TABLE 2

CPQCC Delivery Room Management Collaborative Change Package

Performance Expectations
1. Use a checklist to prepare for all high-risk neonatal resuscitations (VON VLBW Resuscitation Toolkit Potentially Better Practice #1)
2. Improve teamwork and communication in the delivery room using briefings, debriefings, and other methods
 • At minimum, each resuscitation requires a briefing and debriefing (VON VLBW Resuscitation Toolkit Potentially Better Practice #6)
3. Obtain a pulse oximetry reading by 2 min of life and continuously monitor the heart rate and oxygen saturation (VON VLBW Resuscitation Toolkit Potentially Better Practice #2) in the following situations at minimum
 • VLBW infant
 • Whenever positive pressure ventilation is required (NRP guidelines 10.2010)
4. Maintain normal temperature (CPQCC toolkit best practice #4; VON VLBW Resuscitation Toolkit Potentially Better Practice #3)
5. Optimize initial respiratory support (CPQCC toolkit best practice #7)
 • Early use of CPAP (within 60 s of life)
 • Avoid intubation (if possible)
 • Avoid prophylactic surfactant use in the delivery room
  • VON, Vermont Oxford Network.