Recent discussions
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Виктория Антонова
It's a double edge sword. It's always an excellent idea to allow family members to be present during newborn resuscitation. What happens when no one could be there for any reason? Resuscitation could come under suspicion that no one was there so we don't know how and what happened? When make a generalized policy statement one should be very careful and consider it's ramifications as well. -
Виктория Антонова
Are you kidding? It’s hard enough for communication to the Staff during a resuscitation without worrying about what, when and how you say it!! Next the family will want to record and/or video tape the proceedings to show to the public, including their lawyers if things don’t turn out well....Most nurses over the years have told me they were glad when family was excluded from presence during even a procedure as ‘benign’ as starting an IV. After being on the ground, in the DR for over 40 years, DON’T DO IT! Not to mention Covid-19... -
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
I agree with the task based in Personal experience because It is a difficult situation all profissionals have to take care. When the family participate They understand the procedures and the staff efforts -
Виктория Антонова
I agree