Table 4.
Standard care | Intermediate care | Intensive care |
Dedicated to the newborn unit | ||
Medical officer OR Paediatric clinical officer (24-hour cover by ≥1 medical officer/clinical officer dedicated to the neonatal unit) Registered nurse (1:5/6 patients) (a ratio of one nurse to five newborns was recommended, but in line with recommendations from the LINC example (42), a ratio of 1:6 was deemed acceptable) Nutritionist1 |
Paediatrician (one on call) Medical officer (24-hour cover by ≥1 medical officer dedicated to the neonatal unit) Neonatal nurse Registered nurse (1 nurse of either designation:3 patients) Nutritionist1 Counsellor1 |
Neonatologist1
Paediatrician (need ≥1 covering the ward 24/7) Medical officer (no consensus on numbers) Neonatal intensive care nurses Neonatal nurses (1 nurse of either designation:1 patient) Nutritionist1 Counsellors1 Physiotherapist1 Occupational therapist1 Laboratory technician1 Biomedical engineer1 |
Available from the hospital to tend to newborns in the unit as needed (≥1 available to cover neonates) | ||
Physiotherapist Occupational therapist Laboratory technician Ophthalmologist |
Subspecialists such as
Anaesthetist Radiographer/radiologist |
LINC, Limpopo Initiative for Newborn Care.