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Neonatal Skills Lab Curriculum for the Pediatric ResidentsThe skills lab curriculum will be implemented for each resident rotating through the NICU and will occur typically on Tuesdays and/or Thursdays. Each resident will participate weekly and will be exposed to the basic Neonatal Resuscitation Program as well as the 3 requirements as listed by the ACGME:Airway ManagementEndotracheal IntubationUmbilical Line PlacementThe curriculum will focus on:Problem identification and general needs assessmentGoals and Objectives (focusing on all competencies)Educational StrategiesMedical KnowledgeTeamworkAssessments with ImplementationEvaluations and FeedbackOutcomes and Credentialing / Competency at bedsideAirway ManagementGoals & Objectives: To demonstrate airway management adhering to NRP guidelines. Review of transition to extra-uterine lifeUnderstanding the difference between primary and secondary apneaIdentify when resuscitation is neededReview of NRP guidelinesDemonstrate how to assemble and check equipmentDescribe different ways to provide positive pressure ventilation using:Bag-Mask VentilationNeoPIP / T-piece ResuscitatorUnderstand the differences between Bag-Mask Ventilation and NeoPIP including the benefits of each, how to assemble the equipment, and proper technique using the equipmentDescribe how to assess for effective ventilationUse of Pulse Oximetry during airway managementStrategies: The following will be used to learn the technique.Reading assignment: Neonatal Resuscitation Textbook, Sixth Edition: Lessons 1-3Review video demonstration from the Atlas of Procedures in NeonatologyApply techniques on task trainer using Baby AnnAssessment: Each resident will be assessed using the following:ChecklistFeedback/Debriefing sessionEndotracheal IntubationGoals & Objectives: To demonstrate endotracheal intubation skills adhering to NRP standards in the neonate.Identify need for endotracheal intubationEquipment assemblyLearn and demonstrate the techniqueIdentify correct size ETT and blade needed for intubationIdentify and demonstrate an understanding of the expected complications related to endotracheal intubationUnderstand how to use a meconium aspiratorUnderstand use of Pulse Oximetry and Pedi-Cap during airway managementDemonstrate proper x-ray interpretation of endotracheal tube positionStrategies: The following will be used to learn the technique:Reading assignment: Atlas of Procedures in Neonatology, Fifth Edition: Chapter 36, p 236-248Review video demonstration from the Atlas of Procedures in NeonatologyApply techniques on an intubation head task trainerAssessment: Each resident will be assessed using the following:ChecklistFeedback/Debriefing sessionUmbilical Line PlacementGoals & Objectives: To demonstrate proper placement of umbilical catheters in the neonate adhering to unit policy.Identify situations during which umbilical line placement is needed including the differences between the need for an umbilical artery and/or umbilical vein catheterUnderstand contraindications for umbilical line placementIdentify umbilical arteries and umbilical veins on inspection of an umbilical cordPreparation and proper assembly of equipment using sterile techniqueUnderstand how to determine the length of the catheter to be inserted into the neonateLearn and demonstrate the technique including proper positioning and stabilizationIdentify and demonstrate an understanding of the expected complications related to umbilical line placementDemonstrate proper xray interpretation of umbilical line positioningStrategies: The following will be used to learn the technique:Reading assignment: Atlas of Procedures in Neonatology, Fifth Edition: Chapter 29 (Umbilical Artery Catheterization); p 156-170Chapter 30 (Umbilical Vein Catheterization); p 173-180Review New England Journal of Medicine demonstration techniques on task trainer using Baby Ann and/or cord specimenAssessment: Each resident will be assessed using the following:ChecklistFeedback/Debriefing session ................
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