Sync template from atomicqms-style deployment

README.md

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-# nicu-picu
+# NICU/PICU Quality Management System
 
-This repository contains template documents for implementing a Quality Management System (QMS) specifically designed for **Neonatal Intensive Care Units (NICU)** and **Pediatric Intensive Care Units (PICU)**.
+This repository contains template documents for implementing a Quality Management System (QMS) specifically designed for **Neonatal Intensive Care Units (NICU)** and **Pediatric Intensive Care Units (PICU)**.
+
+## Hospital Units Covered
+
+- Neonatal Intensive Care Units (Level II-IV)
+- Pediatric Intensive Care Units
+- Cardiac Intensive Care Units (pediatric)
+- Combined NICU/PICU facilities
+- Special Care Nurseries
+- Step-down/Intermediate Care Units
+
+## Repository Structure
+
+```
+nicu-picu-template/
+├── Policies/                    # Quality policies and management commitment
+├── SOPs/                        # Standard Operating Procedures
+│   ├── Ventilator/              # Neonatal and pediatric ventilator management
+│   ├── Sedation/                # Sedation protocols and pain management
+│   ├── Nutrition/               # TPN and enteral nutrition protocols
+│   ├── Transport/               # Inter-facility transport procedures
+│   ├── Emergency/               # NRP, PALS, code blue protocols
+│   └── Infection-Control/       # ICU-specific infection prevention
+├── Work Instructions/           # Detailed work instructions
+├── Forms/                       # Record forms and templates
+│   ├── Sedation-Scoring/        # COMFORT, FLACC, NPASS scales
+│   ├── Ventilator-Weaning/      # Weaning protocols and assessments
+│   ├── Nutrition/               # TPN orders, feeding advancement
+│   └── Patient-Safety/          # Safety checklists and assessments
+└── Templates/                   # Document templates
+```
+
+## Document Numbering Convention
+
+- **POL-XXX**: Policies
+- **SOP-VENT-XXX**: Ventilator Management SOPs
+- **SOP-SED-XXX**: Sedation and Pain Management SOPs
+- **SOP-NUT-XXX**: Nutrition SOPs
+- **SOP-TRN-XXX**: Transport SOPs
+- **SOP-EMR-XXX**: Emergency Protocol SOPs
+- **SOP-INF-XXX**: Infection Control SOPs
+- **WI-XXX**: Work Instructions
+- **FRM-XXX**: Forms and Records
+
+## AI-Powered Document Creation
+
+This template includes **AtomicAI** integration. Simply create an issue and mention `@atomicai` to:
+- Generate neonatal resuscitation protocols
+- Create ventilator management SOPs
+- Draft sedation and pain assessment forms
+- Develop family-centered care policies
+- Update TPN protocols
+- Create transport checklists
+
+## Getting Started
+
+1. Create a new repository using this template
+2. Customize documents with your unit's information
+3. Create issues with `@atomicai` to generate new documents
+4. Review and approve AI-generated content via Pull Requests
+
+## Clinical Focus Areas
+
+### Critical Care Protocols
+- Neonatal Resuscitation Program (NRP)
+- Pediatric Advanced Life Support (PALS)
+- Code blue/rapid response procedures
+- ECMO initiation and management
+
+### Respiratory Support
+- Conventional mechanical ventilation
+- High-frequency ventilation
+- Non-invasive respiratory support (CPAP, HFNC)
+- Surfactant administration
+- Nitric oxide therapy
+
+### Sedation & Pain Management
+- Pain assessment tools (NPASS, FLACC, COMFORT)
+- Sedation protocols and weaning
+- Opioid and benzodiazepine management
+- Neuromuscular blockade
+- Withdrawal assessment and management
+
+### Nutrition
+- Total Parenteral Nutrition (TPN) protocols
+- Enteral nutrition advancement
+- Human milk handling
+- Feeding intolerance management
+
+### Safety & Quality
+- Central line-associated bloodstream infection (CLABSI) prevention
+- Ventilator-associated events prevention
+- Medication safety (high-alert medications)
+- Family-centered rounds
+- Developmental care practices
+
+### Special Procedures
+- Inter-facility transport
+- Therapeutic hypothermia
+- Exchange transfusion
+- Chest tube placement and management
+
+## Regulatory Compliance
+
+These templates support compliance with:
+- **Joint Commission** - Critical Care Standards
+- **AAP** - American Academy of Pediatrics Guidelines
+- **CMS Conditions of Participation** - Special Care Units
+- **NACHRI** - Children's Hospital Quality Standards
+- **Vermont Oxford Network** - NICU Quality Benchmarks
+- **21 CFR Part 11** - Electronic Records
+- **HIPAA** - Health Information Privacy
+
+## Developmental Care Considerations
+
+All protocols incorporate:
+- Minimal handling protocols
+- Noise and light reduction strategies
+- Kangaroo care promotion
+- Neurodevelopmental follow-up planning
+- Family presence and engagement
+
+---
+*Powered by AtomicQMS - AI-Enhanced Critical Care Quality Management*