NRP equipment in moms room

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Specializes in nursery, L and D.

I'm just full of complaints today:lol2: We don't have any NRP stuff in any of the moms rooms or anywhere in the vicinity. Not even an ambu bag. The NM says just to grab the baby and run to the nursery (on a different hall) if something happens. That would be a very long run if mom is in the last room on the hall, and one usually is(the only rooms with private showers are at the end and begining of the hall), and I have to run back to the nursery with a coding baby. Probably not a good outcome. Never had it happen (yet). Do you guys without LDRP's have NRP stuff in moms room?

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Specializes in Maternal - Child Health.

No, not in post-partum rooms. Not even in LDR rooms at all times. When a delivery is imminent, a resuscitation cart is pulled into the room, stocked with supplies needed for resuscitation. The ambu bag and suction is set up on the baby warmer, and kept in place for as long as necessary, but once baby is delivered and stable, it is removed, along with the resuscitation cart.

I'm a stickler for safety, but even I don't believe that ambu bags and suction equipment are needed in patient rooms 24/7 for normal newborns. I insist on having a bulb with the baby at all times, but agree that if a baby needs resuscitation, you can grab and run while doing rescue breathing. Remember that in newborns, airway obstruction and respiratory arrest are the most common causes of cardiac arrest. These 2 factors can usually be overcome without deep suctioning or bag and mask ventilation. And if a true resuscitation is needed, it can't be effectively carried out in the mom's room. Relieving airway obstruction, starting rescue breathing and running to the nursery are probably your best bets.

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Specializes in nursery, L and D.
No, not in post-partum rooms. Not even in LDR rooms at all times. When a delivery is imminent, a resuscitation cart is pulled into the room, stocked with supplies needed for resuscitation. The ambu bag and suction is set up on the baby warmer, and kept in place for as long as necessary, but once baby is delivered and stable, it is removed, along with the resuscitation cart.

I'm a stickler for safety, but even I don't believe that ambu bags and suction equipment are needed in patient rooms 24/7 for normal newborns. I insist on having a bulb with the baby at all times, but agree that if a baby needs resuscitation, you can grab and run while doing rescue breathing. Remember that in newborns, airway obstruction and respiratory arrest are the most common causes of cardiac arrest. These 2 factors can usually be overcome without deep suctioning or bag and mask ventilation. And if a true resuscitation is needed, it can't be effectively carried out in the mom's room. Relieving airway obstruction, starting rescue breathing and running to the nursery are probably your best bets.

Are you my nurse manager:idea: :lol2: just kidding, thanks for the reply, I am a bit paranoid about stuff like this,(sometimes I wish I hadn't took that CLNC course, it has done bad things for my nerves:uhoh21: , no really, it was great info) as you really can't defend it (in a bad outcome) if a lawsuit happens. I agree, it has work so far, I've been at this hospital for 3 years and nothing has happened yet, I make sure my babies have their bulbs and that parents know how to use them and call for help, not much else to do. I feel a little better knowing other places don't have resuscitation equipment at bedside, or around pp rooms.

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We have stuff in the LDRP rooms. All of them have a warmer, o2 and suction setups. And there are 2 crash carts on the unit that sit outside the rooms and can be pulled in if needed. That said only really basic resuscitation (does that make any sense?) is usually done in the room. Pushing drugs and putting in lines, even intubating is usually done in the NICU (unless the baby comes out floppy and unresponsive of course) Yhatś not to say the docs will not or do not do codes in the momś room. They do, if absolutely necessary and all the equiptment is there.

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Specializes in Community, OB, Nursery.

We don't generally keep NRP stuff in the mom's room other than a bulb syringe, which I am overboardly anal about teaching parents to use. Very fortunately our two wings are very close to either the nursery (B-side) or the NICU (A-side) so if something does happen, we can compress, breathe, & run. Maybe ambu bags wouldn't be a bad idea but our financial dept would have a thrombo. People will steal anything from a room if it's left unsecured, but what good is an ambu bag that you have to unlock a cabinet to get? Might as well run to the nursery.....

I don't have a good answer, obviously lol.

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Specializes in NICU, Infection Control.

In Labor rooms, the ambu bag and suction equipment should be ready to go, plastic bags opened and connections in place. That's NRP standards.

In post partum rooms, the bulb syringe rules. It might help, in situations where the NICU is far, far away to have an O2 tank on a wheelie cart w/a baby size face mask taped to it.

If baby really goes bad, NICU team (@ least RN and RT) should be called to stabilize before transporting to NICU. That was a scenario in the NRP I went to last year.

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Specializes in NICU.

I think there should be AT LEAST a bulb syringe and self-inflating bag in every room.

My motto "Ward off evil" by preparing for anything.

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Specializes in OB L&D Mother/Baby.

We have all equipment set up on an infant care center in each labor room.

As far as PP rooms we have a bulb in the baby's crib and that's it. We are a smaller facility and if something were to happen in a moms room it's only a short distance to the nursery and we are the nursery nurses too... unfortunately no NICU. We'd love to have a team to call LOL.

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Specializes in nursery, L and D.

Yeah, our L and D rooms are fully stocked, can't imagine not having everything in delivery! We too are the NICU and everything else at out hosptial (we go to all deliveries and stabilze and ship premies and sick kids) and the hospital is pretty small, if something happened in the last room on the hall, would probably take me 90-120 sec to get the baby to the nursery. So maybe I am freaking out over nothing. One of the other nurses says we can't let our babies room in b/c no equipment(among other things), so I said then lets get some! (I started another tread on this BTW) Doesn't seem like its much of an issue where most of you guys are, and I am sure we are alot smaller than most of you guys (about 1200 del/year) so this doesn't seem like a good excuse, and if it is than we should get a set-up close by! Thanks for your replies!

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Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

We don't keep full NRP equipment in ALL PP rooms---- but do when they are laboring---we are an LDRP and while we have the full compliment and warmer in each room for laboring patients, once delivered and stable even then, they may still have this, or not (depends on if it was all used in delivery----if so, we try to keep it all in the crib storage area near the infant). But we have c/section rooms where this equipment is not at the immediate bedside, but in our nursery, a matter of 30 seconds or less from any one of these rooms. The babies are not roomed-in , in c/s cases unless stable. Each infant is to have a bulb syringe at the bedside, in parents' reach, and its use is to be explained as soon as mom and baby are stable.

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Specializes in Nurse Manager, Labor and Delivery.

I can't imagine not having resusitation equipment in every labor room.

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Specializes in nursery, L and D.
I can't imagine not having resusitation equipment in every labor room.

We do have the whole set up in every LDR, just not in the pp rooms.

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