| Structure |
Existence of coordinator physician |
(1) physician, neonatologist or pediatrician. Technical manager with minimum labor of 4hr |
0.4 point |
0.4: Yes/ 0: No |
| Ratio of daily physician per bed |
(1) physician, neonatologist or pediatrician, day laborer (minimum 4h) per 15 beds |
0.4 point |
0.4: % According to the standard/ 0: Nonconforming |
| Ratio of existent physicians per turn per bed |
(1) assistant physician, neonatologist or pediatrician. Per turn per 15 beds |
0.4 point |
0.4: % According to the standard/ 0: Nonconforming |
| Existence of coordinator nurse |
(1) nursery coordinator with minimum daily labor of 4h |
0.4 point |
0.4: Yes/ 0: No |
| Ratio of nurses per turn per bed |
(1) nurse per turn per each 15 beds |
0.4 point |
0.4: % According to the standard/ 0: Nonconforming |
| Ratio of physiotherapists per turn per bed |
(1) physiotherapist per turn per 15 beds |
0.4 point |
0.4: % According to the standard/ 0: Nonconforming |
| Existence of speech therapist |
(1) speech therapist |
0.4 point |
0.4: Yes/ 0: No |
| Ratio of nursery technicians per turn per bed |
(1 ) nursery technician per 5 beds |
0.4 point |
0.4: % According to the standard/ 0: Nonconforming |
| Existence of nutritional assistance |
Guaranteed access to bedside service |
0.3 point |
0.3: Yes/ 0: No |
| Existence of psychological assistance/occupational therapy |
Guaranteed access to bedside service |
0.3 point |
0.3: Yes/ 0: No |
| Existence of nursery |
5m2 nursery for bed/crib |
0.3 point |
0.3: Yes/ 0: No |
| Existence of ambience room |
Ambience room |
0.3 point |
0.3: Yes/ 0: No |
| Existence of sink for hand washing |
Sink for hand washing in each room |
0.3 point |
0.3: Yes/ 0: No |
| Proportion of beds for genitors |
(1) Bed per genitor |
0.3 point |
0.3: ≥ 90%/ 0.15: < 90 and≥ 50%/ 0: < 50% |
| Proportion of incubators per beds total |
At least 20% of beds |
0.3 point |
0.3: ≥ 90%/ 0.15: < 90 and≥ 50%/ 0: < 50% |
| Proportion of acrylic cribs per beds total |
At least 80% of beds |
0.3 point |
0.3: ≥ 90%/ 0.15: < 90 and≥ 50%/ 0: < 50% |
| Ratio of manual resuscitators per newborns |
(1) per 5 NBs |
0.4 point |
0.4: % According to the standard/ 0: Nonconforming |
| Existence of electronic scale |
(1) Electronic scale |
0.3 point |
0.3: Yes/ 0: No |
| Ratio of materials for resuscitation in bed |
(1) per 15 beds |
0.4 point |
0.4: % According to the standard/ 0: Nonconforming |
| Ratio of stethoscope per bed |
(1) per bed |
0.3 point |
0.3: ≥ 90%/ 0.15: < 90 and≥ 50%/ 0: < 50% |
| Ratio of thermometers per bed |
(1) per bed |
0.3 point |
0.3: ≥ 90%/ 0.15: < 90 and≥ 50%/ 0: < 50% |
| Ratio of mobile aspirators per bed |
(1) per 15 beds; |
0.3 point |
0.3: % According to the standard/ 0: Nonconforming |
| Existence of clock and calendar |
Clock and calendar |
0.2 point |
0.2: Yes/ 0: No |
| Ratio of removable armchairs per bed |
(1) per bed; |
0.3 point |
0.3: ≥ 90%/ 0.15: < 90 e ≥ 50%/ 0: < 50% |
| Existence of hand sanitizer dispenser |
In every rooms |
0.4 point |
0.4: Yes/ 0: No |
| Materials that can be shared with the Conventional Neonatal Intermediate Care Unit: |
|
|
|
| - Existence of mobile incubator |
- (1) mobile incubator |
0.3 point |
0.3: Yes/ 0: No |
| - Ratio of otoscopes per bed |
-(1) per 15 beds |
0.3 point |
|
| - Ratio of sphygmomanometer per bed |
-(1) per 15 beds |
0.3 point |
0.3: % According to the standard/ |
| - Ratio of ophthalmoscope per bed |
-(1) per 15 beds |
0.3 point |
0: Nonconforming |
| - Ratio of nebulizer and mask per bed |
- (1) per 4 beds |
0.3 point |
|
| Structure Subtotal |
|
10 points |
|
| Component – Education |
| Process |
Proportion of professional that guide and encourage parents and caregivers to maintain breastfeeding |
100% of professionals |
2 points |
2: ≥ 90%/ 1 : < 90 and≥ 50%/ 0: < 50% |
| Proportion of professionals that guide parents and caregivers to supplemental feeding |
100% of professionals |
2 points |
2: ≥ 90%/ 1 : < 90 and≥ 50%/ 0: < 50% |
| Proportion of professionals that guide parents and caregivers about the execution of kangaroo method as much as possible |
100% of professionals |
2 points |
2: ≥ 90%/ 1 : < 90 and≥ 50%/ 0: < 50% |
| Proportion of professionals that guide parents and caregivers about recognition of alert signs |
100% of professionals |
2 points |
2: ≥ 90%/ 1 : < 90 and≥ 50%/ 0: < 50% |
| Proportion of professionals that guide parents and caregivers about follow-up after discharge |
100% of professionals |
2 points |
2: ≥ 90%/ 1: < 90 and≥ 50%/ 0: < 50% |
| Subtotal |
|
10 points |
|
| Component - Assistance |
| Process |
Proportion of professionals that perform physical exam |
100% of professionals responsible by the physical exam |
2 points |
2: ≥ 90%/ 1: < 90 and≥ 50%/ 0: < 50% |
| Proportion of professionals that assess growth and development considering adjusted gestational age |
100% of professionals responsible by the assessment of growth and development |
2 points |
2: ≥ 90%/ 1: < 90 and≥ 50%/ 0: < 50% |
| Proportion of professionals that request complementary exams |
100% of professionals responsible by the request of complementary exams |
2 points |
2: ≥ 90%/ 1: < 90 and≥ 50%/ 0: < 50% |
| Proportion of professionals that monitor prescribed medication |
100% of professionals responsible the monitoring of medicines |
2 points |
2: ≥ 90%/ 1: < 90 and≥ 50%/ 0: < 50% |
| Proportion of professionals that use strategies for dealing with pain and stress during procedures |
100% dos professionals |
1 point |
1: ≥ 90%/ 0.5: < 90 and≥ 50%/ 0: < 50% |
| Proportion of prescriptions of painkillers when requested |
100% of professionals responsible prescribing painkillers |
1 point |
1: ≥ 90%/ 0.5: < 90 and≥ 50%/ 0: < 50% |
| Proportion of professionals that help mothers with breastfeeding and milk extraction |
100% of professionals |
2 points |
2: ≥ 90%/ 1: < 90 and≥ 50%/ 0: < 50% |
| Proportion of professionals that help mothers with the hygiene of the newborn. Change of diapers. Bath and position of child. |
100% of professionals |
2 points |
2: ≥ 90%/ 1: < 90 and≥ 50%/ 0: < 50% |
| Proportion of professionals that encourage the visitation of relatives and support network |
100% of professionals |
2 points |
2: ≥ 90%/ 1: < 90 and≥ 50%/ 0: < 50% |
| Proportion of professionals that encourage the participation of the father or other reference figure of the mother-baby dyad |
100% of professionals |
2 points |
2: ≥ 90%/ 1: < 90 and≥ 50%/ 0: < 50% |
| Proportion of professionals that fulfill the discharge report |
100% of physicians |
2 points |
2: ≥ 90%/ 1: < 90 and≥ 50%/ 0: < 50% |
| Subtotal |
|
20 points |
|
| Component- Management |
| Process |
Existence of trainings or qualification courses about Kangaroo method for professionals of the health team |
Yes |
1.1 point |
1.1: Yes/ 0: No |
| Proportion of the team that performed kangaroo method |
100% of the team performed kangaroo method |
1.2 point |
1.2 ≥ 90%/ 0.6: < 90 and≥ 50%/ 0: < 50% |
| Existence of communication of the Kangaroo Intermediate Care Unit with state and municipal health secretariats, sanitary district or basic health unit depending on the reality of the localization |
Yes |
1.1 point |
1.1: Yes/ 0: No |
| Existence of reference and counter-reference between maternity and Basic Health Unit |
Yes |
1.1 point |
1.1: Yes/ 0: No |
| Existence of follow-up clinical manager |
Yes |
1.1 point |
1.1: Yes/ 0: No |
| Existence of clinical objectives. shared treatment and exams |
Yes |
1.1 point |
1.1: Yes/ 0: No |
| Inexistence of duplication of consultations. Medications and exams. |
Yes |
1.1 point |
1.1: Yes/ 0: No |
| Existence of viability of consultation of follow-up in third stage |
Yes |
1.1 point |
1.1: Yes/ 0: No |
| Existence of regulation of the reception of the neonate by primary health care, of the assistance of the Center of Family support, and specialized |
Yes |
1.1 point |
1.1: Yes/ 0: No |
| Subtotal |
|
10 points |
|
| Subtotal Process |
|
40 points |
|
| Total |
|
|
50 points |
|
