The Neonatal Resuscitation Program (NPR) Quick Pre-resuscitation Checklist is critical to successful neonatal resuscitation. The clinician responsible for care of the newborn needs to perform this checklist before each delivery. Doing so will ensure that all equipment needed is available and functioning correctly.
The checklist is from p 34 of the Textbook (see Resources at end of post). There is a second expanded checklist used for testing the NRP learner on pp 29 + 30 that explains the actions and rationale of the checklist.*
Neonatal Resuscitation Program Quick Pre-resuscitation Checklist
| Warm | Preheat Warmer
Towels or Blankets |
| Clear Airway | Bulb syringe
10F or 12F suction catheter attached to wall suction set at 80-100 mm Hg Meconium Aspirator |
| Auscultate | Stethoscope |
| Oxygenate | Method to give free-flow oxygen (mask, tubing, flow-inflating bag or T-piece)
Gases flowing just prior to birth, 5 – 10 L/min Blender set per protocol Pulse oximeter probe (detached from oximeter until needed) Pulse oximeter |
| Ventilate | Positive-pressure ventilation (PPV) device(s) present with term and preterm masks
PPV device(s) functioning Connected to air/oxygen source (blender) 8F feeding tube and 20-mL syringe |
| Intubate | Larynscope
Size 0 and Size 1 (and size 00, optional) blades with bright light Endotracheal tubes, sizes 2.5, 3.0, 3.5, 4.0 Stylets End tidal CO2 detector Laryngeal mask airway (size 1) and 5-mL syringe |
| Medicate | Access to 1:10,000 epinephrine and normal saline
Supplies for administering meds and placing emergency umbilical venous catheter Documentation supplies |
| Thermoregulate | Plastic bag or plastic wrap
Chemically activated warming pad Transport incubator ready |
| Other |
Resources:
*Textbook of Neonatal Resuscitation, 6th ed. 2011 American Academy of Pediatrics and American Heart Association
