Control Comp #1 (Newborn Assessment/Resuscitation, Newborn Bulb Suction, Pediatric Assessment/Resuscitation)

Question 1

Newborn Assessment/Resuscitation (Comp 1)
Procedure Steps
(12 Steps)

Answer 1

Procedure Steps
1. Antenatal counseling / Team briefing / Equipment check prior to birth
2. Mother delivers, assess if baby is term, their tone, and if breathing or crying; Start evaluation (APGAR)
3. Warm and maintain normal temperature, position airway, clear secretions if needed, dry stimulate
4. Baby has labored breathing or persistent cyanosis, position / clear airway, monitor SPO2, add supplemental O2 as needed; Consider CPAP
5. Baby has apnea, gasping or HR < 100 BPM, provide PPV, monitor SPO2, consider ECG monitor
6. HR drops to 60 BPM or less, begin CPR, intubate and continue PPV with 100% FiO2
7. HR remains below 60 BPM give IV epinephrine & consider hypovolemia or consider pneumothorax if HR continues to remain below 60 BPM
8. Continue to assess throughout, working as a team, transfer to nursery
9. Correctly care for equipment following the assessment and/or resuscitation
10. Ensure the patient safety, comfort and needs are met
11. Dispose of PPE, Handwash, Hand Sanitize
12. Record/Report

Question 2

Newborn Assessment/Resuscitation (Comp 1)
Procedure Steps
(Steps 1-4)

Answer 2

Procedure Steps
1. Antenatal counseling / Team briefing / Equipment check prior to birth
2. Mother delivers, assess if baby is term, their tone, and if breathing or crying; Start evaluation (APGAR)
3. Warm and maintain normal temperature, position airway, clear secretions if needed, dry stimulate
4. Baby has labored breathing or persistent cyanosis, position / clear airway, monitor SPO2, add supplemental O2 as needed; Consider CPAP

Question 3

Newborn Assessment/Resuscitation (Comp 1)
Procedure Steps
(Steps 5-8)

Answer 3

5. Baby has apnea, gasping or HR < 100 BPM, provide PPV, monitor SPO2, consider ECG monitor
6. HR drops to 60 BPM or less, begin, CPR, intubate and continue PPV with 100% FiO2
7. HR remains below 60BPM give IV epinephrine & consider hypovolemia or consider pneumothorax if HR continues to remain below 60 BPM
8. Continue to assess throughout, working as a team, transfer to nursery

Question 4

Newborn Assessment/Resuscitation (Comp 1)
Procedure Steps
(Steps 9-12)

Answer 4

9. Correctly care for equipment following the assessment and/or resuscitation
10. Ensure the patient safety, comfort and needs are met
11. Dispose of PPE, Handwash, Hand Sanitize
12. Record/Report

Question 5

Newborn Bulb SX (Comp 1)
Procedure Steps
(13 Steps)

Answer 5

Procedure Steps
1. Gathers equipment and verifies correct size of bulb syringe based on newborns size
2. Communicates with nursing and family (if indicated) about need for suctioning
3. Washes / gels hands; Utilizes and maintains standard precautions as required
4. Identifies newborn by ID on infant’s ankle and/or wrists
5. Assesses infant’s HR, RR, SpO2, and Breaths sounds prior to suctioning
6. With correct size bulb syringe, gently press down on bulb portion of the syringe, while placing the narrow end of the syringe in the baby’s nose
7. Places bulb syringe slightly inside of the nares, releases the bulb portion to suck up any mucus, remove from nose and expel contents onto paper towel or wash cloth; Repeat as necessary between both nares
8. After nose has been cleared, perform same procedure for the mouth of the infant, making sure to monitor baby’s vital signs throughout suctioning
9. Assesses infant post suctioning; HR, RR, SpO2, and breath sounds
10. Correctly care for equipment following the therapy
11. Assure the patient’s safety and comfort
12. Dispose of PPE; Hand wash / Hand Sanitize
13. Record / Report

Question 6

Newborn Bulb SX (Comp 1)
Procedure Steps
(Steps 6-8)

Answer 6

6. With correct size bulb syringe, gently press down on bulb portion of the syringe, while placing the narrow end of the syringe in the baby’s nose
7. Places bulb syringe slightly inside of the nares, releases the bulb portion to suck up any mucus, remove from nose and expel contents onto paper towel or wash cloth; Repeat as necessary between both nares
8. After nose has been cleared, perform same procedure for the mouth of the infant, making sure to monitor baby’s vital signs throughout suctioning

Question 7

Newborn Bulb SX (Comp 1)
Procedure Steps
(Steps 1-5)

Answer 7

Procedure Steps
1. Gathers equipment and verifies correct size of bulb syringe based on newborns size
2. Communicates with nursing and family (if indicated) about need for suctioning
3. Washes / gels hands; Utilizes and maintains standard precautions as required
4. Identifies newborn by ID on infant’s ankle and/or wrists
5. Assesses infant’s HR, RR, SpO2, and Breaths sounds prior to suctioning

Question 8

Newborn Bulb SX (Comp 1)
Procedure Steps
(Steps 9-13)

Answer 8

9. Assesses infant post suctioning; HR, RR, SpO2, and breath sounds
10. Correctly care for equipment following the therapy
11. Assure the patient’s safety and comfort
12. Dispose of PPE; Hand wash / Hand Sanitize
13. Record / Report

Question 9

Peds Assessment / Resuscitation (Comp 1)
Procedure Steps
(12 Steps)

Answer 9

Procedure Steps
1. Assesses child’s appearance, breathing, circulation
2. If child is responsive; Check for airway compromise, breathing or perfusion
3. Support airway, ventilation, and perfusion, provide O2 as needed, attach to monitor, and assess HR, SpO2, and continue to evaluate situation and intervene if necessary
4. If child is unresponsive; shout for help and activate emergency response plan
5. If child has a pulse but not breathing; Open and maintain airway, provide O2, attach to monitor and assess HR, SpO2, and continue to evaluate and intervene if necessary
6. If child has no pulse or less than 60 bpm, no breathing or only gasping, start CPR (C-A-B) and consider causes (Respiratory or Cardiac)
7. Based on your identification of the problem, intervene with appropriate actions
8. Continue to assess throughout, working as a team, transfer to PICU or prepare for transfer to an outside facility specializing in children
9. Correctly cares for equipment following the assessment and/or resuscitation
10. Assure the patient’s safety and comfort at all times
11. dispose of PPE; Handwash / Hand Sanitize
12. Record/Report

Question 10

Peds Assessment / Resuscitation (Comp 1)
Procedure Steps
(Steps 1-4)

Answer 10

Procedure Steps
1. Assesses child’s appearance, breathing, circulation
2. If child is responsive; Check for airway compromise, breathing or perfusion
3. Support airway, ventilation, and perfusion, provide O2 as needed, attach to monitor, and assess HR, SpO2, and continue to evaluate situation and intervene if necessary
4. If child is unresponsive; shout for help and activate emergency response plan

Question 11

Peds Assessment / Resuscitation (Comp 1)
Procedure Steps
(Steps 5-8)

Answer 11

5. If child has a pulse but not breathing; Open and maintain airway, provide O2, attach to monitor and assess HR, SpO2, and continue to evaluate and intervene if necessary
6. If child has no pulse or less than 60 bpm, no breathing or only gasping, start CPR (C-A-B) and consider causes (Respiratory or Cardiac)
7. Based on your identification of the problem, intervene with appropriate actions
8. Continue to assess throughout, working as a team, transfer to PICU or prepare for transfer to an outside facility specializing in children

Question 12

Peds Assessment / Resuscitation (Comp 1)
Procedure Steps
(Steps 9-12)

Answer 12

9. Correctly cares for equipment following the assessment and/or resuscitation
10. Assure the patient’s safety and comfort at all times
11. dispose of PPE; Handwash / Hand Sanitize
12. Record/Report