary newborn services
- care for well uncomplicated term newborns
- Postnatal care only
- newborn > 37 + 0 weeks
- usually correlating to newborn birthweight > 2500 grams
3
Q
Level Two >2500 grams & 37+ weeks
A
- care for mildly unwell, uncomplicated newborns at birth
- during immediate postnatal period
- care of newborn > 37 + 0 weeks
- usually correlating to newborn bw of >2500 grams
- may accept care of newborn marginally below the gestational age/bw listed above when clinically appropriate
- or as per specialist consultation with emergency retrieval or tertiary services
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4
Q
Level three - 2000grams & 34 weeks
A
- care for mild-moderately uncomplicated newborn
- care of newborn >34 + 0 weeks
- usually correlating to newborn bw of >2000 grams
- includes:
- growing preterm and convalescing newborns and infants
- marginally under the gestational age/birthweight listed above
- when clinically appropriate or following specialist advice
*
5
Q
Level 4 - 1500 grams & 32 weeks
A
- care for moderately unwell uncomplicated newborn >32 + 0 weeks gestation
- usually correlating to newborn bw > 1500 grams
- growing preterm and convalescing newborn and infants
- may accept care of newborns marginally under the gestational age/bw if clinically appropriate or as per consultant
6
Q
Level five - 1250 grams and 31 weeks
A
- care of moderately unwell preterm newborn inclusions moderately complex newborn 31 + 0 weeks
- usually correlating to newborn bw >1250 grams
- includes growing preterm and convalescing newborns and infants
- may accept care of newborns marginally under the gestation age/bw
- or following specialist advice and emergency retrieval or tertiary services
7
Q
Level six Level 6A - continuous life support
A
- care neonate on life support
- extremely premature newborns
- non-surgical critical illness
8
Q
Level 6b - extreme high risk newborn
A
- critically unwell neonate
- statewide specialists involved
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9
Q
How can we proved family centred care on admission to the nursery
A
- incorporates and recognises the whole family in planning care for the neonate
- short term and long term health outcome for the infant
- enabling 24 hours access
10
Q
How can we proved family centred care on admission to the nursery
Principles of FCC
A
- Involve parents in the daily care of the infant when stable ie nappy changes, feeding, S2S
- Creation of partnership between healthcare team and the families
- dignified and respectful interaction
- collaborating together to share information
- co-delivery and evaluating care provision
- tailoring care to the individual family to provide safe and appropriate infant care
- read chapter 21
11
Q
attachment and bonding
A
- Planning the pregnancy
- Confirming the pregnancy
- Accepting the pregnancy
- Fetal movement
- Accepting the fetus
- Labour and birth
- seeing
- touching
- caregiving
12
Q
first 1000 days
A
- highly influential on long term and social outcomes
- prematurely or critically unwell are at risk of developing:
- neurological impairment
- developmental delay
- behaviour disorders
- developmental and disability can impact negatively on an individual long term social, academic, occupational and financial outcome
- early intervention measure aimed at reducing their impact if vital for overall wellbeing
13
Q
Admission of the neonate to the nursery
A
14
Q
Understanding preparation requirement for admission to the nursery
A
15
Q
Identify a variety of criteria for admission
A
- RDS
- TTN
- Low blood glucose levels
- Spesis
- premature babies
