Moreover, do not provide PPV too aggressively with too much pressure. If you “bag the baby” too rapidly, you will cause a pneumothorax and your resuscitation will be compromised. For instance, I like to say “bag the baby” during PPV so that I don’t deliver PPV too rapidly. Do not provide PPV too rapidly – slow down. What’s the point of providing positive pressure ventilation if air does not enter the lungs! If there is no rise and fall of the chest, you must:. Most importantly, if there is no rise and fall of the chest with Positive Pressure Ventilation your resuscitation will be inefficient. Bag Mask ventilate at a rate of 1 breath every 3 to 5 seconds. 
If the infant is apneic or gasping, you must provide positive pressure ventilation (PPV) that causes the chest to rise and fall. In fact, suctioning the nose first causes the infant to snort and pull secretions from his/her mouth into the lung and your resuscitation will be inefficient.
If you suction the nose before the mouth your resuscitation will be inefficient.
In addition, you are required to suction the mouth and then the nose if there are copious secretions. There is no need to stimulate vigorously. 
If you leave a wet towel on the infant, the infant will get cold and your resuscitation will be inefficient.You must dry the infant with a towel then throw the towel away from the infant.The initial steps of neonatal resuscitation include drying, stimulation, and perhaps suctioning.
#Nrp check off how to#
In addition, healthcare providers must be aware on how to prepare the proper equipment needed to assist an apneic infant or neonates requiring chest compression’s and epinephrine.
All steps of resuscitation must be performed quickly and efficiently.Īll healthcare providers who work in Obstetrics must be aware of the conditions that may cause an infant to require neonatal resuscitation.Ĭlick here to view our blog on anticipating neonatal resuscitation. All equipment is usually stored in the drawers of the radiant warmer. To view a quick summary view our blog on Preparing for the Neonatal Resuscitation Program NRP Skills. All equipment and supplies needed for resuscitation are referenced in the NRP textbook. You certainly don’t want a doctor standing beside you “blowing wind tunnels” waiting for you to rummage through the drawers looking for supplies! We highly recommend that our students purchase the AAP Neonatal Resuscitation Program NRP 7th Edition Textbook prior to taking your exam and NRP skills. This is why it’s essential to have your American Academy of Pediatrics NRP certification. If you are not ready, your resuscitation will be inefficient. Initial Neonatal Resuscitation is all about being ready. The How to do NRP Skills Step by Step article does not reflect the upcoming Neonatal Resuscitation 8th edition guidelines. This article provides healthcare providers with a step-by-step guide on how to successfully complete the NRP skills session as well as the E-sims portion of the NRP exam.
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