This educational videotape was created as part of a multidisciplinary quality improvement effort to improve performance during neonatal resuscitations in the NICU at Boston Children’s Hospital (BCH). The BCH NICU is a level III/IV 24-bed referral center for critically ill infants requiring complex medical and surgical care. Given that the unit cares for outborn infants ranging from 0 to 9 months old, Pediatric Advanced Life Support (PALS) is the default algorithm followed in the event of neonatal codes and resuscitations.

Over a 6-month period, a project team of physicians, nurses, and respiratory therapists observed 24 resuscitations and mock codes in the BCH NICU. Review of these events revealed several key areas that could be targeted with educational interventions. Built around a scenario likely to happen in the NICU, a mock code video was developed to educate the staff and trainees rotating through the unit, with about 8 key practices that...

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