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Overview

NICU Nursing Protocols

Core Nursing

  1. Hand Hygiene - Most important infection control measure
  2. Baby Focused Nursing Care - Individualized neonatal care approach
  3. Temperature Recording - Monitoring and maintaining thermoregulation
  4. Sponge Bath - Safe bathing procedures for neonates
  5. Weighing a Baby - Accurate weight monitoring techniques
  6. Nesting and Positioning - Developmental positioning
  7. Breastfeeding - Lactation support and positioning techniques

Specialized Care

  1. Hand Expression of Breastmilk - Manual expression techniques and storage
  2. Kangaroo Mother Care - Skin-to-skin care
  3. Pain Relief in Newborns - Non-pharmacological pain management
  4. Paladai / Suthi Feeding - Specialized feeding methods
  5. Insertion of Nasogastric Tube - Safe tube insertion techniques
  6. Gavage Feeding - Tube feeding procedures and monitoring
  7. Phototherapy - Neonatal jaundice management

Clinical Procedures

  1. Venous Blood Sampling - Safe specimen collection techniques
  2. IV Cannula Insertion - Vascular access procedures
  3. Medication Administration - Safe drug administration protocols
  4. Suctioning Procedures - Oral, nasal, and endotracheal suctioning
  5. Bag-and-Mask Ventilation - Emergency ventilation techniques

Quality and Safety

  1. Asepsis and Housekeeping - Environmental safety and waste management
  2. Nursing Care Responsibilities - Comprehensive care standards
Getting Started

New NICU staff should begin with Hand Hygiene and Baby Focused Nursing Care protocols before progressing to specialized procedures

Target Audience

  • Nurses working in SNCU/NICUs
  • Doctors/Resident doctors working in SNCU/NICUs
  • Nursing supervisors and incharge nurses
  • Nursing students on neonatal rotations
Development Status

This comprehensive nursing protocol represents evidence-based standards adapted from multiple healthcare institutions and standard guidelines. We update it regularly to align with current best practices.


Document Version: 2.0
Last Updated: 24 September 2025
Classification: Clinical Training Material