This manual presents a spectrum of training scenarios for first responders in the neonatal unit setting. Mock codes provide a simulated experience of emergency situations with the intention of developing the technical skill, knowledge, critical thinking and teamwork of neonatal practitioners. The philosophy underlying a mock code program is to enhance the confidence of caregivers by practicing emergency techniques in a consequence-free environment. This volume is a landmark contribution to the neonatal literature in that it brings together, for the first time, a compendium of scenarios dealing exclusively with newborns in a variety of acute and critical care situations. A pocket-sized code card summarises the most crucial points for each mock code providing a handy quick-reference review.
Table of Contents
Foreward. Preface. Mock Code Scenarios. 1. Apnea; 2. Perinatal asphyxia; 3. Hypovolemic Shock in the Delivery Room; 4. Diaphragmatic Hernia; 5. Pneumothorax; 6. NonImmune Hydrops; 7. Unplanned Extubation; 8. Septic Shock; 9. Tracheoesophageal Fistula; 10. Seizure; 11. Central Apnea due to Narcotic Administration; 12. Persistent Pulmonary Hypertention of the Newborn; 13. Choanal Atresia/Stenosis; 14. Hypoplastic Left Heart Syndrome; 15. Transposition of the Great Arteries with Intact Ventricular Septum; 16. Total Anomalous Pulmonary Venous Connection with Obstruction; 17. Hyperkalemia; 18. Pericardial Effusion and Tamponade; 19. Digitalis Toxicity; 20. Airway Obstruction after Tracheostomy; 21. Upper GI Bleed; 22. Bronchospasm with Bronchopulmonary Dsyplasia; Appendix: I. Pain Management in the Neonate; II. Family Presence During Emergencies; III. Abbreviations; III. Code Documentation Form; V. Evaluation Tool; VI. EKGs; VII. Xrays; Index.
Anne R. Hansen, MD Medical Director, Neonatal Intensive Care Unit, Children's Hospital Harvard Medical School Boston, MA Mary Quinn, BSN, MS, NNP Neonatal Nurse Practitioner Neonatal Intensive Care Unit Beth Israel Deaconess Medical Center Boston, MA Michelle Ambrosino, BSN, MS, NNP Neonatal Nurse Practitioner Neonatal Intensive Care Unit Children's Hospital Boston, MA Janet S. Lloyd, MD Director, Neonatal Intensive Care Unit Children's Hospital Boston, MA