To all my fellow NICU nurses, I am a new grad in NICU on orientation and have been trying to figure out at what points do you consider bagging an infant or more invasive intervention during a routine shift. Im very familiar with NRP as far as deliveries go and I understand that it basically is the same anywhere but I have been having some trouble applying it. I know that you always have to check the baby first and not rely on the monitors. I obviously haven't had to intervene yet during my orientation but I wanted to get more familiar with what to do so I will feel more confident that I would be able to do the right thing if the time came. Some kind of system in my head to organize all the information.
If the baby desats and doesn't come up, whether on 02 or not on 02, and you have turned them up. I know you can reposition and try to get sats up. If not on 02 you could stimulate if they brady too. But at what point would you bag them? Is it if the heart rate drops too? If they fall into the 60s? 40s? Obviously dont want to wait too long but dont want to bag if not necessary. I know if HR is below 60 I would start compressions after 30 sec of PPV but at what point does this all start? Is blow by another method of solving this if there is no apnea?
I hope Im making sense. I appreciate the help! Trying to organize my thoughts