Nurses role in endotracheal intubation

Endotracheal (ET) intubation can be hazardous, particularly as patients may have deteriorated rapidly or may have combined respiratory and cardiovascular failure (Shelly and Nightingale, 1999). In such a stressful and potentially life-threatening process, nurses need a clear understanding of their role Unformatted text preview: NURSING ROLE IN ENDOTRACHEAL INTUBATION HASYIMA NADIA MANSOR TARIDI JURURAWAT U29 WAD ICU PPUM 3.MARCH.2021 LEARNING OUTCOME Give the definition of endotracheal intubation.State the anatomy of oropharyngeal State the purpose of endotracheal intubation. State the indication and contraindication of endotracheal intubation

NURSES'S RESPONSIBILITY IN THE ENDOTRACHEAL INTUBATION The intubation of the trachea is the responsibility of the doctor. However, the nurse helps him in the procedure by preparing the patient and keeping articles ready for use Intensive care nurses' knowledge and practice on endotracheal suctioning of the intubated patient: A quantitative cross-sectional observational study Majority of ICU nurses do not have desirable knowledge and skills of ETS, and are currently not following current ETS recommendations

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Endotracheal intubation Nursing Time


For this reason, we developed a specific protocol regarding the intubation procedure of this kind of patients. This paper reviews our strategies for endotracheal tube positioning in critically ill patients and shows the fundamental role of the nurses during this procedure. PMID: 12029264 [Indexed for MEDLINE] Publication Types: English Abstrac Esophageal intubation was the most common adverse event followed by hypotension. 2. Respiratory Therapist Role in Intubation. Respiratory therapists (RTs) receive training in endotracheal intubation in order to assist a physician in the procedure and in some instances the RT is the one who performs the intubation Pain control and sedation during endotracheal intubation The role of nurses in airway management of intubated patients as well as of infants managed with nasal-CPAP or nasal cannulae is crucial for the success of the assistance. An individualized approach has to be preferred to a generalized management of the patients


  1. extubation means disconnecting patient from mechanical ventilation by removing of endotracheal tube (ETT) from airway and mouth. this procedure was done by icu doctor, and this procedure ICU nurse play a role for maintaince patient airway and maintain breating and oxygentation of patient well and prevent patient desaturated and arrested
  2. Okay some key points to take away with you regarding intubation in the OR. The purpose of intubation is obviously going to provide the patient ventilation and oxygenation and protect their airway while under anesthesia. Types of intubation include the endotracheal tube, nasotracheal tube, and laryngeal mask airway
  3. INTUBATION: ENDOTRACHEAL, AND THE USE OF ADVANCED AIRWAY DEVICES: THE ROLE OF THE REGISTERED NURSE. It is within the scope of practice of a registered nurse (RN) to insert an endotracheal tube if the following requirements are met: I. GENERAL REQUIREMENTS. A. The nurse maintains nationally recognized advanced certification specific to the age o
  4. Nursing staff will be able to safely prepare a neonate for elective endotracheal intubation, providing assistance to the Medical Officer/Neonatal Nurse Practitioner during the procedure and correctly apply taping to secure both oral and nasal ETT's
  5. gton MN 55425 1-612-816-8773.

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  1. RAPID SEQUENCE INTUBATION (RSI) POSITION STATEMENT for RN Practice Page 1 of 4 NORTH CAROLINA BOARD OF NURSING PO BOX 2129 (919) 782 Nurse Aide II Registry (919) 782 -Raleigh, NC 27602-3211 -FAX (919) 781 9461-7499 www.ncbon.com Issue: Rapid Sequence Intubation (RSI) is defined as an airway management technique in which a potent sedative o
  2. Get Intubation With Fast And Free Shipping For Many Items On eBay. Looking For Great Deals On Intubation? From Everything To The Very Thing. All On eBay
  3. This 18-month study used a structured questionnaire to explore the roles of nursing care on the occurrence and consequences of unplanned endotracheal extubation (UEE) in intensive care units in Taiwan. Experiencing UEE were 225/1176 (22.5%) intubated patients: 91.7% were self-extubations and 8.3% were accidental
  4. istration of drugs or intravenous Before assu
  5. situation, endotracheal intubation is required and nurses play a very important role in taking care of these patients (Pradip, 2012). Endotracheal intubation is a simple, safe and nonsurgical technique that helps to maintain the goals of airway management. Endotracheal intubation is associated with complications, some of which are life-threatening
  6. imise the risk of aspiration to our patient, intubation must be performed in a rapid, safe and controlled manner to stabilise and maintain the airway. Rapid sequence intubation (RSI) is just such a technique used for emergency airway management that helps to reduce the risk of aspiration

Endotracheal intubation in the ICU is a high-risk procedure, resulting in significant morbidity and mortality. Up to 40% of cases are associated with marked hypoxemia or hypotension. The ICU patient is physiologically very different from the usual patient who undergoes intubation in the operating room, and different intubation techniques should be considered 1. ENDOTRACHEALENDOTRACHEAL INTUBATIONINTUBATION PRESENTED BY 1Year MSc Nursing Lourdes college of Nursing Ernakulum 2. DEFINITIONDEFINITION Endotracheal intubation is the placement of a flexible plastic tube into the trachea to maintain an open airway or to serve as a conduit through which to administer certain drugs. 3

[The assistance of the ventilated infant: role of the

pated in endotracheal intubation had a dramatically increased risk of subsequently developing SARS (RR, 13.29; 95% CI, 2.99 to 59.04; p 0.003) (Table 2). This association was subsequently stratified based on the nurse or physician role. Physicians per-forming endotracheal intubation had a 3.8-fold greater likeli The critical care patient may need intubation for any number of reasons: - acute airway obstruction -protection of the airway in those without protective reflexes for example those patients with a neurological problem -respiratory failure requiring support with high inspired concentrations of oxygen and PEEP. The process of intubation usually follows the sequence of rapid sequence. The respiratory care practitioner assists the nurse in taping the tube. After the tube is retaped, the nurse auscultates the patient's lungs and notes that the breath sounds over the left lung fields are absent. The nurse suspects that: a. the endotracheal tube is in the right mainstem bronchus Critical care nurses frequently did not mobilize patients were deemed ready to begin mobility activities within an average of 41.5 hours after oral endotracheal intubation. The authors believe. The management of endotracheal tubes and nasal cannulae: The role of nurses. Early Human Development, 2009. Daniele Trevisanuto. Nicoletta Doglioni. Vincenzo Zanardo. Daniele Trevisanuto. Nicoletta Doglioni. Vincenzo Zanardo. Download PDF. Download Full PDF Package. This paper

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Assisting In Endotracheal Intubation Nursing Essa

An unplanned extubation assessment tool for endotracheal intubation patients constructed in the study is scientific, practical and operable. It is significance for clinical nurses to assess the risk of UEE, and to improve their risk awareness for assuring patient safety and improving the ICU nursing quality In 1986, the Nevada State Board of Nursing determined it was within the scope of practice of a qualified RN and APRN to perform intubation as outlined in NAC 632.225. In August of 2019 the Nursing Practice Advisory Committee reviewed, developed, and approved a practice decision regarding the role of the RN in intubation Sim Man 3G: esophageal intubation, distended abdomen, 18 gauge IV in the right AC, track marks on arms and disheveled, with street clothes. Distractor: patient's family member. Personnel/Roles. Nurse: resident/nurse/attending physician. Medical intensive care unit fellow (phone): resident/nurse/attending physician

Endotracheal Intubation Training and Skill Maintenance for

Endotracheal intubation is an artificial airway that inhibits cough reflex and interferes with normal muco-ciliary function, therefore increasing airway secretion production and decreasing the ability to clear such secretions (The Royal Children's Hospital Melbourne, 2012) Endotracheal intubation is necessary to improve airway obstruction, hypoventilation, cognitive disorder and cardiac arrest. As a registered nurse I need to have proper knowledge of handling intubation equipment and medications given before applying it. An Emerging Role: The Nurse Content Curator. In Nursing forum (Vol. 50, No. 1, pp. 51-54. Endotracheal intubation produces adverse hemodynamic effects, which may be more detrimental in patients with coronary artery disease than in healthy patients. The present study shows that magnesium administered before endotracheal intubation can attenuate this response better than lidocaine

however, reported that field endotracheal intubation by paramedics had an initial success rate of 90%, which, during the study, rose to 94%. Almost two-thirds of the patients were intubated in the first attempt, and almost 85% by the second attempt. The overall complication rate was 9.5%. Taryle et al, 5 23.4 Endotracheal tube and tracheal intubation Michelle Lin Background Endotracheal intubation (TI) provides a definitive airway. Insertion of a tube between the vocal cords and into the trachea allows optimal management of the patient's oxygenation and ventilation, while also protecting the airway from aspiration. Depending on the preparation and skill of the practitioner, this procedur The role of health care providers (pharmacists, pharmacy technicians and nurses) may assist in these processes as well as assist with medication management post-rapid sequent intubation. The goal of this session is to bring awareness to awake-paralysis, address medication safety concerns and prevention strategies, and bring an overview of the. during endotracheal intubation in hypoxemic patients: a randomized controlled clinical trial Received: 18 February 2015 which had no role in patient recruitment. Day 1 was the day of inclusion and randomization. an external observer and the nurse in charge of the patient concurrently assessed this endpoint

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CPR: basic life support. Eleanor Haskey. Saturday, April 2, 2016. Cardiopulmonary arrest is an emergency situation which can present to any veterinary clinic at any time. The RECOVER guidelines (2012) are an evidence-based consensus for current cardiopulmonary resuscitation recommendations for veterinary patients Nurses. Pharmacists. Residents. Robson SG. Concentration of lidocaine in blood after intravenous, intramuscular, epidural and endotracheal administration. Rapid-sequence intubation with. Simply : Intubation is placement of a tube in the trachea (wind pipe), mechanical ventilation is the process by which a patient receives oxygen using artificia Read More. 90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more Can a nurse insert an endotracheal tube? Nursing roles during insertion of the endotracheal tube It is the physician's responsibility to insert an endotracheal tube but it doesn't mean that nurses do not have a big role during this emergency procedure. Is intubation same as ventilator Wylie, J. Neonatal Endotracheal Intubation. Archives of Disease in Childhood - Education and Practice 2008; 93:44-49. Wylie, J., Waldemar, A.C. The role of carbon dioxide detectors for confirmation of endotracheal tube position. 2006; 33 (1), 111-119. Martherus T. et al Paediatric exhaled CO2 detector causes leaks

Oral endotracheal tube size [ Time Frame: At the time of intubation (directly following study enrollment) ] Size of the endotracheal tube Duration of orotracheal intubation [ Time Frame: From date of intubation to date of extubation or placement of a tracheostomy tube, whichever occurs first, assessed up to 14 days Succinylcholine was introduced in 1949 and has passed the test of time. To this day, succinylcholine is the only depolarizing agent used for rapid sequence induction. Because of its rapid onset. Premedication for intubation makes the procedure easier, safer and better tolerated by the baby (1-3). It provides analgesia and aids in smoother passage of the ET tube. Using a combination of a sedative and muscle relaxant has been shown to shorten time to successful intubation and lessen the physiological unwanted effects (1-7) WORLD War II is hailed as a juncture in the growth of anesthesiology as a medical specialty in the United States. 1-6From the vantage of 60 years, the timing of World War II was propitious.In the years before World War II, the structural foundations of anesthesiology—training programs, research, professional organizations, and a certification process—were in place, but immature

INTUBATION Patients requiring endotracheal intubation should be evaluated for appropriate RSI medication therapy on the basis of their cur-rent clinical status. Preinduction medications may be given to control the physiological catecholamine release associated with airway stimulation by the laryngoscope in select pa-tients (Reynolds & Heffner. The ICU Nursing Refresher Toolkit brings curated, key Nursing Skills and eLearning lessons to ICU nurses managing high volumes of COVID patients, as well as nurses called from other units to assist with COVID care in the ICU. Earn Continuing Education credits for successfully completing the four refresher CE courses on this page, and access.

Role of GI Registered Nurses in the Management of Patients Undergoing Sedated Procedures (e.g., bag-mask ventilation, endotracheal intubation). The physician must be immediately available to manage complications, from the beginning of sedation until the patient ha trained and credentialed emergency and inter-facility critical care transport nurses. To properly fulfill this role, emergency, transport, specialty nurses require the assurance that each and every patient has an adequate airway. Often, this assurance requires the placement of an endotracheal tube into the patient's airway

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  1. What is nursing role during intubation? What is the procedure for intubation? Mr. R is a 66-year-old man Show more CASE STUDY: Ventilatory Assistance & Acute Respiratory Failure 1 Mr. R is a 66-year-old man who has smoked 1.5 packs of cigarettes a day for 40 years
  2. Endotracheal tube intubation requires a cricoid pressure by placing the thumb and the index fingers on the cricoid cartilage. This will compress the esophagus to reduce the risk for gastric aspiration during the intubation. 1 The ETT is placed by a qualified provider, and placement is confirmed by a chest radiograph
  3. 6. Describe the causes and nursing measures taken when trouble-shooting ventilator alarms. 7. Describe preventative measures aimed at preventing selected other complications related to endotracheal intubation. 8. Give rationale for selected nursing interventions in the plan of care for the ventilated patient. 9
  4. Some patients sustain injuries to the oral mucosa during the intubation procedure, and after intubation, patients are prone to dry mouth. These factors, in addition to a severely compromised immune system, can cause an increase in bacteria colonization in the oral mucosa, with the endotracheal tube serving as a direct route to the lungs
  5. e the knowledge of pre-hospital emergency staff about the endotracheal intubation. Methods and Materials: This was an analytical cross-sectional study performed on 70 pre-hospita
  6. Endotracheal Tube. Endotracheal intubation is a medical procedure in which a tube is placed into the windpipe or trachea through the mouth or nose. In most emergency situations, it is placed through the mouth. CVP Kits. Descriptions of a few Emergency Nurse roles: Triage Nurse

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It is the physician's responsibility to insert an endotracheal tube but it doesn't mean that nurses do not have a big role during this emergency procedure. Can nurses perform endotracheal intubation? Nurses who work in the field of emergency medicine may be permitted to intubate patients; the Air & Surface Transport Nurses Association notes. The State Board of Nursing for South Carolina acknowledges that emergency endotracheal intubation and/or insertion of a supraglottic airway is within the role and scope of responsibilities of the RN and requires special education and training. Recognizing these responsibilities are an expanded role for the RN Continuous-waveform capnography (CWC) is a critical method clinicians can use to monitor patients' respiratory function. By means of a specialized nasal cannula or attachment for an endotracheal or tracheostomy tube, this noninvasive technique measures end-tidal carbon dioxide (ETco 2) over time and displays it as a C O2 waveform

Emergency Intubation R

procedures such as endotracheal intubation, extubation, and suctioning.3 Therefore, nurses, and respiratory therapists, any time the ETT needs to be disconnected from the ventilator circuit. Medical innovation plays a pivotal role in protecting teams that provide invasive care to infected patients and as the severe acute respiratory. Intubation-Endotracheal and the Use of Advanced Airway Devices-The Role of the RN: APRN: Ionizing Radiation Order and Interpretation: RN: Ketamine Administration: RN: Laparoscopic Adjustable Gastric Band (LAGB) Fill: RN / LPN: Local Anesthetic Agents Infiltration: Role of Nurse: RN: Lumbar Puncture: RN / LPN: Medical Esthetic Procedures. The nurse's role in a suxamethonium-based neonatal rapid sequence intubation. Infant 2013; 9(6): 207-11. 1. Suxamethonium is the most commonly used paralytic agent for neonatal RSI due to its rapid onset and short duration of action. 2. Neonatal nurses provide an important role before, during and after the intubation process. 3. Neonatal. Endotracheal tubes (ETT): is a catheter that is inserted into the trachea, via oral or nasal for the primary purpose of establishing and maintaining a patent airway and to ensure the adequate exchange of oxygen and carbon dioxide. ROLES. Advance Care Paramedics - as outlines in the job descriptio The role of video-laryngoscopy in difficult intubation is recognised. A maximum of 3 attempts at laryngoscopy are recommended. Cricoid pressure should be removed if intubation is difficult. Key features of Plan B - maintaining oxygenation: supraglottic airway device(SAD) insertion: Failed intubation should be declared

4 Care for the oral endotracheal tube. Before changing endotracheal tube position, oral suctioning should be performed. Change position of the endotracheal tube with a Hollister from one side of mouth to the other by moving the clip. Note: The condition of nares and skin integrity if nasal endotracheal tube is in place should be noted Presentation Summary : Nurses role in intubation AIM. To explain and demonstrate the nurse's role in intubation OBJECTIVES. To explain and demonstrate the nurse's role in intubation OBJECTIVES. By the end of this session you should be able to endotracheal intubation. Results: In the 47 cardiorespiratory arrests requiring intubation that we analyzed, the median response times (with values in parentheses representing interquartile range [IQRD for paramedics, nurse anesthetists (CR­ NAs), anesthesiologists, and other physicians respec Likewise, reviewing your state nurse practice act and rules, or asking the board for an opinion about intubation and nursing practice in your state also are options. Clearly, saving a life is a most important consideration anytime a nurse is faced with providing a treatment or procedure he or she might be proficient in but is not allowed to do. The primary role of a Pediatric Nurse is to administer procedures and medicines directly to children according to prescribed nursing care plans. a Nurse, these specialists generally take care of critically ill patients who require mechanical ventilation by way of endotracheal intubation and titratable vasoactive intravenous medications

Oral endotracheal intubation using the glidescope has become more popular for oral intubation in emergency departments and the ICU, especially for difficult airways [11]. OGT placement immediately after intubation by providers performing endotracheal intubation is safe and provides real-time additional OGT placement verification by direc Approximately 12% to 15% of hospitalized patients with COVID-19 infection require invasive ventilation via endotracheal intubation. The key to minimizing risk of disease transmission during this aerosol-generating procedure is careful preparation, which includes having necessary equipment and medications on hand as well as an experienced intubation team who can troubleshoot any unforeseen. Unlike the MAC, the GlideScope blade must be inserted into the center of the mouth and rotated around the tongue in order to line up the camera lens with the larynx. The Glidescope should be midline when you lift the jaw for intubation. (From Anyone Can Intubate, 5th edition, C. Whitten MD.) Always insert the GlideScope midline into the mouth. The equipment required for endotracheal intubation include the following: Laryngoscope: A device made of metal or plastic, with a handle and a curved blade with a light on it.The blade is inserted behind the tongue into the top of the throat to visualize the epiglottis, which is a cartilage at the entrance of the trachea.; Endotracheal tube: A thin flexible tube with an inflatable balloon.

This association was subsequently stratified based on the nurse or physician role. Physicians performing endotracheal intubation had a 3.8-fold greater likelihood of subsequently developing SARS than did physicians caring for patients with SARS who did not perform endotracheal intubation (RR, 3.82; 95% CI, 0.23 to 62.24; p = 0.5); however, this. All ICU patients could be considered at risk of complications during intubation. The main indication for intubation in the ICU is acute respiratory failure [1-4].In these cases, the risk of hypoxemia and cardiovascular collapse during the intubation process (often crucial) is particularly elevated (15 to 50 %) [].Respiratory muscle weakness ('ventilatory insufficiency') and gas exchange.

Describe the role of the respiratory therapist in the management of mechanically ventilated patients. List six types of artificial airways and the indications for each one. Describe the nurse's responsibilities before, during, and after intubation. Identify three alternative means of communication for patients with artificial airways Rapid Sequence Intubation (also known as Rapid Sequence Induction, or RSI) is a method of intubating patients who present with issues that make intubation difficult (e.g. gag reflex, clenched jaw, patient combativeness, etc.). Intubation is accomplished by sedating and paralyzing the patient, allowing for easier intubation

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The management of endotracheal tubes and nasal cannulae

served a beneficial or detrimental role in management of the difficult airway (Table 3).13 The intent of this docu-mentation is to guide and facilitate the delivery of future anesthesia care.13 Endotracheal intubation is commonly and safely per-formed worldwide and is rarely associated with major complications.7 However, despite training and. Indications for endotracheal intubation include: failure (or pending failure) of ventilation or oxygenation, obstruction, inability to maintain or protect the airway (as in the case of unconscious patients with a Glasgow Coma Score ≤ 8, patients with inhalation injury or significant airway/facial trauma), potential for clinical deterioration (including in the setting of the patient being. DNP Projects College of Nursing 2013 Predicting the Risk of Obstructive Sleep Apnea and Difficult Endotracheal Intubation in a Surgical Population in a Rural Community Hospital Setting Craig S. Atkins University of Kentucky, kreger55@comcast.net Right click to open a feedback form in a new tab to let us know how this document benefits you

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Background: Anaesthetists may experience difficulty with intubation unexpectedly which may be associated with difficulty in ventilating the patient. If not well managed, there may be serious consequences for the patient. A simple structured approach to this problem was developed to assist the anaesthetist in this difficult situation. Objectives: To examine the role of a specific sub-algorithm. In order to evaluate the safety and value of the improved ship-shaped fixing on tracheal intubation patients and provide theoretical basis for clinical therapy, we conducted this research to compare the fixed effectiveness, complications, nursing workload and medical expenses about application of ship-shaped adhesive tape fixation on patient undergoing tracheal intubation Welcome to The Nurses Lab, MSc, BSc, GNM Nursing Study Notes, Exam Preparation Tools, Guides for Students and Registered Nurse, NCLEX Practice Questions, Quizzes, Results, Nursing Journals, Upcoming Vacancies, complete physical assessment, MOH, HAAD, Prometric Exam Preparation Tools. Nursing Officer Exam Model Papers, Important Questions, Quizzes, Results, News, Upcoming Vacancies, Objective.

02.01 Intubation in the OR NRSNG Nursing Course

: Powered commercial suction with oral tip and in-line endotracheal tube suction adapter Suction should be available when establishing and maintaining an airway to remove excessive secretions or blood. It is particularly important to utilize suction to facilitate view of the vocal cords during endotracheal intubation Endotracheal Intubation. From BC Women's and Children's Health Centre. o The role of the bedside nurse Remain at the bedside and, in conjunction with RTs and other professionals: Position the patient appropriately Pre-oxygenate the patient (as needed

Researchers find a technique to perform endotracheal

Clinical Guidelines (Nursing) : Assisting with elective

An endotracheal tube is a flexible plastic tube that is placed through the mouth into the trachea (windpipe) to help a patient breathe. The endotracheal tube is then connected to a ventilator, which delivers oxygen to the lungs. The process of inserting the tube is called endotracheal intubation from NPPV to endotracheal intubation, allowing physi-cians to carry out early intubation when necessary. In a study that investigated the factors that contribut to NPPV failure (the conversion from NPPV to endotra-cheal intubation), Demoule et al. (2006) demonstrated the importance of good NPPV tolerance. Nursing care could be the key in. Endotracheal intubation refers to the technique of inserting a tracheal catheter through the mouth or nasal cavity, and through the glottis into the trachea. It provides the best conditions for airway patency, oxygen supply, respiratory tract suction, and anti-aspiration and plays an important role in the rescue of critical patients [ 1 ]

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Intubation of a patient - Nurse Practitioners / NP

NRP-certified nurses, nurse practitioners, The pediatric disposable end-tidal carbon dioxide detector role in endotracheal intubation in newborns. J Perinatol. 1999;19(2):110-113 Fingerprint Dive into the research topics of 'Verbal communication during airway management and emergent endotracheal intubation: Observations of team behavior among multi-institutional pediatric intensive care unit in situ simulations'. Together they form a unique fingerprint. Behavior Observation Techniques Medicine & Life Science Because SLPs play a central and critical role in the assessment of dysphagia, they also will have a critical role in the care of patients following intubation and tracheostomy. COVID-19 Considering that the appearance of COVID-19 throughout the world has risen to the label of pandemic, understanding what it is and how it may impact swallowing. Performs resuscitation of newborns in delivery room and in Neonatal Units with use of bag and mask, laryngoscopy, endotracheal intubation, cardiac compressions, intravenous access and emergency medications. Performs physical exams and evaluations on infants in the Delivery, Neonatal and Mother-Baby Units

Airway and ventilation management