Neonatal Resuscitation

Our goal is to improve neonatal outcomes for babies born in the community, which is the only outcome currently in question with regards to homebirth. Dr. Lane has dedicated her doctoral work to addressing limitations in the neonatal resuscitation workshop that do not otherwise meet the needs of birth center-based or homebirth-based attendant. She has twenty years of experience working with neonates and ten years experience training midwives and their assistants in resuscitating the neonate.

Dr. Lane is an American Academy of Pediatrics NRP course instructor with two decade’s experience attending births, in the home, birth center and the hospital setting. She has developed a course that respects the midwifery-model-of-care, yet also equips the midwife and her assistants to confidently use the T-piece resuscitator and manage a full resuscitation complete through intubation, medication administration and umbilical line placement within the home environment. Neonatal outcomes appear to be the one outcome where hospital born babies favor the outcomes of those born at home. Failed resuscitative efforts have been identified as a significant variable.

Each neonate, whether born at home, or in the hospital, has a right to immediate and competent resuscitation.

Not a Lecture, but a Facilitated Discussion

Dr. Lane will offer a keynote presentation reviewing the homebirth literature and neonatal outcomes. The most current recommendation regarding neonatal resuscitation will be offered, as well as a plethora of information specific for the birth center-based and home birth-based provider, including delayed cord clamping, staffing models, and securing appropriate supplies and equipment. Clinical skills practice will also be emphasized including use of the T-piece resuscitator, self-inflating mask, compressed air and oxygen regulation, various suction options, and a plethora of intubation supplies and equipment. Administration of epinephrine will also be thoroughly discussed and techniques practiced.

All skills will be thoroughly reviewed and practiced until each attendant feels confident they can use the equipment effectively and efficiently. However, emphasis will be given to successfully navigating through homebirth resuscitative scenarios. Homebirth providers meet these scenarios so infrequently, mastering resuscitative skills can be a significant challenge. Repetition, being presented with a variety of scenarios, and debriefing offers a rich learning experience.

The 6th edition of the NRP text placed great emphasis on debriefing as part of the learner’s experience. Debriefing is not simply feedback from the instructor to the trainees; the goal is to discover what went well, what needs improved and how those improvements can be obtained. The best debriefings allow learners to link their simulation experiences to their personal, real-world experiences. It is important to understand that most of the learning does not take place during the scenarios, but rather the debriefing that follows. Dr. Lane encourages midwifery practices to attend the course together, utilizing their own equipment and their own team members, to better apply the knowledge gained to their own real-world experiences.

Evidence is clear however, that successful completion of the written test has minimal predictive value for skills acquisition. It is Dr. Lane’s expectation that all learners participate in mock codes and debriefings.

Prior to Attendance

Course attendants are asked to read in its entirety the Textbook of Neonatal Resuscitation, 6th edition, and review the NRP DVD-ROM included with the book. The book can be ordered from the American Academy of Pediatrics website for $49.95.

Successful completion of the online examination (link to the right) is required prior to attending the classroom portion of the NRP course, but not more than thirty days prior. Participants will be prompted to print a Certificate of Completion that they must bring to class and present to the instructor to be eligible for a Course Completion Card. Believe Midwifery Services, LLC does not have a printer or copier, so this is your responsibility to provide the course facilitators.

Each lesson can be retaken once if failed on first attempt. There is a fee for online testing and is in addition to the fees of this course. All lessons must be completed to attend the hands-on workshop with Dr. Lane, CNM.

If you have not completed all nine lessons, you will not be admitted to the class. This matter is non-negotiable. Our goal, again, is to train midwives to provide full resuscitative efforts and be the primary care provider during the neonatal transition.

Homebirth attendants are not simply hired to attend uneventful births, and are not simply present to dial 911. We are the primary care provider for the mother and the neonate. Our responsibility is to provide a safe and satisfying experience. This course will demand a commitment to learning that role.

Bring to Class

Print and bring to class your certificate of completion after having passed the on-line NRP exam. Bring your textbook and your own neonatal stethoscope, as well as the completed experience survey (provided with confirmation of registration). Extra points are provided for those who bring snacks, appetizers or desserts.

Successful Completion of NRP

Learners must attend the classroom portion of the NRP course within 30 days of completing the online examination. To successfully complete the course, participants must pass ALL lessons of the online examination, demonstrate mastery of resuscitation skills in the Integrated Skills Station, and participate in simulated resuscitation scenarios, as determined by the course instructor. Those proving successful will be provided a certification card.

Continuing Education Credit

The NRP online exam offers up to 9 CEUs. One credit hour is awarded for each lesson successfully completed. To obtain Continuing Education Credit, you must enter your license information in your HealthStream record. To enter this information click on the My Profile tab, click on Manage Discipline and License Information, click on Add Discipline/License and enter your information. If you did not enter  your license information before completing the exam, you may add this information later. To have the CE document you need appear, click on My Transcript, click on Neonatal Resuscitation Program Online Examination, 6th Edition, scroll to the bottom of the page and click Refresh Credits.

Upcoming NRP Workshops for the Homebirth & Birth Center-based Provider:

  • 05/01/2017 at 10:00 am - 7:00 pm – Carmel

  • 09/07/2017 at 10:00 am - 7:00 pm – Carmel

  • 01/29/2018 at 10:00 am - 7:00 pm – Carmel
  • Course Fee

    The workshop will offer hands-on experience throughout all the neonatal resuscitation skills for a course session fee of $300. 

    All attendants will participate and test off in all lessons. The online test and purchase of the NRP text are additional fees paid directly to the American Academy of Pediatrics.

Food For Thought

Food for Thought

"It is much more important to know what sort of patient has a disease than what sort of disease a patient has."

Sir William Osler

 

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Food for Thought #1

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Andy Warhol

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Dr. Penny Lane, nurse-midwife

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Grimes (1986)

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Grimes, 1986

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Grimes, 1986

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Goer & Romano, 2012, p 37

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"Obstetricians are much more likely to perform a cesarean when they wrongly believe the baby weighs 4000 g or more based on sonographic estimates than when the baby actually weighs this much but the obstetrician did not suspect it."

Goer & Romaro, 2012, p 35

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Food for Thought #3

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Barbara Katz Rothman PhD (1996)

Food for Thought #4

"Believe there is always, always, always a way. When you have exhausted all possibilities, remember this: you haven't."

Thomas Edison

Food for Thought #5

"All truth passes through three stages. First, it is ridiculed. Second, it is violently opposed. Third, it is accepted as being self-evident."

Arthur Schopenhauer

Food for Thought #2

"Yet you brought me safely from my mother’s womb and led me to trust you at my mother’s breast."

Psalm 22:9