Effectiveness of positive pressure ventilation during newborn care unit evacuation. Issue 5 (October 2017)

• Record Type: Journal Article
• Authors: Timm, Nathan; Farra, Sharon; Miller, Elaine T.; Gneuhs, Matthew; Brady, Whittney; Marshall, Cheryl; Simon, Ashley
• Is Part Of: Journal of neonatal nursing. Volume 23:Issue 5(2017)
• Page Start: 234
• Page End: 237
• Publication Date: 2017-10
• Subjects: Disaster planning -- Inspiratory positive pressure ventilation -- Newborn; Newborn Intensive Care Unit NICU -- Respiratory Rate RR -- Human Patient Simulator HPS; Newborn infants -- Care -- Periodicals; Newborn infants -- Diseases -- Periodicals; Neonatal intensive care -- Periodicals; Soins infirmiers en néonatologie -- Périodiques; Infant, Newborn, Diseases -- Periodicals; Intensive Care, Neonatal -- Periodicals; Neonatal Nursing -- Periodicals; 618.9200231
• DOI: 10.1016/j.jnn.2017.02.009
• Languages: English
• ISSNs: 1355-1841

Abstract

Abstract: Objective: Assess the utility of high fidelity simulation in understanding effectiveness of bag-valve ventilation in a simulated newborn intensive care unit vertical evacuation. Participants: A total of 70 participants, (13 teams of 4–6 staff) including physicians, nurses, respiratory therapists and other support personnel participated in a 90-min evacuation sessions. Methods: Two wireless high-fidelity newborn mannequins (Gaumand Scientific R ) provided real-time data of ventilation support during a NICU evacuation exercise. Trained evaluators also recorded data related to performance. Following the exercises, the simulator data were downloaded and analyzed for rate and consistency of respirations. Results: Using the data from the simulators and evaluator comments, it was found the infants received proper airway management during the evacuation only 58% of the time. This study highlights the need for ongoing training for NICU staff around safe, effective, coordinated, and timely care of these fragile newborns in the event of an evacuation.