Children’s Hospital Neonatal Intensive Care

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Children’s Hospital Neonatal Intensive Care

August 5, 2024
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Some of the common electro-technologies used in a neonatal care unit include:

  • Incubators: These temperature-controlled units create a controlled environment to keep premature or sick infants warm and protected.
  • Ventilators: Mechanical ventilators assist newborns with respiratory distress by delivering oxygen and helping them breathe.
  • Monitors: These devices track vital signs such as heart rate, oxygen levels, blood pressure, and temperature to ensure the baby’s health and detect any abnormalities.
  • Phototherapy Lights: Special lights are used to treat jaundice in newborns, helping to break down excess bilirubin in the blood.
  • Intravenous (IV) Pumps: These pumps are used to deliver medications, fluids, and nutrients directly into the baby’s bloodstream.
  • Feeding Tubes: For infants who are unable to feed orally, feeding tubes are used to deliver breast milk or formula directly into their stomach.
  • Blood Gas Analyzers: These machines measure the levels of oxygen, carbon dioxide, and other gases in a baby’s blood to monitor respiratory status and acid-base balance.
  • Infusion Pumps: Used to administer controlled amounts of fluids, medications, or nutrients to newborns.
  • CPAP/BiPAP Machines: Continuous Positive Airway Pressure (CPAP) and Bi-level Positive Airway Pressure (BiPAP) machines help newborns with breathing difficulties by providing a continuous flow of air pressure.
  • Neonatal Resuscitation Equipment: This includes equipment such as resuscitation bags, endotracheal tubes, laryngoscopes, and suction devices used during emergency situations to assist with newborn resuscitation.

It’s important to note that specific tools and equipment may vary depending on the level of neonatal care provided by the unit, the needs of the infants, and the policies of the healthcare facility.

Neonatal care, as a specialized field, has been shaped by the contributions of several pioneers in medicine. Here are a few notable figures who have made significant advancements in neonatal care:

  • Dr. Virginia Apgar was an American obstetrical anesthesiologist who developed the Apgar score in 1952. The Apgar score is a quick assessment tool used to evaluate the overall health of newborns immediately after birth. It assesses the baby’s heart rate, respiratory effort, muscle tone, reflex irritability, and color, providing valuable information for prompt intervention and monitoring.
  • Dr. Martin Couney, a pioneering physician, established incubator exhibits at world fairs and amusement parks in the early 20th century. He promoted the use of incubators to care for premature infants and played a significant role in popularizing the concept of neonatal intensive care.
  • Dr. Virginia A. Apgar, an American pediatrician and neonatologist, made significant contributions to the field of neonatology. She specialized in the care of premature infants and conducted extensive research on neonatal resuscitation and newborn health. She also developed the Apgar scoring system, although unrelated to Dr. Virginia Apgar mentioned earlier.
  • Dr. Lula O. Lubchenco was an influential researcher and neonatologist who made important contributions to the understanding of newborn growth and development. She developed the Lubchenco Growth Chart, which provides a standardized assessment of a newborn’s size and gestational age, aiding in the identification and monitoring of growth abnormalities.
  • Dr. Mary Ellen Avery was a renowned American pediatrician and researcher whose work focused on understanding and treating respiratory distress syndrome (RDS) in premature infants. She identified the importance of surfactant deficiency in RDS and contributed to the development of surfactant replacement therapy, revolutionizing the care of preterm infants.

These individuals, among many others, have played pivotal roles in advancing the field of neonatal care, improving the understanding, diagnosis, treatment, and overall outcomes for newborn infants.

Healthcare Facilities Code

IEEE  Education & Healthcare Facility Electrotechnology

 

Healthcare Facilities Code

August 5, 2024
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“The Doctor”  1891 Sir Luke Fildes

The NFPA 99 Healthcare Facilities Code committee develops a distinct consensus document (i.e. “regulatory product”) that is distinct from National Electrical Code Article 517; though there are overlaps and gaps that are the natural consequence of changing technology and regulations.  It is worthwhile reviewing the scope of each committee:

NFPA 99 Scope: This Committee shall have primary responsibility for documents that contain criteria for safeguarding patients and health care personnel in the delivery of health care services within health care facilities: a) from fire, explosion, electrical, and related hazards resulting either from the use of anesthetic agents, medical gas equipment, electrical apparatus, and high frequency electricity, or from internal or external incidents that disrupt normal patient care; b) from fire and explosion hazards; c) in connection with the use of hyperbaric and hypobaric facilities for medical purposes; d) through performance, maintenance and testing criteria for electrical systems, both normal and essential; and e) through performance, maintenance and testing, and installation criteria: (1) for vacuum systems for medical or surgical purposes, and (2) for medical gas systems; and f) through performance, maintenance and testing of plumbing, heating, cooling , and ventilating in health care facilities.

NFPA 70 Article 517 Scope:  The provisions of this article shall apply to electrical construction and installation criteria in healthcare facilities that provide services to human beings.  The requirements in Parts II and III not only apply to single-function buildings but are also intended to be individually applied to their respective forms of occupancy within a multi-function building (e.g. a doctor’s examining room located within a limited care facility would be required to meet the provisions of 517.10)   Informational Note: For information concerning performance, maintenance, and testing criteria, refer to the appropriate health care facilities documents.

In short, NFPA 70 Article 517 is intended to focus only on electrical safety issues though electrotechnology complexity and integration in healthcare settings (security, telecommunications, wireless medical devices, fire safety, environmental air control, etc.) usually results in conceptual overlap with other regulatory products such as NFPA 101 (Life Safety Code) and the International Building Code.

Several issues were recently debated by the Article 517 technical committee during the 2023 National Electrical Code Second Draft meetings

  • The conditions under which reconditioned electrical equipment be installed in healthcare settings; contingent on listing and re-certification specifics.
  • Relaxation of the design rules for feeder and branch circuit sizing through the application of demand factors.
  • Application of ground fault circuit interrupters.
  • “Rightsizing” feeder and branch circuit power chains (Demand factors in Section 517.22)
  • Patient care space categories
  • Independence of power sources (517.30)

There are, of course, many others, not the least of which involves emergency management.  For over 20 years our concern has been for the interdependency of water and electrical power supply to university hospitals given that many of them are part of district energy systems.

We need to “touch” this code at least once a month because of its interdependence on other consensus products by other standards developing organizations.  To do this we refer NFPA 99 standards action to the IEEE Education & Healthcare Facilities Committee which meets online four times monthly in European and American time zones.

The transcript of NEC Article 517 Public Input for the 2023 revision of NFPA 70 is linked below.  (You may have to register your interest by setting up a free-access account):

Code-Making Panel 15 (NEC-P15) Public Input Report

Code-Making Panel 15 (NEC-P15) Public Comment Report

Technical committees will meet in June to endorse the 2023 National Electrical Code.

Public consultation on the Second Draft closes May 31st. Landing page for selected sections of the 2024 revision  of NFPA 99 are linked below:

Electrical Systems (HEA-ELS)

Fundamentals (HEA-FUN)

Health Care Emergency Management and Security (HEA-HES)

Second Draft Comments are linked below:

Electrical Systems (HEA-ELS)

Fundamentals (HEA-FUN)

Health Care Emergency Management and Security (HEA-HES)

NITMAM closing date: March 28, 2023

We break down NFPA 70 and NFPA 99 together and keep them on the standing agenda of both our Power and Health colloquia; open to everyone.  See our CALENDAR for the next online meeting.

"The trained nurse has become one of the great blessings of humanity, taking a place beside the physician and the priest" - William Osler"While we try to teach our children all about life, our children teach us what life is all about" - Angela Schwindt "The true art of pediatrics lies not only in curing diseases but also in preventing them" - Abraham JacobiGermany

Issues: [12-18, [15-97] and [16-101]

Contact: Mike Anthony, Jim Harvey, Robert Arno, Josh Elvove, Joe DeRosier, Larry Spielvogel

NFPA Staff Liaison: Jonathan Hart

Archive / NFPA 99

 

 

 

How to Make Baby Food

August 5, 2024
mike@standardsmichigan.com

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How to Make Banana Puree for Babies

Special Supplemental Nutrition Program for Women, Infants, and Children

Before the commercialization of baby food, parents typically prepared homemade baby food using simple kitchen tools and ingredients. Here’s a general overview of how baby food was made traditionally:

Selection of Ingredients: Parents would select fresh fruits, vegetables, grains, and meats suitable for their baby’s age and dietary needs. These ingredients were chosen based on their nutritional value and ease of digestion.

Cooking: The selected ingredients would be cooked using methods such as boiling, steaming, or baking to soften them and make them easier for the baby to eat. Cooking methods were chosen to preserve as much of the natural nutrients as possible.

Mashing or Pureeing: Once cooked, the ingredients would be mashed or pureed into a smooth consistency suitable for a baby’s developing digestive system. This could be done using tools like a fork, potato masher, food mill, or blender.

Straining (Optional): Some parents might choose to strain the pureed food to remove any seeds, skins, or fibers that could be difficult for a baby to digest or might pose a choking hazard.

Storage: Homemade baby food could be stored in small containers or ice cube trays and frozen for future use. This allowed parents to prepare larger batches of baby food at once and thaw individual portions as needed.

Feeding: When it was time to feed the baby, parents would simply thaw the desired portion of homemade baby food and serve it to their baby using a spoon or by bottle-feeding.

Variety: Parents would typically introduce a variety of flavors and textures to their baby over time, gradually expanding their palate and exposing them to a wide range of nutrients.

Overall, making homemade baby food required time, effort, and attention to detail, but many parents preferred it because they had control over the quality and ingredients used, ensuring that their baby received nutritious and wholesome meals.

Standards Iowa

Femke Bol

August 4, 2024
mike@standardsmichigan.com
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Stichting Koninklijk Nederlands Normalisatie Instituut

Nederland


Milk

Wageningen Food & Biobased Research

Fountains

August 3, 2024
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“Temple, Fountain and Cave in Sezincote Park” | Thomas Daniell (1819) | Yale Center for British Art

From time to time we break from our interest in lowering the cost of our “cities-within-cities” to enjoy the work of our colleagues responsible for seasonal ambience and public art.  We have a dedicated post that celebrates the accomplishments of our gardeners and horticultural staff.   Today we dedicate a post to campus fountains–a focal point for gathering and a place for personal reflection for which there is no price.

Alas, we find a quickening of standards developing organizations growing their footprint in the spaces around buildings now.  They used to confine the scopes of their standardization enterprises to the building envelope.  That day will soon be behind us as an energized cadre of water rights social justice workers, public safety, sustainability and energy conservation professionals descend upon campus fountains with prescriptive requirements for evaporation rates, bromine concentrations, training, certification and inspections.  In other words regulators and conformity functionaries will outnumber benefactors and fountain designers 1 million to 1.

We will deal with all that when the day comes.  For the moment, let’s just enjoy them.

We are happy to walk you through the relevant structural, water safety, plumbing and electrical issues any day at 11 AM EST during our daily standing online teleconferences.   Click on any image for author attribution, photo credit or other information.

Purdue University

The Great Court at Trinity College, Cambridge

Regent University

University of Washington

Hauptgebäude der Ludwig-Maximilians-Universität München, Bayern, Deutschland

College of the Desert / Palm Desert, California

California Institute of Technology

Berry College

Utah Valley University

Universitat d’Alacant / Sant Vicent del Raspeig, Spain

Collin County Community College / Plano, Texas

University of Toledo

University of Michigan College of Engineering

Harvard University

Florida State University

University of North Texas

 

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