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A database for managing all of the clinical functions in a neonatal
intenstive care unit--


*Summary page after data entry on a patient is complete suitable for faxing
or mailing to referring physicians (some hospitals are using these forms as
discharge summaries!)
*Monthly NICU and stepdown unit activity/census/LOS reports
*Summary activity/census/LOS reports for user-selectable intervals
*Patient lists according to discharge date, birthweight, gestational age,
inborn/outborn status
*Birthweight- and gestational-age and inborn/outborn-specific mortality,
morbidity (diagnoses), and length of stay (with user-selectable birthweight
and gestational age categories and choices of morbidities (diagnoses)
*Logical search to locate patients with combinations of diagnoses (and/or/and
not searches) - patients can be displayed according to pediatrician (to
facilitate e.g. letters for RSV prophylaxis)
*Hospital and Physician cost analyses based on Principal Diagnosis,
gestational age, or birthweight
*Frequency of assignment of diagnoses and QA indicators
*Transports in and out
*Analysis of admissions and transports by hospitals, doctors, insurance, and
zip code
*Analysis of maternal transports

Lists of patients can be further queried on any of the mother and baby
variables such as Apgars, presence of meconium, resuscitation, etc.

MacNICU includes the following additional functions:

*Physician's Admission Note.
*Cardiorespirogram Interpretation form.
*Full tracking of patients discharged on cardiorespiratory monitors.
*Follow-Up is integrated into MacNICU, with clinic appointment lists, and
data entry on developmental parameters. User-selectable interventions and
diagnoses can be entered and queried.
*QA issues noted at the time of data entry are placed on a Case Review
Meeting Agenda and MacNICU is set up to generate Morbidity/Mortality meeting
minutes to be sent to the hospital QA Committee.
*Mailing lists can be printed for parents (by discharge date and survival)
and doctors (by affiliated hospitals).
*Documents such as summaries, letters, or other files, faxes, or images can
be listed in a patient's record and directly accessed from the database.
*OB/Neonatology calculator which comes up with an arithmetically correct EDC
based on the LMP, menstrual cycle, and/or ultrasound data.


MacNICU also supports the entire nursing documentation process in the
Neonatal ICU---

MacNICU supports the work of the nursing staff in the NICU, and the
3-page-enter-data-on-both sides-hard-to-read-arithmetically-challenged
nursing flow sheets can be eliminated. Vital signs, transcutaneous O2, CO2
and pulse oximetry data, enteral intake (with an unlimited number of formulas
and formula additives), parenteral intake with multiple IVs, arterial lines,
TPN, lipids, and flush, multiple types of outputs, and nursing notes can all
be entered into MacNICU. Standard notes in up to 20 categories can be
combined with free text for a final nursing note. In contrast to the hand
written flow sheets, all entries on the MacNICU flow sheets are completely
legible and shift and daily totals of inputs and outputs are correct.

The computerized flow sheets give valuable information about weight gain over
a day and over several days, and fluid and caloric intake and urine output
over the flow sheet day and as running totals over the past 8 and 24 hours.
MacNICU includes a complete analysis of fluid and calorie intake as cc and
cc/kg and a breakdown of enteral and parenteral nutrition, and carbohydrate,
fat, and protein intake. The percent of calories coming from the various
sources is calculated. (There is a system preference as to whether to include
or exclude TPN protein calories in the analysis.)

MacNICU supports the documentation of blood products, mechanical ventilation
(with conventional ventilators, jet ventilators, and high frequency
oscillators), apnea and bradycardia spells, seizures, and laboratory studies.


Rob Stavis