midw338 caring for babies

of 21 Semester 2, 2011 This version produced 25 July 2011 Version: UnitOutline2011

FACULTY OF HEALTH SCIENCES

School of Nursing & Midwifery

St Patrick’s Campus

SEMESTER TWO, 2011

MIDW 338: Caring for Babies

UNIT OUTLINE

CREDIT POINTS: 10

PREREQUISITES: Nil

CO-REQUISITES: MIDW 335 Babies needing extra care

LECTURER-IN-CHARGE: Lecturer Name: Cath Wright

Office Location: 3.83 (Mon-Wed)

Email: [email protected]

Telephone: 03 9953 3178

DESCRIPTION:

This practice unit will assist students to acquire foundational knowledge of the care of the normal healthy baby as well as babies requiring admission to a Level Two Nursery. Students will have the opportunity to explore the environment of the nursery, and develop skills in neonatal midwifery practice. Care of the sick baby and midwifery interventions will be explored. Consideration is given to the needs of the family with a sick infant and the education requirements of families.

TEACHING TEAM:

Lecturer name: Jenny Noble Office location: 3.29 (Sessional Office)

Email: [email protected] Telephone: 9953 3845 (Sessional Office)

mailto:[email protected]


Lecturer name: Andrea Bilcliff Office location: 3.29 (Sessional Office)


Lecturer name: Gaye Demanuele Office location: 3.29 (Sessional Office)


MODE AND DURATION:

Mode/Attendance Pattern:

10-week semester; 3 contact hours per week; 160 clinical practice hours; and FTJ hours.

Unit Outline Resources:

The University provides a range of information and support for your studies. The Unit Outline Resources web page (http://www.acu.edu.au/241467) links to all relevant Policies, Resources and Support. See the end of this document for more information.

LEARNING OUTCOMES:

On successful completion of this unit, you will be able to:

1. Provide safe, competent evidence based care for the normal healthy baby and family;

2. Apply an appropriate framework for assessment of a newborn baby;

3. Describe newborn nutrition and hygiene needs;

4. Outline the role and functions the Level Two Nursery;

5. Demonstrate competence in neonatal resuscitation, neonatal assessment and interventions for the sick baby (ACU Graduate Attribute 5: demonstrate values, knowledge, skills and attitudes appropriate to the discipline and/or profession);

6. Provide safe care to the baby with additional health care requirements;

http://www.acu.edu.au/241467




7. Work collaboratively within the context of the neonatal multidisciplinary health care team (ACU Graduate Attribute 7: work both autonomously and collaboratively);

8. Utilise an appropriate clinical decision-making process to meet the needs of the baby and family in the postnatal ward and nursery;

9. Meet the family’s right to privacy, dignity and respect, and to be informed and make decisions regarding care of their baby (ACU Graduate Attribute 1: demonstrate respect for the dignity of each individual and for human diversity);

10. Facilitate transition of the baby and family from hospital to home;

11. Demonstrate development towards the ANMC National Competency Standards for the Midwife.

Each unit in your course contributes in some way to the development of the ACU Graduate Attributes which you should demonstrate by the time you complete your course.

You can view the ACU Graduate Attributes for all courses by following the link to Graduate Attributes (http://www.acu.edu.au/204356). All Australian universities have their expected Graduate Attributes – ACU’s Graduate Attributes have a greater emphasis on ethical behaviour and community responsibility than those of many other universities. All of your units will develop some attributes.

Your course, the Bachelor of Midwifery, is a professional program that requires development of particular attributes for accreditation purposes. These are also included in the Learning Outcomes.

On successful completion of this unit, students will have developed their ability to:

GA1 demonstrate respect for the dignity of each individual and for human diversity

GA5 demonstrate values, knowledge, skills and attitudes appropriate to the discipline and/or profession

GA7 work both autonomously and collaboratively

CONTENT Topics will include: Neonatal nursery environment and equipment ! Cots ! Oxygen saturation equipment ! Assisted ventilation equipment ! Monitors



! Documentation Routine care of the baby ! Gestational, physical and psychosocial assessment ! Hygiene ! Immunisation ! Temperature maintenance ! Comfort and parental contact Facilitation of growth and development ! Stimulation ! Touch ! Comfort /pain control ! Rest ! Position ! Kangaroo care Resuscitation of the baby ! Surfactant therapy ! Oxygen therapy ! Continuous positive airways pressure ! Blood gases ! Pharmacology Nutrition ! Fluid balance and electrolytes ! IV therapy ! Nasogastric feeds ! Breastfeeding ! Breast milk substitute feeds Common problems and care of the well baby ! Hypoglycaemia ! Jaundice ! Perinatal drug exposure ! Preterm baby Care of the family ! Support and counselling ! Involvement in care and decision-making ! Education - care of the baby ! Transition from hospital to home ! Transition to parenthood

SCHEDULE


ASSESSMENT PROCEDURES In order to pass this unit, you are required to attend all laboratory practical classes; attend the nominated compulsory lectures; successfully complete a Paediatric Pharmacology & SCN Calculation test; demonstrate specific midwifery skills; complete a FTJ with a baby and family in a level 2 nursery; complete the required clinical practice hours; and obtain a satisfactory assessment on clinical placement.

Week Commences Topic

1.

July 25 Neonatal nursery environment and equipment

Admission to SCN

2.

August 1 Routine care of the baby

Physical assessment

Gestational assessment

3.

August 8 Common problems and care 1

Prematurity

4.

August 15 Common problems and care 2

Jaundice & Phototherapy

5.

August 22 Facilitation of growth & development

Developmental Care

6.

August 29 Nutrition 1

Gavage & feeding

7.

Sept 7 (Weds) Compulsory NETS workshop will replace prac classes this week

08.00-10.00hr Room 2.81

8.

Sept 12 Nutrition 2

Resuscitation of the baby

9.

Sept 19 Pharmacology

Self – directed learning package: no lecture or prac classes this week

Sept 26 VACC week

10.

Oct 3 Common problems and care 3

Perinatal drug exposure

Care of the family


OVERVIEW OF ASSESSMENTS

Brief Description of Assessment Tasks Due Date Weighting (%)

Learning Outcome/s Assessed

Graduate Attributes Assessed

1. MEDICATION COMPETENCY ASSESSMENT

1a. Paediatric Pharmacology & SCN Calculation Test

1200 noon Fri, Sept 23 Pass/Fail

5, 6, 8, 11 5

1b. Medication diary 12 noon, Fri, Oct 7

Satisfactory/ Unsatisfactoy

2. MIDWIFERY SKILLS ASSESSMENT

2a. Midwifery skills demonstration

Appt to be made during exam week Nov 7 Satisfactory /

Unsatisfactory 1, 2, 3, 4, 5, 11

1 5 7 2b.Neonatal resuscitation Week 8, Sept 12

3. MIDWIFERY PRACTICE DOCUMENTS

3a. Midwifery Practice Competency Tool Within 5 calendar

days of completing clinical placement

Satisfactory / Unsatisfactory

1, 2, 3, 4, 5,

6, 7, 8, 9,

10, 11

1 5 7

3b. Midwifery Practice Record (Green Book)


3c. Follow Through Journey Record (Purple Book) including completed Level 2 SCN baby FTJ

Within 5 calendar days of completing SCN FTJ


ASSESSMENT TASK 1: MEDICATION COMPETENCY ASSESSMENT This assessment tasks provide the opportunity for students to demonstrate knowledge & skills appropriate to the discipline and/or profession. 1a. Paediatric Pharmacology & SCN Calculation Test A self-directed learning package will be available on MIDW338 Blackboard. Students are reminded that this is not a group project & they are expected to complete the assessment individually. Due Date: 12 midday, Friday Sept 23, 2010 Submission Requirements: to be submitted via E-learning MIDW338 drop box. Please be sure to

also complete & submit a ‘Declaration of Originality’


Weighting: Pass/Fail Marking Criteria: Mastery is required 1b: Medication Diary

Due Date: 12 noon, Friday, October 7 Submission Requirements: Please use an ACU Assignment coversheet & submit the Marking

Guide. Be sure name and student number is written on the document & all pages are secured. Submit via the School of Nursing & Midwifery assignment box.

Weighting: Satisfactory / Unsatisfactory Marking Criteria: Compilation of a Drug Diary that is accurate, relevant, in the students’

own words, and demonstrates understanding of clinical application in midwifery. A Marking Guide is provided at the end of this document. Further information will be provided in class week 1 & made available on Blackboard.

ASSESSMENT TASK 2: MIDWIFERY SKILLS ASSESSMENT This assessment task provides the opportunity for students to demonstrate values, knowledge, skills and attitudes appropriate to the discipline and/or profession; respect for the dignity of each individual and for human diversity; and the ability work both autonomously and collaboratively.

Midwifery skills will be practiced in class on a weekly basis, as per the schedule above. Students will be assessed in a clinical scenario examination performing one of four specific skills [2a] (nasogastric tube insertion and feeding, medication administration, physical assessment or routine care of a baby under phototherapy) and in neonatal resuscitation [2b.]. Failure to achieve a satisfactory standard in on-campus midwifery skills may prevent or restrict participation in midwifery clinical practice for this unit.

Due Date: Students will book an appointment time for their clinical exam during ACU Exam week 1, November 7-11, 2011.

Weighting: Satisfactory / Unsatisfactory Marking Criteria: See attached marking guide, feedback will be given at time of

assessment. ASSESSMENT TASK 3: MIDWIFERY PRACTICE DOCUMENTS These tasks (3a, 3b, 3c) provide the opportunity for students to demonstrate that they are able to think critically & reflectively; that they can demonstrate values, knowledge, skills and attitudes appropriate to the discipline and/or profession; that they are able to work both autonomously and collaboratively; and demonstrate effective communication in oral and written English language. Due Date: Within 5 days of completion of clinical practice Weighting: Satisfactory / Unsatisfactory Submission Requirements: The school retains Midwifery Practice Competency Tools (3a.);

students are responsible for obtaining a certified copy prior to submission. Submit completed documents to LIC via the School of Nursing & Midwifery assignment box.


3a: Midwifery Practice Competency Tool Marking Criteria: Evidence of successful completion of required clinical hours

Evidence of successful completion of related objectives Satisfactory assessment by clinical teacher

3b: Midwifery Practice Record Book (green book & worksheets) Marking Criteria: Complete & appropriate documentation

Worksheets for all green book entries

3c: Follow Through Journey Record Book (purple book) Marking Criteria: Complete & appropriate documentation

SCN FTJ includes baby’s transition home for 1/12 (1 month) following discharge from SCN Satisfactory assessment from and book signed by Mentor. Evidence of progress and/or successful completion of FTJ’s: (3 new FTJ commenced this semester including a Level Two Nursery FTJ & approx 8-12 FTJ in total)

OTHER UNIT INFORMATION Attendance at the NETS Workshop and all on-campus clinical laboratory prac sessions scheduled for this unit is compulsory. An attendance record will be kept. Prac sessions are intended to provide students with the skills to practice safely while on clinical placement, and so failure to attend laboratory sessions may result in the student’s clinical placement being cancelled. This is at the discretion of the LIC, in consultation with the Course Co-ordinator.

When you are aware in advance of the inability to attend your usual prac class, you are responsible for negotiating with the LIC to attend an alternate prac class. It is not acceptable to miss prac class, or request alternate arrangements due to the Follow Through Journey. If you are unable to arrange an alternative prac, it is your responsibly to contact the LIC. A make up task(s) may be assigned, which may include practical skills demonstration and/or a written 1000-word essay component. Make up tasks will be due 1 week after the missed class & late submission will not be accepted without an approved extension. Make up tasks are intended to support students in exceptional circumstances, and are not to be regarded as an alternate method of meeting course requirements.

If you do not attend compulsory on-campus laboratory classes and have not made satisfactory alternative arrangements as described here, you may be awarded a Fail grade (NN) in the unit (Faculty Health Sciences Teaching & Learning Committee, Assessment Policy 3.5.1).

It is your responsibility as a student to ensure that you have the prerequisites or co-requisites for a particular unit. You may not enrol in this unit if you have previously passed, or are currently enrolled in, any unit identified as incompatible with this unit. If you do not meet these requirements, then you must see your Course Coordinator.

You should also become very familiar with the Student Tutorials in Blackboard, since almost all ACU units now utilise eLearning. It is expected that students will check Blackboard at least



once a week for e-mail, announcements, on-line activities and learning resources. Please use MIDW338 Blackboard e-mail to communicate with lecturers during the semester.

In order to pass this unit, you are required to engage actively in the learning process and participate according to unit and assessment requirements.

STUDENT FEEDBACK AND CHANGES TO UNIT:

! NETS lecture valuable, but practical session was rushed and students were waiting too long for assessment. In response, NETS lecture to be maintained, but assessment to be incorporated into usual prac classes with booked times for assessment.

! On-line competency assessment looked like a lot of work, but actually was not and was both enjoyable and valuable. Many students completed the complete program, not just the prescribed modules.

ALLOCATING FINAL RESULT GRADES: Final results Notation Descriptor

Pass PS Satisfactory completion and submission of all required assessment items (medication package, medication diary, midwifery skills exam, neonatal resuscitation and midwifery practice documents).

Fail NN Unsatisfactory completion or incomplete submission of required assessment items

TEXTS AND REFERENCES

REQUIRED TEXT(S)

Australian Nursing and Midwifery Council. (2006). National Competency Standards for the Midwife. Canberra: Author.

Australian Resuscitation Council. (2006). Guidelines: Section 13 Neonatal Guidelines. Available online http://www.resus.org.au/

Fraser, D., & Cooper, M. (Eds). (2003). Myles Textbook for Midwives (14th ed.). Sydney: Churchill Livingstone.

OR

http://www.resus.org.au/


Fraser, D., & Cooper, M. (Eds). (2009). Myles Textbook for Midwives (15th ed.). Sydney: Churchill Livingstone.

Johnston, P., Flood, K., & Spinks, K. (2003). The Newborn Child (9th ed.). New York: Churchill Livingstone.

Johnson, R., & Taylor, W. (2005). Skills for Midwifery Practice (2nd ed.). Edinburgh: Churchill Livingstone.

Newborn Emergency Transport Service. (2010). Neonatal Handbook. Available online http://www.netsvic.org.au/nets/handbook

RECOMMENDED REFERENCES Australian College of Midwives. (2005). National Midwifery Guidelines for Consultation & Referral.

Canberra: ACM. http://www.midwives.org.au/

Australian Nursing and Midwifery Council. (ANMC). (2008). Code of Ethics for Midwives in Australia. Canberra: ANMC. http://www.anmc.org.au/

Australian Nursing and Midwifery Council. (ANMC). (2008). Code of Professional Conduct for Midwives in Australia. Canberra: ANMC. http://www.anmc.org.au/

Bryant, B., & Knights, K. (2007). Pharmacology for Health Professionals (2nd ed.). Chatswood, NSW: Elsevier Australia.

Hanretty, K. (2003). Obstetrics Illustrated (6th ed.). Edinburgh: Churchill Livingstone

Henderson, C., & Macdonald, S. (Eds). (2004). Mayes’ midwifery: A textbook for midwives (13th ed.). Edinburgh: Bailliere Tindall.

Merenstein, G.B., & Gardner, S.L. (2006). Handbook of neonatal intensive care (6th ed.). St Louis: Mosby.

Pairman, S., Pincombe, J., Thorogood, C., & Tracy, S. (2006). Midwifery: Preparation for practice. Sydney: Elseiver.

FURTHER REFERENCES Newborn Emergency Transport Service. http://www.netsvic.org.au/nets/index.cfm?doc_id=338

Royal Children’s Hospital. (2006-2009). Clinical Practice Guidelines. Available online http://www.rch.org.au/clinicalguide/index.cfm

Royal Women’s Hospital. (2006). Neonatal Clinical Practice Guidelines. Available online http://www.thewomens.org.au/NeonatalClinicalPracticeGuidelines

EXTENDED READING Students are encouraged to access the ACU library and utilise eJournals to access current Midwifery research: see http://www.acu.edu.au/136062


http://www.netsvic.org.au/nets/handbook/index.cfm?doc_id=447



POLICIES, RESOURCES AND SUPPORT:

Unit Outline Resources (http://www.acu.edu.au/241467)

It is the responsibility of all students to access, read and familiarise themselves with the following ACU Policies and Regulations. These are to be found in the ACU Handbook, which is readily available in the Library or on the Internet. The Academic Honesty Policy is very important and you must understand that plagiarism, collusion and recycling of assignments are not acceptable. You must read the Assessment Policy and Procedures. If you have any queries please see your Lecturer in Charge.

Policies

This area includes the Academic Honesty Policy (including information on plagiarism); Academic Regulations and Policies - see especially Assessment (attendance, extension for an assignment, factors affecting performance completion of assessment tasks, group work and collaborative assessment, personal circumstances affecting assessment, submission, collection and retention of assessment tasks, resubmission of assessment tasks); Examinations (including deferred exams); Review and appeals; Acceptable use of IT facilities; Conduct and responsibilities; Graduate Attributes.

Resources

This area includes the ACU Handbook, the eLearning Login (Learning Management System); eLearning Assistance and eLearning Tutorials and guidance.

Support

If you are experiencing difficulties with learning, life issues or pastoral/spiritual concerns, or have a disability/medical condition which may impact on your studies, you are advised to notify your Lecturer-In-Charge, Course Coordinator and/or one of the services listed below as soon as possible. The support areas include:

Academic Skills which offers a variety of services, including workshops (on topics such as assignment writing, time management, reading strategies, referencing), drop-in sessions, group appointments and individual consultations. It has a 24-hour online booking system for individual or group consultations.

Campus Ministry offers pastoral care, spiritual leadership and opportunities for you to be involved with community projects. The Career Development Service can assist you with finding employment, preparing a resume and employment application and preparing for interviews. The Counselling Service is a free, voluntary, confidential and non-judgmental service open to all students and staffed by qualified social workers or registered psychologists. Equity and Disability can assist you if you need educational adjustments because of a disability or chronic medical condition; please contact them as early as possible. Indigenous Units on each campus provide information and support for students. For all aspects of support please contact the Office of Student Success.




Faculty Of Health Sciences, School of Nursing & Midwifery, St Patrick’s Campus

MIDW 338: Caring for babies

Semester 2, 2011 ASSESSMENT TASK 1: MEDICATION COMPETENCY ASSESSMENT 1b: Medication Diary

MARKING GUIDE

MARKING CRITERIA: UNSATISFACTORY SATISFACTORY

Compilation of a Drug Diary…

! No evidence of participation - nothing submitted

! Limited participation -

insufficient submission

! Satisfactory participation - meets minimum requirements as per worksheet and drugs covered in class

! Solid evidence of participation - has extended on medication worksheets & developed a solid learning tool ! Excellent participation -

extensive submissions

…that is accurate…

! Incorrect information – UK/USA drug names, dose, indication etc

! Not referenced

! Information is correct – Aust drug names, dose etc ! Referenced

…relevant…

! Does not contain drugs relevant to midwifery practice

! Contains drugs relevant to midwifery practice

! Contains more drugs relevant to midwifery practice than covered in class

! Contains an extensive

range of drugs relevant to midwifery practice

…in the students own words…

! Copied text directly from book or electronic source

! Limited use of own

language, extensive use of text copied directly from book or electronic source

! Information is in students own words

…and demonstrates understanding of clinical application in midwifery.

! No evidence of reflection on application in midwifery

! Limited evidence of

reflection on application in midwifery

! Satisfactory evidence of reflection on application in midwifery – identifies principle use in midwifery & broadly relates to clinical practice

! Good evidence of reflection on application in midwifery – identifies use in midwifery and demonstrates clinical application

! Excellent evidence of

reflection on application in midwifery – can give personal clinical examples

LIC: _______________________ Cath Wright, RM


Faculty Of Health Sciences, School of Nursing & Midwifery, Melbourne Campus Semester 2, 2011

MIDW338 Caring for babies

ASSESSMENT TASK 2a. MIDWIFERY SKILL EXAM

A. Nasogastric tube insertion & feeding

Expected outcome standard The midwifery student....

Assessor

Displays effective communication skills using active listening skills throughout the procedure.

Offers explanation of the need for procedure to parents, gains consent

! Ensures privacy

! Respects psychosocial & cultural needs

! Reviews baby’s history, checks management plan ! Verifies baby’s identity

! Prepares and checks the equipment

! Prepares the baby ! Monitors vital signs prior to commencing ! Correctly and safely positions baby ! Ensures warmth of baby

! Tube insertion ! Measures and marks length of the tube correctly ! Gently inserts tube to measured mark ! Observes neonate for signs of complications during insertion ! Ensures tube is correctly positioned & securely taped ! Confirms correct position of tube with pH test ! Observes for indicators of tube dislodgement

! Administering feed ! Ensures correct type of feed ! Ensures correct temperature & volume of milk ! Observes for complications during feed ! Appropriately & safely regulates the flow of milk ! Safely ends the feed ! Leaves the baby correctly positioned

! Documents outcomes legibly & appropriately ! Reports any unusual findings appropriately

! States rationale for nasogastric feed ! Discusses actual/potential problems which may arise during the procedure and

outlines appropriate management

Based on Victorian Midwifery Academics (MIDAC). (2010). Victorian standardised clinical assessment tool for midwifery students. Melbourne, Victoria: MIDAC.


Name:..................................................................................Student number:.................................................

Assessor name & sign:.......................................................................................Date:...................................

Comments........................................................................................................................................................

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B. Care of a baby requiring phototherapy


Assessor


Offers explanation of the need for phototherapy to parents, gains consent

! Ensures privacy


! Reviews baby’s history, checks management plan ! Verifies baby’s identity

! Prepares and checks the equipment – according to method of phototherapy delivery ! Ensures incubator is warmed to NTE ! Ensure phototherapy unit is functioning

! Prepares the baby ! Monitors vital signs prior to commencing ! Positions baby safely ! Ensures baby remains warm & appropriately dressed ! Ensures eyes are protected

! Records vital signs as per guidelines ! Records baby’s output (observes stools)

! Comforts baby as needed ! Attends to baby’s nutritional needs according to management plan ! Interrupts phototherapy for feeds where applicable

! Maintains skin integrity, provides rationale ! Ensures clean environment

! Monitors serum bilirubin, turns off lights during collection, gives rationale

! Documents outcomes legibly & appropriately ! Reports any unusual findings appropriately

! States rationale for administering phototherapy ! Discusses actual/potential problems which may arise during phototherapy and






Comments........................................................................................................................................................

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C. Neonatal physical assessment


Assessor


Offers explanation of the need for assessment to parents, gains consent

! Ensures privacy


! Reviews baby’s history, notes any complications ! Verifies baby’s identity

! Ensures environment is well lit ! Identifies a time for assessment that is most suitable for mother and baby

! Positions and handles baby safely ! Systematically and accurately undertakes assessment

! General appearance ! Posture ! Colour ! Skin integrity ! Moulding and fontanelles ! Respiratory effort

! Physical characteristics ! Limbs and digits ! Eyes, nose, mouth and ears ! Chest, abdomen, umbilicus, hips, spine, genitalia and anus

! Observes and records ! Weight, length, head circumference ! Vital signs ! Output (urine, stools)

! Assesses neuromuscular integrity ! Neonatal reflexes ! crying

! Assesses behavioural capabilities ! Sleep and wake states

! Follows procedure ensuring baby is comforted


! Documents findings legibly and appropriately ! Reports any unusual findings appropriately

! States rationale for examination of the neonate ! Discusses actual/potential problems which may arise during the assessment

and outlines appropriate management




Comments........................................................................................................................................................

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ASSESSMENT TASK 1b. MIDWIFERY SKILL EXAM

D. Administration of medication to neonate


Assessor

Displays effective communication skills using active listening skills throughout the procedure. Offers explanation of the need for procedure to parents, gains consent Provides written information

! Ensures privacy


! Reviews baby’s history, checks medication orders ! Verifies baby’s identity

! Prepares and checks equipment

! Performs drug calculation, prepares and checks medication ! Checks with supervising midwife (2 RM’s) ! Observes 5 rights of medication administration ! Uses aseptic principles when preparing medication

! Prepares the baby ! Ensures baby is warm ! Identifies correct site for administration

! Administers medication using correct technique, over correct time frame ! Maintains aseptic principles

! Monitors baby for signs of reaction ! Following procedure ensures baby is comforted

! Documents findings legibly and appropriately ! Reports any unusual findings appropriately

! Demonstrates an understanding of the pharmacology of the specific medication ! States rationale for administering medication to the neonate ! Discusses actual/potential problems which may arise during the procedure and





Comments........................................................................................................................................................




ASSESSMENT TASK 2b. MIDWIFERY SKILL EXAM

Neonatal Resuscitation


Assessor

Prior to the assessment

! Displays effective communication skills using active listening skills throughout the assessment

! Offers explanation of the need for assessment

! Ensures privacy within the context of an emergency ! Respects psychosocial/cultural needs

! Identifies pre-disposing factors that may necessitate resuscitation ! Verifies baby’s identity – applies labels if necessary

! Ensures environment is warm and well lit

! Ensures equipment is available and operational ! Oxygen/air/blender ! Neopuff and/or bag and mask ! Suction ! Resuscitaire

At the time of assessment

! Assesses baby’s condition - Breathing, crying, tone - Response to stimulation - Clears airway if indicated

! Evaluates APGAR score (if at birth) at 1 and 5 minutes and every 5 minutes until baby is stable - Heart rate - Respirations - Muscle tone - Colour

! Describes classification of respiratory depression according to APGAR score

! Notifies appropriate personnel and summons help - Supervising midwife - Paediatrician - Special care nurseries - Call neonatal code blue if required

! Positions and handles baby safely ! Positions baby safely for resuscitation


! Resuscitates baby correctly - Establishes and maintains correct position of head and neck - Provides adequate ventilation via neopuff and/or bag and mask - States the indications and rates for ventilation (inadequate HR<100) - Assesses effectiveness of ventilation - Reassesses baby’s condition at correct times - Commences external cardiac compressions if indicated - States indications, correct ratio, rates and depth for cardiac compressions

(inadequate breathing, HR<60. Ratio 3:1) - States indications administration and precautions for resuscitation

medications; adrenaline, normal saline, sodium bicarbonate

! Reasseses baby’s condition ! Follows the ARC guidelines ‘flow chart’ and appropriately intervenes where

indicated

Following assessment

! Ensures baby is warm & closely monitored ! Explains criteria for care in the SCN following resuscitation ! Ensures family are comforted and debriefed

! Documents actions legibly and appropriately – in retrospect ! Reports appropriately

! States indication for neonatal resuscitation at the time of birth and following birth ! Discusses the actual/potential problems which may arise during the

resuscitation and outlines appropriate management




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