Management of Neonatal Movement

Procedures:

1. When a case is discovered where no space is available for the required medical service, the attending physician provides first aid to the child and prepares a medical report on the case.
2. The hospital assists the child’s family in finding an alternative place through the Ministry of Emergency and the Directorate and provides a report on the patient’s condition.
3. After confirming the receiving hospital’s approval, the responsible physician arranges for a properly equipped means of transportation suitable for the patient’s condition.
4. The attending physician completes the referral form, keeps a copy, and attaches it to the patient’s report, ensuring an appropriate escort is provided.
5. The attending physician provides medical guidance to the child’s family or escort during transportation.

Responsible Personnel:

• Attending physician
• Nursing staff

Neonatal Admission and Discharge Policy

Purpose:
To standardize neonatal admission and discharge criteria to ensure a high level of service without wasting resources or showing preference in providing medical care.

 Neonatal Admission Procedures:

1. Preparation:

• Prepare the necessary equipment for the newborn’s admission.
• Ensure the heating device is disinfected, place a sterile towel, and turn it on.
• Verify the efficiency of the suction device and ensure an oxygen source is available beside the heating device.
• Line the incubator with a sterile sheet and turn it on at least ten minutes before admission, adjusting the temperature as per the doctor’s orders.

2. Gathering Information from the Parents or Mother’s File:

• Gestational age, type, and place of delivery, any complications during pregnancy and delivery, any hereditary diseases.
• If the newborn’s condition is critical, prioritize stabilizing and warming the baby before collecting information.

3. Newborn Reception:

• Place the newborn on their back under the heating device and remove their clothes.
• Position a roll under the shoulders to keep the airway open.
• Place two identification bracelets on the newborn (one on the hand, one on the foot) with the mother’s name.
• Attach the temperature probe to the newborn’s abdomen.
• Assess the gestational age.
• Measure vital signs.
• Assess growth parameters.
• Clean the umbilical cord.
• Perform a newborn bath using sterile gauze moistened with warm water per the doctor’s instructions.
• Administer antiseptic eye drops.
• Insert an intravenous or peripheral cannula.
• Collect blood samples as ordered and place the newborn in the incubator, connecting them to necessary equipment.

4. Completing the Admission Process:

• Disinfect and return the used equipment to its place.
• Disinfect the heating device.
• Prepare the patient’s record for the physician to order tests and treatment instructions.
• Reassure the mother and inform her of the visiting schedule.

Neonatal Discharge Procedures:

• Ensure stable vital signs for 24 hours before discharge.
• Confirm the mother’s ability to breastfeed effectively.
• Complete administrative discharge procedures.
• Explain the baby’s health condition to the mother in simple, non-medical terms.
• Provide the mother with the following guidance:
• Maintaining the newborn’s body temperature.
• Protecting the newborn from infections.
• Umbilical cord care.
• Diaper area care.
• Newborn bathing using sterile gauze moistened with warm water to remove any visible dirt.
• Breastfeeding recommendations.
• If bottle-feeding, train the mother on proper use.
• Vaccination schedule.
• Thyroid function screening.
• Home treatment continuation.
• Follow-up appointment arrangements.