Newborn Resuscitation

[Socrates25]

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Since when do NICU RNs intubate? Thats unbelievable. I've seen NICU NPs do it, but never just a regular RN. Its absurd.

 

[hellothane]

RT ok, RN no, really it is just a motor skill. If I had a child in the NICU and on a vent it would only make sense to have the RN's trained to intubate.

 

[countingdays]

RT ok, RN no, really it is just a motor skill. If I had a child in the NICU and on a vent it would only make sense to have the RN's trained to intubate.

I don't know. They are unlikely to actually intubate often enough to develop or maintain any skill intubating neonates. I bet if you ask NICU RNs when was the last time they intubated a kid the answer will be never or a long time ago. Sure it's just a motor skill, but it still has to be maintained. Better to have a few people who are very good at it, RT's, anesthesiologists, maybe NICU attendings, rather than lots of people who are out of practice and not very skilled or worse who are dangerously overconfident.

 

[Frank Rizzo]

Got called to intubate a floppy baby this AM... haven't done it in over a year. For some reason, neonatologist/peds not around. Easy, not a big deal. Did a ton of peds as a resident. I'm only one year out... maybe I'll feel differently in a couple of years.

I was more pissed about the fact that my name is now on the chart, as it was a NCB. Let the 18 year countdown begin.

 

[hellothane]

I agree that it is better that the MOST experienced are the ones to do it, at some places that may be the NICU RN some the RT and most places anesthesia staff.