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I'm doing an online NRP refresher type course before I have to go do the on site skills validation course.. I'm on Chapter 2 and I'm really confused about something and wondering if anyone can give me more insight...
I have been NRP certified before through a hospital where I was a nurse extern on a L&D floor...
As I'm going through chapter 2, there is a section on suctioning the trachea... as I'm reading the procedure on what to do and taking notes... all of this seems a little out of the scope of a RN and has me worried... I feel like inserting a laryngoscope, inserting an endotracheal tube... is that within the scope of a RN?
I guess what I am asking is this... can anyone who has had to put their NRP skills to use in a real life situation tell me if a nurse was the one putting in the ET tube/laryngoscope...
I'm a little concerned about if that is an expectation... if it is then I'll go back and find a way to practice it before I get to the skills validation course...
Thanks!
189 Posts
I'm doing an online NRP refresher type course before I have to go do the on site skills validation course.. I'm on Chapter 2 and I'm really confused about something and wondering if anyone can give me more insight...I have been NRP certified before through a hospital where I was a nurse extern on a L&D floor...
As I'm going through chapter 2, there is a section on suctioning the trachea... as I'm reading the procedure on what to do and taking notes... all of this seems a little out of the scope of a RN and has me worried... I feel like inserting a laryngoscope, inserting an endotracheal tube... is that within the scope of a RN?
I guess what I am asking is this... can anyone who has had to put their NRP skills to use in a real life situation tell me if a nurse was the one putting in the ET tube/laryngoscope...
I'm a little concerned about if that is an expectation... if it is then I'll go back and find a way to practice it before I get to the skills validation course...
Thanks!
It is my understanding that there are few places where RNs are trained to intubate. That being said, all RNs need to understand the correct technique to be able to assist the intubator. I have done intubation in skills drills but at my last recert our instructor very specifically stopped short of having us intubate as part of the megacode, focusing on the steps that we would be expected to know and practice within our scope.
I would check with the facility you'll be/are working for. If they don't teach RNs to intubate I can't see that it would be part of your exam in practice.
1,029 Posts
It is my understanding that there are few places where RNs are trained to intubate. That being said, all RNs need to understand the correct technique to be able to assist the intubator. I have done intubation in skills drills but at my last recert our instructor very specifically stopped short of having us intubate as part of the megacode, focusing on the steps that we would be expected to know and practice within our scope.
I would check with the facility you'll be/are working for. If they don't teach RNs to intubate I can't see that it would be part of your exam in practice.
This!!!! We do suction though.
23 Posts
I think that it is relative to ACLS training in med/surg... It is important to have the training and understand what to expect when running a code. Maybe in emergencies you would be the one to get things started before the doctor gets there, but doctors usually are the ones to shout out orders. RNs should be definitely be trained in intubating newborns, but in an optimal situation you would have an NNP to take over for you, but you would still be assisting them and should understand the process of what they are doing.
babyktchr, BSN, RN
850 Posts
I did the same thing. I sat with the book, a study guide and a coworker and was sweating bullets everytime I hit submit. Section 3 is KILLER.