FOD 2: Managing low risk deliveries and initiating resuscitation

Key Features

• This EPA focuses on recognizing the features of normal and abnormal fetal to neonatal transition and responding appropriately, providing standard newborn care and initiating basic neonatal resuscitation (NRP), when needed.
• It includes identifying when further assistance is required and collaborating with the neonatal resuscitation team.
• This includes term and near term deliveries where there are no expected congenital anomalies. This EPA does not include high risk deliveries, antenatal consultation/care, care beyond initial management of resuscitation (feeding, ongoing NICU care), or nursery care.
• This EPA may be observed in the delivery room or in a simulation setting.

Assessment Plan

Direct observation by supervisor, which may include input from members of the neonatal resuscitation team

Use form 1. Form collects information on:

• Setting: delivery room; simulation
• Type of encounter: standard newborn care (stimulation and drying); initiation of resuscitation

Collect 5 observations of achievement.

• No more than 2 in simulation
• At least 3 initiations of resuscitation
• At least 2 different observers

CanMEDS milestones

1. ME 1.4 Perform a focused clinical assessment, without excluding any key elements
2. ME 1.3 Apply knowledge of the physiology of neonatal adaptation to extrauterine life
3. ME 3.4 Perform basic neonatal resuscitation, if needed
4. ME 2.1 Recognize when a neonate needs additional resuscitation
5. ME 1.4 Recognize urgent problems that need the involvement of more experienced colleagues and seek their assistance
6. COL 1.3 Work effectively with other members of the health care team
7. COM 3.1 Communicate effectively with the parent(s)