Abstract
All providers who attend deliveries independently should be well versed in the performance of effective ventilation, assessment of the quality of ventilation/interventions supplied and able to troubleshoot in situations where these may be ineffective. A novel manikin serves as a unique ventilation-focused training tool to practice these clinical skills and decision-making. The data generated by the manikin, with the aid of a facilitator, may be used for formative and summative feedback on an individual level or curricular development on a larger level. This communication describes the importance of focused ventilation training for front-line providers and illustrates how this manikin can be incorporated into an individualized ventilation training program.
Highlights
Effective bag-mask ventilation (BMV) is the foundation of successful neonatal resuscitation [1]. It involves the use of appropriate technique as well as the timely performance of ventilation corrective steps when indicated, i.e., mask adjustment, reposition, suction, opening the mouth, increase pressure and alternative airway (MRSOPA)
An assessment of heart rate (HR) and chest rise can indicate to the provider(s) whether effective BMV is being employed
At many institutions, including our own, pediatric residents and advanced practice providers (APPs) (specially trained delivery room nurses, physician assistants (PAs), nurse practitioners (NPs) and hospitalists) attend low- to moderate-risk deliveries independently as first responders. They are responsible for performing the initial steps, assessing the newborn, calling for additional help and promptly initiating effective BMV while awaiting the arrival of the rest of the neonatal advanced practice team
Summary
Effective bag-mask ventilation (BMV) is the foundation of successful neonatal resuscitation [1]. At many institutions, including our own, pediatric residents and advanced practice providers (APPs) (specially trained delivery room nurses, physician assistants (PAs), nurse practitioners (NPs) and hospitalists) attend low- to moderate-risk deliveries independently as first responders. In this capacity, they are responsible for performing the initial steps, assessing the newborn, calling for additional help and promptly initiating effective BMV (including performance of the ventilation corrective steps as needed) while awaiting the arrival of the rest of the neonatal advanced practice team.
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