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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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California NICU disaster preparedness.

Fatima Eskandar-Afshari1, Douglas N Carbine2, Ronald S Cohen1

  • 1Division of Neonatology, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.

Journal of Perinatology : Official Journal of the California Perinatal Association
|May 9, 2020
PubMed
Summary

Neonatal intensive care units (NICUs) have disaster plans, but consistent participation in preparedness training is lacking. Enhancing disaster drills is crucial for protecting vulnerable NICU patients.

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Area of Science:

  • Medical Sciences
  • Public Health
  • Emergency Medicine

Background:

  • Neonatal intensive care units (NICUs) are highly vulnerable during disasters due to specialized care needs and resource requirements.
  • Existing research on disaster preparedness specifically for NICU patients is limited, highlighting a critical knowledge gap.

Purpose of the Study:

  • To assess the disaster preparedness of Neonatal Intensive Care Units (NICUs) in California.
  • To identify gaps in disaster preparedness and training participation among NICUs.

Main Methods:

  • A survey was conducted from March to May 2018 among NICUs across California.
  • The survey collected data on NICU characteristics and participation in hospital disaster preparedness training exercises.

Main Results:

  • Out of 84 responding NICUs, most were urban, nonprofit, and community-based.
  • While many NICUs possess redundant systems and disaster plans, a significant portion showed inconsistent participation in annual disaster preparedness drills (10% did not participate, 44% participated once annually).

Conclusions:

  • NICUs have established disaster plans and backup systems.
  • Inconsistent participation in hospital training exercises remains a key challenge for effective disaster preparedness in NICUs.
  • There is a need to improve and standardize NICU involvement in disaster drills to ensure patient safety.