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