The World of Neonatal Nursing
Since neonatal nursing is my special interest and field, I chose to write about the health care options which are available to parents having children in different hospitals throughout the world. With the state of the art technological advances in the neonatal units, there are so many options available for the care of newborn babies. I reviewed the neonatal units in Australia, Saudi Arabia, New York, Tokyo, Ireland, and California, and I have learned what It takes to run a neonatal intensive care unit all around the world.
There were several National Standards that apply to my research. Knows and understands that people define regions and use them to interpret the world’s changing complexity. This applies to the hospitals because where the majority of people live, determines how the world changes and grows. Knows and understands that culture and experience influence people’s perceptions of places and experiences. This applies to the way that different cultures view different procedures in a hospital setting, as well as a worldly setting.
The first hospital that I reviewed was the Kirwan Hospital for Women. The KHW is located in Townsville, North Queensland, Australia. Townsville is the largest city in Queensland, with a population of more than 150,000 people. KHW is a hospital dedicated solely to the needs of women. It has maternity, gynecology, and neonatal units, whose goals are to provide the best quality care for women and their newborns.
Kirwan Hospital for Women has the only Level III neonatal unit outside of Brisbane. KHW serves a diverse community in a sparsely populated area one-tenth the size of the United States, so the staff must go out and retrieve the infants that require Level III neonatal care. They care for every infant admitted except for those requiring treatment for cardiac abnormalities. KHW also provides ultrasound facilities that include CT and MRI scanning. They have a very qualified pediatric surgeon that repairs all congenital anomalies, and other problems requiring surgery, except for cardiac lesions.
Since KHW is in such an unpopulated area, the distance required for patients retrievals are enormous. In 1997 alone, they traveled 13,000 km doing retrievals. They transfer eight babies a month back to a Level II hospital. One of KHW’s biggest challenges is the nursery staff coordinating the retrievals. They average four per month. The retrieval team consists of one medical doctor and one registered nurse from the Level III staff, utilizing a Royal Flying Service twin engine King airplane (1).
At Kirwan Hospital for Women, the neonatal unit is composed of a 6-cot Level III nursery and a 12-cot Level I and II nursery. They will soon be expanding to 10 Level III cots, 20 Level II cots, and 6 to 10 Level I cots. They are in desperate need of expansion because they regularly have eight babies requiring Level III care and eighteen requiring...