2. context Now----------- NS (15 patients) Future -------Sub NICU (2010) 6 critical patients, 10 high risk newborns

3. NS profile Mrs. Obua Hiranrus (Head ward) 9 RN 5 Aide, 1 post girl

4. competency Register Nurses (All) Neonatal Nurse Practitioners (4) Master degree of Science(1) counseling psychology Neonatal- Pediatrics Critical care nurses (3)

5. Specific competency (the must) Attend the training, conference in the critical newborn care Pass the job training of neonatal CPR The knowledge in using and maintaining equipment in NICU

6. Criteria High risk newborn or tend to have critical illness 0-7 day-olds Newborn who are less than 2,000 gram The newborn who needs special procedures such as Blood exchange, partial exchange, intensive photo therapy

7. The newborn who needs close observation such as convulsion, apnea, sepsis, very low birth weight but no ventilator support, etc. The newborn who has chronic illness such as BPD, genetics problem Criteria

8. criteria The newborn who need help in development promotion such as poor sucking, poor muscle tone or high muscle contraction The newborn who has surgery problem and need to be care before refer to another hospital

9. Staff per turn 8 am- 4 pm 3 nurses, 2 aide 4 pm-12 pm 2 nurses, 1 aide 12 pm-8 am 2 nurses, 1 aide

14. Development Promotion