Children’s Hospital Neonatal Intensive Care

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Children’s Hospital Neonatal Intensive Care

January 21, 2025
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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 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

IEEEĀ  Education & Healthcare Facility Electrotechnology

 

Family Housing: Cache County

January 21, 2025
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Design & Operation of Health Care Facilities

January 21, 2025
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The pandemic provides background for the importance of ventilation systems in healthcare settings and reminder that there is plenty of work to do.Ā  The scope of ASHRAE 189.3 – Design, Construction and Operation of Sustainable High Performance Health Care Facilities — lies in this domain:

Purpose.Ā  The purpose of this standard is to prescribe the procedures, methods and documentation requirements for the design, construction and operation of high-performance sustainable health care facilities.

Scope.This standard applies to patient care areas and related support areas within health care facilities, including hospitals, nursing facilities, outpatient facilities, and their site.Ā  It applies to new buildings, additions to existing buildings, and those alterations to existing buildings that are identified within the standard.Ā  It provides procedures for the integration of sustainable principles into the health care facility design, construction and operation process including:

    1. integrated design
    2. conservation of water
    3. conservation of energy
    4. indoor environmental quality
    5. construction practices
    6. commissioning
    7. operations and maintenance

Noteworthy: Related title ASHRAE/ASHE Standard 170 Ventilation of Healthcare Facilities

Public consultation on Addendum m regarding definition of “room units” and the heating and cooling of such units closes January 27th

Public consultation on Standard 189.3-2021, Design, Construction, and Operation of Sustainable High-Performance Health Care Facilities closes November 11.

We maintain this title on the standing agenda of our periodic Health, Energy and Mechanical colloquia.Ā  See our CALENDAR for the online meeting; open to everyone.


October 9 Update

As of the date of this post, two redlines have been released for public consultation

Proposed Addendum L to Standard 170-2021, Ventilation of Health Care Facilities

Proposed Addendum i to Standard 170-2021, Ventilation of Health Care Facilities

The consultation closes October 29th.

Other redlines are released and posted at the link below:

Public Review Draft Standards / Online Comment Database

Because this title is administered on ASHRAE’s continuous maintenance platform, public consultations run 30 to 45 days.Ā  Ā You may also submit an original idea to the ASHRAE standards development enterprise.Ā  CLICK HERE to get started.

We maintain this title on the standing agenda of our periodic Health, Energy and Mechanical colloquia.Ā  See our CALENDAR for the online meeting; open to everyone.

"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

 

Issue: [Various]

Category: Mechanical, Electrical, Energy, Facility Asset Management

Colleagues:Ā  David Conrad, Richard Robben, Larry Spielvogel

Workspace / ASHRAE

Healthcare Occupancies

January 21, 2025
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Safety and sustainability for any facility, not just university-affiliated healthcare facilities, usually begin with an understanding of who, and how, shall occupy the built environment.Ā  University settings, with mixed-use occupancy arising spontaneously and temporarily, often present challenges and they are generally well managed.

First principles regarding occupancy classifications for healthcare facilities appear in Section 308 of the International Building Code, Institutional Group I; linked below:

2021 International Building Code Section 308 Institutional Group I

There are thousands of healthcare code compliance functionaries and instructors; most of them supported by trade associations and most of them authoritative.Ā  Ā Hewing to our market discipline to track only the concepts that will affect university-affiliated healthcare enterprises only.Ā  There are a few noteworthy differences between corporate healthcare businesses and university affiliated healthcare enterprises (usually combined with teaching and research activity) that we identify on this collaboration platform.

We collaborate closely with the IEEE Education & Healthcare Facilities Committee which takes a far more global view of the healthcare industry.Ā  That committee meets online 4 times monthly in European and American time zones.

Finally, we encourage our colleagues to participate directly in the ICC Code Development process.Ā Ā Contact Kimberly Paarlberg ([email protected]) for more information about its healthcare committees and how to participate in the ICC code development process generally.Ā  Tranches of ICC titles are developed according to the schedule below:

2024/2025/2026 ICC CODE DEVELOPMENT SCHEDULE

LIVE: I-Code Group B Public Comment Hearings

 

Issue: [18-166]

Category: Architectural, Healthcare Facilities, Facility Asset Management

Colleagues: Mike Anthony, Jim Harvey, Richard Robben


More

The ICC Code Development Process

K-TAG Matrix for Healthcare Facilities

American Society of Healthcare Engineers

Fire Safety Developmental Calendar

January 20, 2025
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Colloquy (January)

January 20, 2025
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Illustration from 1913 showing Pythagoras teaching a class of women. Pythagoras believed that women should be taught philosophy as well as men and many prominent members of his school were women.Our practice is fairly structured as our Syllabus reveals.Ā  Once a month we like to break form and throw our agenda “open”.Ā  Unstructured.Ā  Completely determined by the interest of our clients, colleagues and followers.Ā  Use the login credentials at the upper right of our home page.

Abiit sed non oblitus | Michigan

“Reflections on the motive power of fire: | Sadi Carnot

Standards January: Language

* Lyndon B. Johnson played a significant role in the passage of the Education Acts of 1965, which consisted of two key pieces of legislation: the Elementary and Secondary Education Act (ESEA) and the Higher Education Act (HEA).

As President of the United States, Johnson made education reform a priority of his administration and saw it as a means of addressing poverty and inequality in America. He signed the ESEA into law in April 1965, which was designed to provide funding to schools serving low-income students and aimed to close the achievement gap between disadvantaged students and their more affluent peers. The ESEA also provided funds for teacher training and other educational programs.

In November of the same year, Johnson signed the HEA into law, which provided funding for college and university education and sought to make higher education more accessible to all Americans.

Together, these Education Acts of 1965 were a significant achievement for Johnson’s administration and played a crucial role in expanding educational opportunities for millions of Americans. They marked a major shift in federal education policy and helped to establish the federal government’s role in shaping education policy in the United States.

National Institutes of Health (Library of Medicine)

Moral grandstanding in public discourse: Status-seeking motives as a potential explanatory mechanism in predicting conflict

 


Dr. Jill Jacobs-Biden: Student Retention at the Community College: Meeting Student’s Needs

Michelle Obama: Princeton-Educated Blacks and the Black Community

Dr. Claudine Gay: Taking charge: Black electoral success and the redefinition of American politics

Ibram X. Kendi (Henry Rogers):Ā  The Black Campus Movement: An Afrocentric Narrative History of the Struggle to Diversify Higher Education, 1965-1972

Martin Luther King, Jr.:Ā A Comparison of the Conceptions of God in the Thinking of Paul Tillich and Henry Nelson Wieman

Hilary Clinton: There is Only the Fight…

John Kennedy: Appeasement at Munich

Janet Yellen: Employment, Output and Capital Accumulation in an Open Economy: A Disequilibrium Approach.

John Nash: Non-Cooperative Games

Reflections / John Nash

Cowboy Coffee

January 20, 2025
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“We wish to suggest a structure

for the salt of deoxyribose nucleic acid (DNA).

This structure has novel features

which are of considerable biological interest….”

James Watson | “Nature” April 1953

“The Valley of Wyoming” 1865 Jasper Cropsey

University of Wyoming 2021

This simple method preparing hot coffee evolved from open flame; out on the range.Ā Ā The result is a strong, robust cup that retains grittiness due to the coarse grind and the absence of a filter. Cowboy coffee is more about utility and simplicity rather than precision and refinement, which aligns with the rugged and practical nature of cowboy life.Ā Ā Here’s how it’s typically made:

Ingredients:

Coarsely ground coffee beans, water.

Equipment:

A pot (often a simple metal or enamel coffee pot), a heat source (campfire or portable stove), and a way to separate the grounds from the liquid (like pouring or using a fine mesh strainer).

Process:

Add coarsely ground coffee to the pot. The amount can vary based on personal preference, but it’s generally a couple of tablespoons of coffee per cup of water.

Add water to the pot. Again, the ratio of coffee to water can be adjusted based on taste preferences.

Place the pot on the heat source and bring it to a near-boil. Watch it carefully to avoid boiling over.

Once it’s heated, let it steep for a few minutes. Some cowboys might toss in a crushed eggshell to help settle the grounds.

Remove the pot from the heat and let it sit for a moment to allow the coffee grounds to settle.

Pour the coffee carefully to avoid pouring the grounds into your cup.

Locals swear by it:

“Cowboy coffee ain’t as easy as it looks. It takes some know-how to make it right.” – Unknown

“You can’t compromise with a cup of weak coffee.” – Cowboy Proverb

“There are only two things that a cowboy can’t do without – his horse and his coffee.” – Unknown

“A cowboy’s day starts with coffee and ends with whiskey.” – Unknown

“Life is too short for bad coffee.” – Unknown

“Cowboy coffee: where the grounds are meant to be chewed, not sipped.” – Unknown

Wyoming

University of Alaska Ethnobotany: Bannock

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