Table 2 Items used to assess technical skills and scoring criteria
From: Performances of low level hospital health caregivers after a neonatal resuscitation course
Items | Score 0 | Score 1 | Assessment |
|---|---|---|---|
1. Checks sizes of suction catheters available and if suction equipment is working (100 mmHg) | Not done | Checked either both or another | |
2. Dries the baby and throws wet linen away | Not done | Did either both or another | |
3. Places the head in correct position (the nose is at the highest point). | Not done | Did either both or another | |
4. Stimulates the baby by knocking soles of the feet and/or rubbing the back | Not done | Did either both or another | |
5. Suctions the baby first through mouth and then through nose | Not done | Did either both or another | |
6. Checks pulse or auscultation | Not done | Done | |
7. Takes a proper sized mask | Not done | Done | |
8. Starts to ventilate | Not done | Done | |
9. Checks that the mask is not leaking | Leaking | No leaking, or only a little leaking | |
10. Checks chest movements | Not done | Chest movement checked Done | |
11. Avoids over-expansion of the lungs | The chest over-expanded, the lung fully expanded on the manikin’s monitor | Proper ventilation | |
12. Maintains right ventilation frequency | Ventilation frequency <30/min and long pauses >30 s | Baby ventilated 30–60/min without a pause >30 s | |
13. Maintains correct ventilation volume during resuscitation | No chest movement seen | Chest movement seen without a pause of >30 s | |
14. Starts PPV in room air | Uses oxygen at the beginning of resuscitation | Resuscitation started with room air | |
15. Pulse oximeter probe placement on right hand | Not done | Done | |
16. Checks resuscitation responses (hearth rate, breathing, color, saturation) | Not done | Done | |
17. Titrates oxygen according to saturation | Not done | Done | |
18. Has a plan to arrange treatment extension | No plan for continuation of baby’s treatment | Clear plan for the next step of treatment | |
19. Reports the HR at the beginning | Did not report the HR at the beginning or reported it wrongly | Correct HR mentioned | |
20. Reports breathing at the beginning | Did not report breathing at the beginning | Reported breathing at the beginning | |
21. Reports what she/he has done | Reported less than half what she/he has done | Reported more than half she/he has done | |
22. Reports the responses of the baby to resuscitation efforts | Did not mention the responses of the baby, or reported less than half the responses | Mentioned the responses of the baby, or reported more than half the responses |