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Design that Protects: �Standards for Setting Up a Newborn Care Unit�

Kiruja Jason MSN Paeds, BScN

Roseline Atieno MSN Paeds, BScN

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Introduction

The architectural design of healthcare institutions impacts patient experience and health outcomes.

Principles

Inclusivity, adaptability, patient-centric, staff efficiency, and eco-friendly

In the newborn unit the aim is to create a safe and controlled environment to enhance care quality.

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We have a problem

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Methodology

Systematic review
WHO
UNICEF
12 architectural papers

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The standards

Architectural designs focusing on

Spacing
Maintaining warmth
Infection prevention

Handwashing
Traffic control
Cleaning

Control noise
Control lighting
Humidity

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Space

Importance of Adequate Spacing

Prevents cross-infection
Allows for movement and care activities.

Spacing Guidelines

Minimum Distance: At least 1 meter between cots.
Flexibility: Allow for adjustable spacing

accommodating various equipment and family needs.

Emergency interventions -

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Warmth�

Avoid temperature fluctuations. Room Temp set 25-28 degree Celsius

Thermal Regulation Needs

Insulation: Insulation in walls, floors, and ceilings to prevent heat loss.
Windows and Doors: Double-glazed windows and automatic doors
Heating Systems
Incubators and Warmers

Architectural Considerations

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Infection prevention

IPC in Vulnerable Populations

Architectural Design Strategies

Material Selection: Antimicrobial surfaces for high-touch areas.

Air Filtration/air circulation - 6 Air Changes per Hour (ACH).

Handwashing Facilities: 1- 6 meter from cot
Flooring: Use seamless, non-porous flooring to prevent the growth of bacteria and facilitate easy cleaning.

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Traffic Control�

Managing Foot Traffic to Reduce Cross-Contamination

Minimize the number of people entering critical care areas.

Design Elements

Zoning: Have distinct zones and restrict access to high-risk areas.
Separate Entrances: Design separate entrances for staff, families, and supplies to limit unnecessary movement.
Signage and Pathways
Family Areas

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Humidity

Average humidity 30-60%

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Noise and Lighting

Noise levels below 45dB

Controlling Lighting below 60fc

Lighting Needs for Newborns

Separate light for procedures

Minimize stress on infants.

Lighting Solutions

Natural Light: with blinds to control

Indirect Lighting: To reduce glare and create a soothing environment.

Circadian Rhythm Support

Dimmable lights

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Conclusion

The design of a newborn care unit must prioritize the protection and optimal development of neonates through adherence to newborn unit design standards.
Facilities need to modify existing units or develop new units using design standards that promote safety, protection, and nurturing environment for newborns.