Video recording of neonatal resuscitation: A feasibility study to inform widespread adoption

Table 3 Policy, caregiver roles and latent safety threat issues noted during: Pre-resuscitation briefing

Issues	Solution
When do I call an attending for help during resuscitation?	Whenever chest compression is initiated
Can I transfer the first twin from resuscitaire to a basinet and then receive the next twin on the same resuscitaire?	No! Two separate resuscitaire should be kept ready
Why should I know the indication for a laboring mother receiving meropenam and opioids?	To decide on appropriateness of using Naloxone, neonatal isolation and performing a septic work up
Where is the main surgical OR where a C-section is happening on a mother with placenta increta?	To ensure resuscitation team members reach the OR in time
What special preparation is necessary?	Higher room temperature, familiarization with the new environment and all necessary equipment should be ensured
What are the indications for admitting a newborn with fetal arrhythmia to NICU?	Arrhythmia noted on connecting to a multi-channel monitor in stabilization room
How do I create beds for four less than 28 wk, anticipated high-risk deliveries?	Efficient problem solving and triaging
What worst case scenario should I anticipate while attending a delivery in a mother with Spinal Muscular Atrophy, unexplained IUGR and non-reassuring fetal heat rate	Hypoplastic lung with difficulty in resuscitation
What is the role of learners (clerks, residents, others) during resuscitation?	Team leader should assign roles on a case by case basis during the team huddle
Who is responsible for gathering all information on an anticipated high-risk delivery and case specific preparation?	The expectation is that the neonatal fellow covering the Labor and Delivery unit is responsible for gathering information and case specific care planning. The dedicated resuscitation nurse is responsible for calling a team huddle before attending a high risk delivery
How should the family’s preference for resuscitating a 23 or 24-wk infant be documented in antenatal consults and handed over?	Family’s preference for resuscitation should be documented in written and handed over at every shift. If family’s preferences change, the revised plans should be documented in written