Get Neonatal Resuscitation Record Sheet

Filling out the Neonatal Resuscitation Record Sheet accurately is essential for documenting critical care provided to newborns. This guide will provide you with clear, step-by-step instructions to complete the form online with confidence.

Follow the steps to effectively complete the Neonatal Resuscitation Record Sheet.

1. Click ‘Get Form’ button to obtain the Neonatal Resuscitation Record Sheet and open it in your preferred online editor.
2. Begin by entering the patient's name and estimated weight in grams at the top of the form. This information is crucial for identifying the patient and tracking their care.
3. Record the sex of the patient and the time of transfer to the radiant warmer. Use AM or PM to indicate the time accurately.
4. Fill in the Apgar score for muscle tone, reflex irritability, and color for each time interval indicated (1, 5, 10, 15, 20, 25 minutes). This assessment helps determine the newborn's condition at birth.
5. Document the UA/UV size and ETT size you used during resuscitation, along with the total minutes recorded for each resuscitation effort.
6. Indicate the time and method of respiratory interventions such as intubation, chest compressions, and positive-pressure ventilation. Ensure to note the personnel involved.
7. Record any drugs administered, including the heart rate and specific details about the timing and dosage.
8. In the perinatal history section, specify the status of amniotic fluid and complete the resuscitation procedure start and end dates.
9. Document the condition at the completion of the resuscitation code, circling the appropriate status (good, fair, expired, guarded).
10. Add clinical observations and any other comments relevant to the newborn's condition.
11. Include necessary vital signs before admission to the nursery, such as temperature, heart rate, respiratory rate, blood pressure, hematocrit, and oxygen saturation.
12. Finally, gather the signatures of the resuscitation personnel involved including MD, RN, recording RN, and RT before transferring the form to the appropriate nursery.

Complete the Neonatal Resuscitation Record Sheet online to ensure accurate documentation of neonatal care.