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- Title
Evaluation of the Effectiveness of the Standardized Neonatal Resuscitation Program.
- Authors
Singhal, Nalini; McMillan, Douglas D; Yee, Wendy H; Akierman, Albert R; Yee, Y Jean
- Abstract
OBJECTIVE: To determine if health care personnel trained in the Neonatal Resuscitation Program ( NRP ) used the NRP guidelines in the resuscitation of newborn babies. To determine differences between self - reporting and documentation of resuscitation in medical records. STUDY DESIGN: Using a validated questionnaire, individuals participating in resuscitation of newborns voluntarily phoned and answered questions on an Interactive Voice Response ( IVR ) system. The study was undertaken in level II hospitals in Southern Alberta with 7500 deliveries per year. RESULTS: Of the 5155 babies delivered during the study, 16% required resuscitation ( bag and mask ventilation 10.6%, intubation for meconium or intermittent positive pressure ventilation, IPPV, 3.6%, cardiac massage, CM, 0.3%, epinephrine 0.1%, naloxone 6.9% ) . Of babies whose interventions could be assessed, bag and mask was correct in 99%, endotracheal intubation for IPPV in 100%, and CM in 100%. Only 75% of babies had meconium managed correctly and 92% had naloxone administered according to guidelines. There were more instances where IVR ( 48 ) reported a procedure, which was not charted versus charted and not reported by IVR ( 21 ) . Educational needs identified by IVR included skills of resuscitation and NRP indications for management. CONCLUSION: Bag and mask ventilation and intubation for neonatal resuscitation are more common than previously reported. Management of the meconium -stained baby and use of naloxone require further education. Compared to charts, use of IVR system allows more complete documentation with rationale of interventions and identification of continuing educational needs.
- Subjects
NEWBORN infants; PEDIATRICS
- Publication
Journal of Perinatology, 2001, Vol 21, Issue 6, p388
- ISSN
0743-8346
- Publication type
Article
- DOI
10.1038/sj.jp.7210551