Recent discussions
-
Виктория Антонова
Don’t do it——Staff communication can be recorded and/or videotaped, and I have heard of Neo and, on a separate occasion, the OB facing ridiculous malpractice charges....Family doesn’t understand what would be going on during resuscitation and what is the purpose? Does the Committee really think we need them in the DR/NICU to see how hard we try to save their baby?.... After over 40 years on the front lines in the DR/NICU doing these resuscitations, I cannot imagine conducting a code without at least one swear word.... Nurses have thanked me over the years for excluding family during procedures, such as IV starts... I recommend that committee not make a recommendation that will make it even more difficult for professionals to do our job to save the babies—- Ask the surgeons if they would make it a policy to let family into the OR...... -
Виктория Антонова
As a neonatologist I appreciate the careful review. Conclusions make sense given available evidence. (More support for individualized care for babies/families in difficult situations -- as challenging as it is for us as physicians/care teams!) -
Виктория Антонова
Thank you everyone who has commented so far. These are all helpful comments and perspectives to assist in the final wording of the CoSTR -
Виктория Антонова
I beleive that the presence of parents in the delivery room can help with the understanding of the severity of the illness as well as with the efforts undertaken in the care of the patient. But at times family agression or desperation can be a difficult situation for the care providers to deal with. Ideally there should be training among staff to help deal with the situation, as well as a person on the team that can help with explanations for the family. -
Виктория Антонова
See ‘Health Care Providers’ Attitudes Regarding Family Presence During Resuscitation of Adults An Integrated Review of the Literature’ MARY SUSAN L. HOWLETT, BSN, RN, CEN; GAIL A. ALEXANDER, BSN, RN, CCRN; BRENDA TSUCHIYA, MSN, RN, NP-C -
Виктория Антонова
this is a very interesting and important topic. although there is no solid evidence I think that family-centered outcomes about perception of the resuscitation and about health care provider-centered outcomes sobre perception of the resuscitation and psychological stress could be relevant -
Виктория Антонова
We received the following text: "this is a very interesting and important topic. although there is no solid evidence I think that family-centered outcomes about perception of the resuscitation and about health care provider-centered outcomes about perception of the resuscitation and psychological stress could be relevant" -
Виктория Антонова
It was a very good initiative to study about the presence of parents in resuscitation. It seems that we medical professionals, especially neonatologists, have some difficulties in recognizing that parents have a fundamental role in the care of that patient who is ours for a few moments. Before the pandemic we always had companions in delivery rooms, now they are very low. In Brazil, where I live, we still have many difficulties in which parents, due to their low knowledge of what is happening with the child, may misinterpret some procedures, being essential the presence of someone from the team to clarify them. -
Виктория Антонова
Thank you. I don't disagree at all with the comments made here but we had to look at what the evidence supported. It was surprising how little data was available. -
Виктория Антонова
I believe that parents should be present in the delivery room, despite being a difficult situation for both the family and the doctor. However, the focus of attention is on the patient and his family. I think it should be part of medical training to know how to act in stressful situations, without disrupting our performance. Furthermore, I believe It's important that the family sees that all the efforts were made to save the child.