[PDF] NRP Instructor UPDATE

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NRP Instructor UPDATE

NRP Instructor UPDATE NRP® Instructor Newsletter Vol 28 No 2 Fall/Winter 2019 Respiratory Care in the Delivery Room Frequently Asked Questions Can the nurse give CPAP, and does he/she need a medical

GENERATOR ROOM VENTILATION CONTROL SEQUENCE

notes: all required 24 v power supplied from bas panel mount where indicated in plan view hoa switch mounted on vfd panel (by mechanical contractor)

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NRP

Instructor

NRP® Instructor Newsletter Vol. 28 No. 2 Fall/Winter 2019

Respiratory Care in the Delivery Room

Frequently Asked Questions

Can the nurse give CPAP, and does he/she need a medical provider's order to do so? any procedure. It is each hospital"s responsibility to determine the assume clinical responsibility for needed interventions. in the delivery room is not considered an advanced practice proce- dure. Check to see if there is a state nursing commission (or board of nursing) policy or hospital policy or job description about who is is rarely an emergent intervention (because the baby's heart rate is decide to take the time to designate the procedure to a respiratory care practitioner or a medical provider; however, RNs are probably step to assess the presence of chest movement with PPV. Usually, spend time assessing breath sounds until you insert an alternative airway, such as an endotracheal tube or laryngeal mask. 2

Coming Soon! Redesigned Instructor Toolkit

T designed NRP Instructor Toolkit (ITK). This website, which contains valuable resources for instructors, is being remade to better meet your needs. To save you from spending excessive time browsing for information, the new ITK will have a more accessible site structure, featuring an expanded navigation menu as well as clean, orderly page layouts. We Therefore, we're delivering content in thoughtfully chosen formats, using images, videos and site features you can anticipate. Page layouts will be uncluttered to ensure information is easily accessible, with content organized into clear sections with explicit headings and subheadings. Where mation, such as processes (e.g., process for becoming an instructor) and sample course agendas.

An Expanded Navigation

the top of each ITK webpage will simplify searching for information. This menu will remain the same no ITK homepage. The other six tabs divide the site into a

Homepage of the new Instructor Toolkit

We will send an email to all instructors and instructor candidates when the new ITK becomes accessible.

TEST YOUR KNOWLEDGE: NRP INSTRUCTOR EXAM

Question: What is the most important indicator of successful positive pressure ventilation? A) Chest movement with each breath B)ž C) Improvement in tone and movement D)ž

Answer on back page...

NRP® Instructor Newsletter 3

2020 NRP Research Grant Call for Applications

T clinical, epidemiological, or educational research pertaining to the broad area of neonatal

ĮŊžŌavailable in January 2020.

Physicians in training or individuals within

four years of completing fellowship training are eligible to apply for up to $15,000 through the

NRP Young Investigator Award.

Any health care professional with an interest

in the impact of human factors on delivery room resuscitation or optimization of NRP education is encouraged to submit a proposal for up to $15,000 for an NRP Human Factors or

Education Grant.

Any health care professional with an interest

in neonatal resuscitation can submit a proposal for up to $50,000 through the NRP Research

Grant Program.

NeoLog Now Available!

a new code sheet designed to promote accurate documentation during neonatal resuscitation and is optional for use. It can help with the coordination of post- resuscitation care as well as with recreating a resuscitation in the event of legal Name: GA: Date/time of birth: Date/Time: Wt/EFW:

Maternal risk factors/events leading to resus:

Location:

Delivery Rm

OR NICU Nursery

Other Thermoregulation (if preterm):

Plastic wrap

Thermal mattress Room temp:

Preheat warmer

Check PPV device with mask

Prep pulse oximeter

Check laryngoscope

Prep ETT

Access ECG leads

Prep UVC

Prep epinephrine

Prep volume

MR. SOPA

MR: Mask adjustment & Reposition airway SO: Suction & Open mouth P: Pressure increase A: Alternative airway

TimeBreathingHR

O

2 Saturation

O

Concentration

CPAP Pressure

PIP/PEEP

Chest Movement

COɌ

Airway

Compressions

O increase to 100%

Access

Preferred

IV Epi

0.1mg/mL

(0.1 -

0.3mL/kg)ET Epi

0.1 mg/mL

(0.5 -

1mL/kg)Volume

10mL/kgNotes

(color, tone, ETT size and insertion depth, OG tube, total volume infused, transillumination, etc.)

HR Auscultated

HR on MonitorYes

No

Assisted

Y N A

LM ETT

U IO IVmLmL

NS PRBC

Y N A

LM ETT

U IO IVmLmL

NS PRBC

Y N A

LM ETT

U IO IVmLmL

NS PRBC

Y N A

LM ETT

U IO IVmLmL

NS PRBC

Y N A

LM ETT

U IO IVmLmL

NS PRBC

Y N A

LM ETT

U IO IVmLmL

NS PRBC

Y N A

LM ETT

U IO IVmLmL

NS PRBC

Y N A

LM ETT

U IO IVmLmL

NS PRBC

Y N A

LM ETT

U IO IVmLmL

NS PRBC

Y N A

LM ETT

U IO IVmLmL

NS PRBC

Y N A

LM ETT

U IO IVmLmL

NS PRBC

Y N A

LM ETT

U IO IVmLmL

NS PRBC

Outcome: Admission Temperature:

Stabilized/remained on unit

Transferred to: Time:

Expired Time: ȑ

Family Time:

OB provider: Time:

Baby's physician: Time:

Team Leader:

Scribe (print name): Scribe: (sign name): Date/Time:

Key: EFW = estimated fetal weight Epi = epinephrine ETT = endotracheal tube GA = gestational age IO = intraosseous IV = peripheral IV LM = laryngeal mask

NS = Normal Saline PIP/PEEP = positive inspiratory pressure/positive end expiratory pressure PRBC = packed red blood cells U = umbilical venous catheter

NeoLog

Document every 1-2 minutes (if possible)

American Academy of Pediatrics | American Heart Association Adapted with permission from Jane Germano, DO, FAAP Page 1 of ____ (more recording space on next page)

Rev. 11/12/19

Respiratory Care in the Delivery Room Frequently Asked Questions resuscitate babies of younger gestational age and additional research evidence becomes available, we will consider including additional measurements to the table. Now that we are treating newborns 500-700g, what do you think The NRP 7th edition textbook does not address the routine use of resuscitation supplies should be made by individual hospitals in consultation with neonatologists in their region. Questions to con- sider when making this decision include whether you have a suction and whether the high resistance caused by its small diameter will

Ν.9AB-EB.

NRP® Instructor Newsletter

TEST YOUR KNOWLEDGE: ANSWER

Thermal Mattress Information

T he NRP Steering Committee has been made aware that there may be some risk to using a thermal mattress with other heat sources. There is a possibility that a thermal mattress could overheat

if placed under a radiant warmer while in use. The NRP suggests storing and activating exothermic mattresses at

room temperature because a previous study showed if they were stored at high temperature (for example, inside an ambulance in the summer, or in a pre-warmed incubator) they could reach unintend- S, Kempley ST. Critical dependence of acetate thermal mattress 9

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