What is included in the five initial steps of newborn care

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Page 2

Neonatal resuscitation supplies and equipment

1. Suction equipment
  • Bulb syringe

  • Mechanical suction and tubing

  • Suction catheters, 5F, 6F, 8F, 10F, 12F or 14F

  • 8F feeding tube and 20 ml syringe

  • Meconium aspirator

2. Bag and Mask equipment
  • Device for delivering positive pressure ventilation, capable of delivering 90 to 100% O2

  • Face masks – newborn and premature sizes (cushioned-rim masks preferred)

  • O2 source with flowmeter (flow rate up to 10 l/min) and tubing

3. Intubation equipment
  • Laryngoscope with straight blades, No.0 (preterm) and No.1 (term)

  • Extra bulbs and batteries for laryngoscope

  • Endotracheal tubes 2.5,3.0,3.5,4.0-mm internal diameter (ID)

  • Stylet (optional)

  • Scissors

  • Tape or securing device for ET tube

  • Alcohol sponges

  • CO2 detector or capnograph

  • Laryngeal mask airway (optional)

4. Medication
  • Epinephrine 1:10,000(0.1 mg/ml) – 3 ml or 10 ml amp

  • Isotonic crystalloids (normal saline or Ringer’s lactate) for volume expansion – 100 or 250 ml

  • Sodium bicarbonate 4.2% (5 mEq/10 ml) – 10 ml amp

  • Naloxone hydrochloride (0.4 mg/ml) – 1 ml amp or (1 mg/ml) 2 ml amp

  • Dextrose 10% – 250 ml, normal saline for flushes

  • Umbilical vessel catheterization supplies:-

  • Sterile gloves, scalpel or scissors, antiseptic solution, umbilical tape, umbilical catheters, 3.5F, 5F, three-way stopcock

  • Syringes 1, 3, 5, 10, 20, 50 ml needles 25, 21, 18G or puncture device for a needleless system

5. Miscellaneous
  • Gloves and appropriate personal protection

  • Radiant warmer or other heat source

  • Firm padded resuscitation surface

  • Clock with seconds hand (timer optional)

  • Warmed linens

  • Stethoscope (neonatal head preferred)

  • Tape half or three-fourth inches

  • Cardiac monitor and electrodes or pulse oximeter and probe (optional for delivery room)

  • Oropharyngeal airway (0, 00, and 000 sizes or 30, 40, 50 mm lengths)

6. For very pre-term babies
  • Compressed air source

  • O2 blender to mix O2 and compressed air

  • Pulse oximeter and probe

  • Re-closeable, food-graded plastic bag (1-gallon size) or plastic wrap

  • Chemically activated warming pad

  • Transport incubator to maintain baby’s temperature during its move to the nursery