Neonatal Essential Package of Care Files / Books

Here you will find all the tools you need to successfully implement, audit and report on your progress in improving neonatal care and outcomes.

We have grouped the tools into the suggested filing systems you will use at unit level.  Each tool is listed in the order it should appear in your files. 

Use the below links to jump to that section on this page:

Neonatal Programme File

Monitoring File

Equipment File

Cleaning File

Additional Books

Monitoring Graphs

 

Monitoring File

File Division

  1. Dashboard

Contents

  1. Monitoring Tool file cover
  2. File cover
  3. File index
  4. Quarterly District EPOC report   (September 2025)
  5. Quarterly Facility EPOC report (September 2025)
  6. Background and introduction (February 2020)
  7. Dashboard roles and responsibilities (October 2019)
  8. Implementation guide / timelines (March 2024)
  9. Facility Implementation Board (Excel) (February 2025)
  10. EPOC tool: managers responsibilities (July 2022)
  11. Neonatal dashboard: indicator summary (February 2025

2. Health Systems

File Cover

A. Infrastructure and Equipment File Cover

  1. Infrastructure Audit (Tool 1) (December 2025)
  2. Equipment Audit (Tool 2)
  3. Bed Equipment Audit (Tool 3)

B. Support Services File Cover

  1. Support Services (Tool 4)
  2. Pharmaceuticals List – District
  3. Pharmaceuticals List – Regional / Tertiary

C. System File Cover

  1. Systems Audit (Tool 5)

3. Human Resources

  1. File cover
  2. Human resources audit (Tool 6)

4. Asphyxia

  1. File cover
  2. Resuscitation  facilities audit (Tool 7)

5. Prematurity.

  1. File Cover​
  2. Neonatal unit audit (Tool 8) (October 2020)
  3. KMC audit (Tool 9) (October 2020)

6. Infection.

  1. File Cover
  2. Neonatal IPC audit (Tool 12)​(October 2024)
  3. Hand hygiene monitoring  (Tool 13) (July 2023)
  4. Urinary Catheter insertion checklist (November 2022)
  5. Central line insertion checklist  (November 2022)

7. Well Baby

  1. File Cover
  2. Labour ward audit (Tool 10) (May 2023)
  3. Post natal unit audit (Tool 11) (October 2020)

8. Monitoring and  Evaluation.

9. Mentoring Reports

  1. File Cover

  2. Bi-monthly district reports​

  3. Monthly regional outreach reports (May 2023)

Equipment

File Division

  1. Equipment Register

Contents

2. Monthly Divisions (April – March)

  1. General Care equipment checklists (April 2019)
  2. High care equipment checklists (April 2019)
  3. Intensive care equipment checklists (April 2019)
  4. General equipment checklists (District) (November 2019)
  5. General equipment checklists (Regional) (November 2019)

3. Previous years equipment registers

Years

Procurement

File Division

  1. Consumables Checklist

Contents

2. NSI Register

3. Consumables, Contract numbers. specifications and order codes

Index

A. Airway respiratory (June 2023)

B.  Renal and GIT(June 2023)

C. Infection control –  haberdashery (June 2023)

D. IV Access (June 2023)

E. Miscellaneous (August 2025)

F. Needles etc (June 2023)

G. Wound management (June 2023)

H. Stationery (June 2023)

I. KZN Equipment – consumables (June 2023) 

Provincial awarded contracts  spreadsheet (September 2023)

4 NSI Forms

Completed NSI forms (if required)

Human Resources

File Division

  1. Staff Database

 

2. Champion allocation

3..Skills Assessments
   Monthly divisions (April –  March)

​Completed individual skills assessments

4. Previous years

  • Completed database and champions list

​5. Blank skills assessment forms

​1. Breastfeeding (January 2024​)

2. KMC (October 2020)

3. Respiratory distress (October 2020)

4. Assisting with intubation (October 2020)

5. Intubation (October 2020)

6.Umbilical line insertion (October 2020)

7. Nasogastric insertion (October 2020)

8. PICC line insertion (October 2020)

9. Urinary catheter insertion (October 2020)

10. Examination (February 2024)

Helping Babies Breath (Essential Newborn care 1)​ 

File Division

  1. Training

 

Contents

2. Fire Drills

  1. Fire drill 1 (February 2025)
  2. Fire drill 2 (February 2025)
  3. Fire drill 3 (February 2025)
  4. Fire drill 4 (February 2025)
  5. Fire drill 5 (February 2025)
  6. Fire drill 6 (February 2025)​

a. Bagging (February 2025)

b. Compressions (February 2025)

c. Medications (February 2025)​

3. Completed Fire Drills
    Monthly divisions (April –  March)

1. Daily bagging register (February 2025) 

2. Individual completed fire drills

4. Algorithms 

  1. Resus algorithm – neonatal
  2. ENC1 algorithm

Clinical and Record Audits:  Sick, Small and Encephalopathy (Neonatal Unit) 

File Division

1. Clinical and record audit –  combined annual scores

Contents

​2. Monthly divisions (April to March)

  1. Sick and small monthly summary (March 2025)
  2. Advanced care plan audit  (March 2025​
  3. Sick and Small audit (District) (May 2022)
  4. Sick and Small audit  (Regional) (May 2022)
  5. Encephalopathy monthly summary (July 2019)
  6. Neonatal encephalopathy audit guideline (May 2023)
  7. Encephalopathy audit –  Neonatal  (May 2023​)
  8. Encephalopathy audit – Maternal (May 2023)
  9. Neonatal Encephalopathy  Appendix A Case Summary With Action Plan (May 2023)
  10. Encephalopathy Audit : Appendix B : obstetric risk factors (December 2019)
  11. Encephalopathy audit Appendix C -Avoidable factors (December 2019)
  12. Additional Conditions (May 2022)

Clinical and Record Audits: Well Baby (Post Natal Unit)

File Division

1. Clinical and record audit – combined annual scores

Contents

2. Monthly divisions (April to March)

  1. Well baby monthly summary

  2. Well baby audit (May 2022)

  3. Care plan audit (February 2023)​

Mortality

File Division

1. Death Reporting SOP

Contents

2. PIPP code lists

  1. ​Avoidable factors

  2. Delivery data for one month

  3. Final cause of neonatal death

  4. Maternal obstetric condition at perinatal death

  5. Obstetric cause of perinatal death 

3. Monthly division (April –  March)

  1. Neonatal Death Summary (May 2023)
  2. Monthly consolidated death report cover-sheet-District hospitals
  3. Monthly consolidated death report cover-sheet –  Regional hospital
  4. Obstetric data (regional)
  5. Neonatal data (regional) (July 2020)
  6. Perinatal data (district) (July 2020)
  7. Perinatal minutes
  8. District Hospital Consolidated Report (December 2020)
  9. Regional Consolidated Report (December 2020)
  10. Perinatal case presentation
  11. Perinatal meeting presentation

4.  6 monthly assessment

  1. 6mthly consolidated death report cover-sheet-District hospitals (July 2020)

  2. 6mthly consolidated death report cover-sheet-Regional hospitals   (July 2020)

  1. Obstetric data    (July 2020)

  2. Neonatal data  

  3. Perinatal data (July 2020)

  4. 6 monthly perinatal meeting presentation (January 2020)

  5. Regional obstetric data

  6. District perinatal data

  7. Regional neonatal data

Cleaning

​File Division

Monthly division (April –  March)

Contents

  1. File Cover

  2. ​Cleaning checklists (February 2025)

  3. Ablution checklists (December 2017)

Additional Books

  1. Data
  1. ​Tracking Register​ (July 2025)
  2. Admissions, Discharges, Deaths (ADD) register​ (February 2025)
  3. Midnight head count register (October 2021)
  4. Daily Stats (September 2021)
  5. Statistics Register (September 2021)
  6. Digital Neonatal Stats Register (October 2021)

2. Systems

  1. ​Daily handover (red/blue flag) forms (February 2021)

  2. Daily Nurses allocation (January 2021)

  3. Daily resus trolley checklists (September 2019)

  6. Transport incubator checklist​ (May 2023)​

  7. Infection register​ (October 2023)​

Monitoring Graphs

Admissions Graph – large units

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​Admissions Graph

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​In-hospital mortality rate

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​IPC audit

​

​Neonatal bed occupancy

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​Neonatal mortality rate

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​Neonatal deaths

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​Nosocomial sepsis rate

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​Perinatal mortality rate

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​Record audit