How Hospitals are Addressing COVID-19 in the NICU
Patient Care in the NICU
在医院中，新生儿重症监护病房（NICUS）是必须采取最极端预防措施以应对COVID-19。NICU中患者的敏锐度以及需要进行的新患者保障措施，导致许多NICUS不得不迅速进行调整，而几乎没有准备。
We’re listening to our clients, and here are some ways that NICUs are adjusting to COVID-19.
Prenatal tours and parenting classes are being cancelled.
Although early data suggests that pregnancy does not increase risk of COVID-19, many hospitals are canceling all birth center and NICU prenatal tours to reduce unnecessary hospital exposure. Maternity and parenting classes have been cancelled, too.
Refresher training is being given for infection prevention and control protocols.
It stands to reason, NICUs are performing rapid training to ensure correct adherence to infection control practices and personal protective equipment (PPE) use. This includes considering the appropriate space and staffing needs at all points of care.
每位患者只有一个支持人员进入劳动和分娩（LD）或NICU。
Generally, facilities are allowing onlyonesupport person (significant other, parent, doula, or midwife) during the length of her hospital stay. The NICU may further stipulate that only parents or assigned gaurdians are allowed, and once assigned there can be no substitutes.
只有母亲只允许一袋小袋子和婴儿的汽车座椅。
Larger items such as birthing balls and pillows will not be allowed. And, for the safety of parents and caregivers, no packages, gifts, or food will be permitted into most facilities.
All patients and visitors are pre-screened before entering the hospital.
担心他们可能已经签约冠状病毒的患者和访客正在指导进一步评估（即服用温度），然后才能获得建筑物的入场费。
重新设计协议以适应资源变更和设备短缺。
一些NICUS必须应对人员和资源的短缺才能包括PPE。NICUS正在内部转向远程医疗，以便与他们正常使用的员工进行交流，并使用仿真测试方法进行PPE和必要的设备进行配对。
Mothers infected by or exposed to the illness may be separated from their newborn.
疾病控制与预防中心（CDC）和美国妇产科学院（ACOG）建议将母亲和新生儿分开长达一周或更长时间以保护新生儿。1Some cases also allow for parents to visit their newborn one at a time in a low-pressure room.
护理和行政人员可能有助于促进与患者和亲人的视频通话。
With reduced visitation and the potential to be separated from their newborns, mothers may begin to feel isolated and grieve the loss of bonding time. Some hospitals are embracing available technology like Zoom Video Conferencing and FaceTime to provide emotional support to patients.
NICU babies are being transferred to other hospitals to make room for COVID-19 patients.
Some organizations are temporarily relocating neonatal patients to other NICUs who can provide the same or higher levels of care. The hope is that this will isolate newborns in a safe environment, while also reserving space for adult patients in need of critical care.
NICUs are faced with having to maintain normal operations amid COVID-19 in what has now become a highly abnormal environment. If you'd like to know how simulation can support your efforts to maintain high-reliability status during and after this crisis, download our latest eBook.
Thank you for all you do to give babies a healthy start at this critical time.
[电子书]一系列实用技巧和工具
Using Simulation to Improve Team Performance in Your NICU
Learn how you and your NICU team can use simulation to achieve high-reliability status.
参考
- Centers for Disease Control and Prevention. (2020). Interim considerations for infection prevention and control of coronavirus disease 2019 (COVID-19) in inpatient obstetrics healthcare setting. Retrieved fromhttps://www.cdc.gov/coronavirus/2019-ncov/hcp/inpatient-obstetric-healthcare-guidance.html