Neonatal Resuscitation Documentation Checklist
Comprehensive neonatal resuscitation documentation including preparation, interventions, and outcomes per NRP guidelines.
- Industry: Healthcare
- Frequency: Per resuscitation
- Estimated Time: Post-event documentation
- Role: NICU/L&D Team
- Total Items: 29
- Compliance: NRP Guidelines, AAP/AHA Standards, Joint Commission Perinatal Care
Resuscitation Preparation
Pre-delivery preparation
- Resuscitation team present?
- Equipment checked and ready?
- Radiant warmer on?
Initial Steps
First interventions
- Dried and stimulated?
- Airway positioned?
- Suctioning if needed?
Ventilation
Respiratory support
- PPV initiated if needed?
- Chest rise observed?
- Intubation performed if needed?
Cardiac Support
Circulatory interventions
- Chest compressions if needed?
- Epinephrine given if needed?
- UVC placed if needed?
Apgar Scores
Assessment scores
- 1-minute Apgar documented?
- 5-minute Apgar documented?
- 10-minute Apgar if needed?
Pre-Assessment Information
Initial assessment documentation and patient/facility identification
- Assessor Name / Credentials
- Assessment Date
- Department / Unit
- Assessment Type (Routine/Annual/Complaint)
- Previous assessment findings reviewed?
Infection Prevention & Control
Verify infection control practices per CDC and Joint Commission standards
- Hand hygiene compliance observed?
- Appropriate PPE available and properly used?
- Isolation precautions properly implemented?
- Sharps containers available and not overfilled?
- High-touch surfaces properly disinfected?
Patient Safety & Identification
Verify patient safety protocols and identification procedures
- Two patient identifiers used before procedures?
- Fall risk assessment completed?
- Call light within patient reach?
- Bed in lowest position with brakes locked?
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Why Use This Neonatal Resuscitation Documentation Checklist?
This neonatal resuscitation documentation checklist helps healthcare teams maintain compliance and operational excellence. Designed for nicu/l&d team professionals, this checklist covers 29 critical inspection points across 8 sections. Recommended frequency: per resuscitation.
Ensures compliance with NRP Guidelines, AAP/AHA Standards, Joint Commission Perinatal Care. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Neonatal Resuscitation Documentation Checklist cover?
This checklist covers 29 inspection items across 8 sections: Resuscitation Preparation, Initial Steps, Ventilation, Cardiac Support, Apgar Scores, Pre-Assessment Information, Infection Prevention & Control, Patient Safety & Identification. It is designed for healthcare operations and compliance.
How often should this checklist be completed?
This checklist should be completed per resuscitation. Each completion takes approximately Post-event documentation.
Who should use this Neonatal Resuscitation Documentation Checklist?
This checklist is designed for NICU/L&D Team professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.
Can I download this checklist as a PDF?
Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.