Libro blanco de las ACES Pediátricas 2024

Libro Blanco de las ACES Pediátricas 2024 500 ❚ 26 APPENDIX 1: REQUIREMENTS FOR INSTITUTIONS OFFERING NEONATOLOGY TRAINING This section describes features that are desirable for an optimal setting for a training centre for specialist Neonatology. Due to the differences in care between European countries, this description comprises recommendations, not obligations. The perinatal unit providing training Size of the unit: At a Neonatology training institution the number of patients and their care must be of such a standard as to be able to meet the training requirements within the time set. The institution should provide care for a majority of the range of neonatal diseases and should ideally have a minimum of 40 admissions of very low birth weight infants (< 1500 g) per year. Specifically, the trainee will be expected to demonstrate experience of leading the resuscitation/stabilisation and primary care for at least 25 very low birth weight infants (less than 1500 g) including at least 10 extremely low birth weight infants (< 1000 g). These details should be included in the assessment framework alongside the formal details signed off by the trainer. Obstetrics: A hospital offering training for neonatologists should be part of a perinatal centre: The institution, or one closely linked to it, should be equipped for prenatal diagnosis of fetal disorders, management, admission and delivery of pregnant women with maternal or fetal high risk disorders, facilities for receiving maternal and infant transfers, delivery and caesarean section room with facilities for resuscitation of the newborn infant. Other specialities: Each unit providing training in Neonatology should have defined lines of communication and access to specialist advice within the institution or within an established inter- institutional network from the following: Neonatal surgery and anaesthesia, paediatric cardiology, paediatric respiratory medicine, radiology (including ultrasound), ophthalmology, laboratory services for clinical chemistry, microbiology, and haematology and transfusion medicine, child development centre (clinical genetics, paediatric neurology and neurophysiology), paediatric nephrology, audiology and other surgical specialists (ENT, orthopaedics, neurosurgery). There should be access to necropsy by a trained perinatal/ paediatric pathologist. Staff in other departments: Within each training hospital the following staff supporting neonatal intensive care must have training and expertise in the care of sick newborn infants and their parents: Radiographers, pharmacists, physiotherapists, neurophysiology staff, and social workers. Supporting staff: Each unit providing training in Neonatology should have trained supporting staff to minimise inappropriate work which otherwise would be undertaken by nursing and medical staff. Examples are administrative, secretarial and clerical staff, medical technicians, audit assistants, and housekeeping staff. Neonatal nursing staff All units providing training in Neonatology should have a senior nurse with neonatal experience and managerial responsibility, together with a designated nurse responsible for further education and in- service nurse training. A nurse should ideally not have responsibility for more than two infants receiving neonatal intensive care.