Since 2009 the neonatology department in the hospital under the correct leadership of the leadership, seize the opportunity to meet the challenge of expanding the scale of a new layer of intensive care wards, re-adjustment of the ward pattern, and gradually established with the international standards of medical care, nursing standardized model. Clinical business continues to grow steadily, and the quality of medical care and services has improved significantly. It consists of seven major parts: Neonatal Emergency Operation Center, Neonatal Intensive Care (nicu-i, nicu-ii) Ward, Preterm Infant Ward, Mother and Infant Ward, Post-discharge Follow-up of Critically Ill Infants, Neonatal Laboratory, and Neonatal Outpatient Clinic. Now the department has an area of 2,600 square meters for business use, with 120 beds, more than 4,800 patient admissions and 20,000 outpatient visits per year. Rescue patients 2800 times a year, the success rate of rescue in more than 98%. 09 July by the Provincial Science and Technology Department of the organization of the assessment through the "Hubei Province, neonatal emergency medicine clinical research center" officially set up the project, so that the department to a new platform, set clinical, scientific research, teaching, health care in one; shoulder the development of neonatal emergency medicine in our province. The Department of Neonatal Emergency Medicine of the Province of China is responsible for the development of neonatal emergency medicine in the province.
Excellent team: 6 chief physicians, 5 deputy chief physicians, 5 attending physicians, 3 residents, including 2 doctoral degrees, 1 doctoral degree, 8 master's degrees, 4 neonatal laboratory technicians, 1 deputy chief technician. There are 78 nursing staff, 1 deputy chief nurse and 6 chief nurses.
The neonatal intensive care unit (nicu) is equipped with a variety of clinical diagnostic and therapeutic equipment valued at nearly 10 million yuan, including: a variety of imported infants, neonates, special ventilators (5); high-frequency oscillatory ventilator (3); imported resuscitator 4, nitric oxide inhalation therapy system; imported and domestic infant incubators (55); imported central monitor 4, bedside multifunctional physiology monitor (30 sets); pulse oximetry monitor (10 sets); transcutaneous carbon dioxide partial pressure monitor (1 set); transcutaneous bilirubin monitor (2 sets); non-invasive blood pressure monitor (3 sets); blood gas biochemistry analyzer (2 sets); microglycemia meter (4 sets); brainstem auditory evoked potential device, air-oxygen mixer, oxygen concentration meter, infusion pumps, micro-infusion pumps (60 sets); bedside b type ultrasound diagnostic instrument (1 set); movable x-ray film camera (1 set); far-infrared resuscitation table (9 sets); blue light therapeutic instrument (20 sets); mobile natural light irradiation treatment system (2 sets); (2 sets) and so on. Infusion pump, blood gas analyzer, micro serum bilirubin, blood glucose, blood electrolyte meter, bedside x-ray light machine, bedside b ultrasound machine, etc., for neonatal emergency transfer.
The center has strong technical force, advanced equipment, rich experience, about 2,000 people each year, critical rescue patients, rescue success rate of more than 97%, cure rate of more than 90%. Especially for preterm very low birth weight babies and respiratory and circulatory failure of children's resuscitation is unique. The department has established a variety of disease diagnosis and treatment nursing routine. The department has successfully rescued nearly 10 preterm infants with severe respiratory distress syndrome weighing 770-1000g at 26-28 weeks.
Perfect and advanced respiratory support technology: the department has accumulated rich experience in the use of artificial respiratory machine since the early 1990s, and every day there are many sets of normal-frequency or high-frequency respiratory machine, cpap machine used for the rescue of critically ill children. In 2002, we took the lead in the province to use nitric oxide (NO) inhalation therapy for the rescue of children with pulmonary arterial hypertension, and achieved satisfactory results, enriched the resuscitation methods, and the mortality rate of children with pulmonary hemorrhage and respiratory failure is extremely low, and the success rate of resuscitation is over 97%, which is highly affirmed by experts of the National Neonatology Group.
Full-automatic peripheral arterial vein rapid synchronous blood transfusion: this method is an effective treatment for severe hyperbilirubinism in newborns. The department was the first to use this method after improving the original blood exchange method in 2001. This method has good clinical effect, high safety coefficient and easier operation, and it has been successfully performed for more than 100 cases of children, all of which were cured, effectively reducing the occurrence of neurological sequelae caused by hyperbilirubinemia.
The use of alveolar surface-active substances: this method can rapidly alleviate the serious clinical manifestations caused by lung immaturity in some preterm infants, with few side effects. The first-line medical staff of the department are able to carry out this technique independently.
The neonatology department has carried out picc technology since 2007, and has successfully punctured more than 60 cases without a single case of infection. This technology significantly reduces the invasive operation of very low preterm infants, eliminates the phenomenon of skin necrosis caused by the leakage of hypertonic irritant drugs, promotes their recovery, improves the level of nursing care, and reduces the medical disputes, and takes the lead to fill in this gap among the neonatal picc technology in the whole province. This blank, become a successful rescue of very low, ultra-low weight babies a sharp tool.
Brainstem auditory evoked potential (abr) and neonatal neurobehavioral assessment (nbna): we not only pay attention to the survival rate of the children, but also attach great importance to the quality of survival of the children. A chief physician is specially arranged to follow up the high-risk children after discharge, to give timely and correct guidance to the discharged children, and at the same time use abr and nbna to make scientific and appropriate judgments on the hearing and neurodevelopment of the children's near and far-term prognosis, and to give timely intervention.
Standardized preterm management and supportive care: preterm supportive care is an important factor for the cure rate and prognosis of preterm babies, the department admits about 800 preterm babies of 27 to 34 weeks of gestation every year, for this reason, our neonatology department has opened a preterm baby room, imported preterm babies' special warming box, and promoted the development of preterm babies with skin caressing, passive movement exercise, visual and auditory stimulation, bird's nest, and non-nutritive sucking etc. Personalized care means. Personalized care means to promote development, picc technical support for extra-gastrointestinal nutrition; strict disinfection and isolation measures; reduce the occurrence of complications. And there is a group of well-trained nursing staff to ensure the quality of care for preterm infants.
Humanized care: for the less serious or recovering children, the department specially opened a one-floor room for mothers and babies, with a beautiful environment and complete equipment, which is very conducive to the communication between mothers and children and their physical and mental health, and at the same time reduces the economic burden of patients, which is the only one in the province. Specialized medical staff are arranged to communicate with parents every day to ease their worries. Each bedside doctor has a working telephone to facilitate direct communication between parents and bedside doctors. Once a week, medical staff are arranged to give lectures to parents, teaching parenting experience and popularizing medical knowledge.
Since the establishment of the department, the chief editor or co-editor of more than 20 monographs, published in the core journals of nearly 200 papers in the provincial pediatrics society, the provincial perinatal society, the provincial Society of Pediatrics and 8 medical journals in the editorial board have seats, "Ninth Five-Year Plan" since *** undertake and participate in the Hubei Provincial Department of Science and Technology, the Department of Health, scientific research projects funded projects and national research collaborative projects *** and national research projects. Since the "Ninth Five-Year Plan" **** undertake and participate in Hubei Provincial Science and Technology Department, Department of Health scientific research projects funded projects and national research collaboration projects, such as *** more than 10, the development of clinical scientific research work has strongly contributed to the improvement of clinical medical technology. The neonatal ward has been awarded as provincial "Youth Civilization" and city "Top Ten Women's Civilization Post" for consecutive years, and it trains more than 50 doctors and nurses for further training from Hubei, Hunan, Henan, Guangdong, Xinjiang and other provinces and autonomous regions every year. On average, it trains more than 50 doctors and nurses from Hubei, Hunan, Henan, Guangdong, Xinjiang and other provinces and autonomous regions every year. In 2002, we organized Hubei Province Neonatal New Theory and New Technology Course, in 2003, we organized Neonatal First Aid and Transfer Course, and in 2006, we organized province-wide Neonatal First Aid and Transfer and New Technology Course, and in 2007, we organized a study course, and in May 2008, we successfully organized Hubei Province Neonatology Director Advanced Training Course and Hubei Province Neonatal Critical Care Course, which not only brought advanced knowledge to the neonatology community in the whole province, but also provided the best training for the neonatologists. Neonatology not only brings advanced knowledge and concepts to the province, but also promotes the cooperation and exchange between each other by organizing study classes. With the support of the hospital leadership, three large-scale neonatal professional theory study classes were held. Among them, the provincial continuing medical education program "American Neonatal Resuscitation Course Advanced Teacher Training Course" was unprecedented in scale, with 236 participants, inviting famous foreign scholars to Wuhan to give lectures, and striving to bring the academic level of neonatology in line with the international standards. At the same time, the neonatal transit network is utilized to promote new theories and technologies, so that the overall level of neonatology in the whole Hubei Province is at the forefront of the country.
The radiology department is specially equipped with 200mA bedside x-ray machine and digital imaging system, double-row spiral ct and digital gastrointestinal machine for the center, the b ultrasound room has more than two-dimensional or three-dimensional color ultrasound Doppler instrument, and was specially equipped with a bedside b ultrasound machine for the nicu in 2008, and the laboratory department has automatic biochemistry and other advanced equipments, which can satisfy the neonatology department to carry out medical work. National ultrasonographer training base, provincial newborn disease screening center, provincial genetic medicine center are located in our hospital.
At present, the level of neonatal critical care and nicu scale and equipment are recognized by domestic counterparts as the domestic first-class ranks. The neonatal critical care transportation network covers the entire Hubei region. The discipline enjoys a high reputation in central China and has a greater influence at home. It has received many visits from domestic and international counterparts, and the head of the specialty and some main technical backbones have been invited to give academic lectures on the treatment of critically ill newborns in provincial continuing education classes; the nicu and neonatology departments receive more than 30 doctors from all over the country for further training every year. Professional and technical team, there is a person as a member of the Chinese Medical Association of Pediatrics neonatal group, "Chinese Journal of Perinatal Medicine", "Journal of Pediatric Pharmacy", "China Journal of Practical Pediatrics", "China Journal of Contemporary Pediatrics", "China Pediatric Emergency Medicine" and other 7 magazines editorial board; a person in Hubei Province, deputy director of the Association of Perinatal Medicine, Hubei Provincial Medical Association, Pediatrics Branch of the neonatal group vice-chairman member.