newborn resuscitation...newborn resuscitation training the workforce spark of life 2011 the...
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Newborn Resuscitation
Training the workforce
Spark of Life 2011
The logistics of Newborn Resusc
10% of all births
Varied practitioners
– Midwives
– Paed trainees
– GP Obs
– ED
Majority minimal intervention
99% successful
The logistics of Newborn Resusc
Teaching Hospital
– 3 – 5K deliveries
– Supervised trainees
– High expectation of
major resusc events
– Experienced back up
Rural setting
– 1- 200 deliveries
– Minimal staffing
– Low risk population
– Remote support
Australian
Bureau of
Statistics
2010 Population 22.35 m
Births 296,621
Pop 0.23m
Births 3,700
Pop 2.30m
Births 30,876
Pop 4.52m
Births 66,097
Pop 1.64m
Births 19,734
Pop 7.24m
Births 92,783
Pop 0.51m
Births 6,626
Pop 5.55m
Births 70,920
Pop 33,005
Births 530
Pop 44,333
Births 845
Pop 61,328
Births 863
Pop 55,604
Births 947
England & Wales
(to same scale)
England
& Wales
Western
Australia
Area Km2 151,174 2,645,615
Population 61.79 m 2.06 m
Density /Km2 388.7 0.8
Livebirths 790,000 30,876
Births / Km2 5.22 0.12
1 day interactive course
based on ILCOR
teaches teamwork
standardised approach
textbook
teaching material
now a requirement for all JMOs
Program for rural training
Day 1
– NRP course
Day 2
– The rest of neonatology
Advanced neonatal emergency care – NETS
Practical skills
Interactive scenarios
Create longevity
Aim to identify a lead in each centre
– on going liaison
– encourage local training frequent drills
provision of mannequins
– coordinate future courses
– support with equipment
Support with RCAs
Is this practical
No
– NRP too labour intensive to cover all staff
Alternative
– Two tier training
– NRP for leaders and high risk
– Abridged local course for others
?Format of abridged course
eLearning packages Attractive proposal
Directed self learning
Initial set up costs but long term benefits
Do they work in practice?
?Format of abridged course
eLearning packages Attractive proposal
Directed self learning
Initial set up costs but long term benefits
Do they work in practice?
Coupled with training/assessment
scenarios