Nursery Scenarios

Jolie, BSN · Jan 24, 2006

Are you planning to develop resuscitation skills? Normal delivery care? Emergencies in the newborn nursery? Parent teaching situations?

I'm not quite sure what you have in mind.

Is your staff NRP certified? The NRP program itself contains a number of "scenarios" which can be used for teaching purposes.

darynash · Jan 24, 2006

They will be completing NRP during the internship and we plan to do a mock neonatal code in the morning session as well as postpartum emergencies and maternal code. Our skills day is set up for all of the interns in perinatal so the day includes crash c-section, fetal monitoring, precipitous delivery. Historically, our mother/baby folks went through this part even though they didn't work in those areas. We have received alot of feedback from the mother/baby track that they felt the internship was not geared towards them, just the labor and delivery, antepartum, and NICU folks. This session we have made a consious effort to have the mother/baby track specific to their area. I don't want to bore them on stuff they don't need so I want to spend the afternoon with the mother/baby folks and focus on issues with the newborn and help to develop their critical thinking in regards to the newborn. I want them to feel more comfortable with a baby that is not "normal."

What I had in mind was TTN, hypoglycemia, hypothermia, heart murmurs, things like that.

Terry

imenid37 · Jan 24, 2006

A couple of years ago, I had a baby, 35 weeks gestation who several times was spontaneously desatting throughout the course of the night and also did some "jittering" and on one occasion. I called the ped who was at home and was told that since cbc was ok, blood sugar was ok, and baby was on abx. "don't worry, Dr. X. will see him in the a.m." His neuro system "is just a little immature" and I think he did not believe me re. the desatting because he said he thought probe was not in a good place. The other nurses I was working w/ were not too terribly worried about him either. He did his "thing" but it was very brief, so no one else really saw him when he desatted. Mom had a hx of ETOH use early in pregnancy, but supposedly not recently, antidepressant use (Prozac), gestational diabetes, and was pg for first time at age 38. Baby was NPO with an IV and under oxyhood in approx. 30% o2. When I returned the following evening @ 7 p.m., the baby was not there. He had been transferred to a tertiary facility after...

he had a full-blown tonic clonic type seizure (very unusual for a neonate) for the nurse caring for him at 3 or 4 p.m. in the afternoon. In the meantime he had had several of the desatting episodes which did not impress his ped iether. Of course, he had been seizing all of that time. I know he was dc'd to home from the tertiary facility after about 2 weeks, but am not sure of the dx. I hope this helps. They did call us and insinuate that blood sugars should have been checked on this child, thankfully I had checked three in the 8 hrs. I took care of him and documented them.