Ujian OSCE Stase 6 - Resusitasi Bayi Baru Lahir

Summary

In this educational video, Leni, a midwifery lecturer, introduces a demonstration of neonatal resuscitation as part of a final exam in a D3 Midwifery program. The procedure follows a step-by-step approach, beginning with an assessment of the newborn's condition, including checking muscle tone, breathing, and heart rate. If the baby does not cry, resuscitation methods such as airway clearance and positive pressure ventilation are implemented. The process concludes with post-resuscitation care and proper sanitation of equipment. The video serves as a valuable learning tool for students and practitioners in the field of neonatal care.

Takeaways

• 😀 Introduction of the speaker, Leni, who is a lecturer at Stikes Sal Saabila, Serang, responsible for conducting a final examination in midwifery with a focus on neonatal resuscitation.
• 😀 The speaker is explaining the process of neonatal resuscitation, specifically for a newborn who is not crying and has weak muscle tone.
• 😀 The examination involves assessing and performing resuscitation steps, such as warming the baby, clearing the airways, and performing initial steps of resuscitation.
• 😀 Personal protective equipment (PPE) is worn before beginning any medical procedure for infection control, including shoe covers and gloves.
• 😀 The baby's assessment includes checking whether the baby is crying, evaluating muscle tone, and determining if the amniotic fluid is clear without meconium.
• 😀 The first five steps in neonatal resuscitation are emphasized: placing the baby on a resuscitation table, ensuring warmth, positioning the baby, suctioning the mouth and nose, and drying the baby.
• 😀 If the baby doesn't cry, has weak muscle tone, and an abnormal heart rate, the healthcare provider moves to the next stage: positive pressure ventilation (PPV).
• 😀 Informed consent is obtained from the mother before performing any procedures, explaining that the baby’s condition is not improving as expected.
• 😀 The process of PPV is explained, including checking the mask, ensuring no leaks, and performing the procedure with the correct pressure and frequency.
• 😀 After performing PPV successfully, the baby shows improvement with normal muscle tone, crying, and a stable heart rate.
• 😀 The procedure concludes with post-resuscitation care, including cleaning the equipment, disinfecting, and proper handwashing.

Q & A

What is the main purpose of this video?

The main purpose of this video is to demonstrate the process of neonatal resuscitation, focusing on the initial steps and interventions that need to be performed when a newborn shows signs of distress, such as not crying and having weak muscle tone.

Who is responsible for conducting the neonatal resuscitation in this video?

Bidan Irma, a midwife, is responsible for conducting the neonatal resuscitation in this video, as she introduces herself at the beginning of the process.

Why is neonatal resuscitation necessary in this case?

Neonatal resuscitation is necessary because the baby is not crying and exhibits weak muscle tone, which may indicate respiratory distress or other health complications that require immediate intervention to stabilize the baby.

What personal protective equipment (PPE) is used during the procedure?

The healthcare provider uses personal protective equipment (PPE), including gloves, shoes, and an apron, to ensure safety and hygiene during the neonatal resuscitation.

What are the five initial steps in neonatal resuscitation mentioned in the video?

The five initial steps in neonatal resuscitation are: 1) Placing the baby on the resuscitation table, 2) Warming the baby using a towel, 3) Ensuring the baby's chest and face are not covered, 4) Positioning the baby with slight extension, and 5) Suctioning the baby’s mouth and nose to clear any fluids.

What is the purpose of performing positive pressure ventilation (PPV)?

Positive pressure ventilation (PPV) is performed to assist the baby in breathing when it has not cried, has weak muscle tone, and its heart rate remains low. PPV helps provide adequate oxygen to the baby’s lungs and stimulates respiratory function.

How is the effectiveness of the positive pressure ventilation evaluated?

The effectiveness of the positive pressure ventilation is evaluated by checking if the baby starts crying, whether the muscle tone improves, and if the heart rate rises to a normal range, which would indicate successful resuscitation.

What should be done if the baby’s condition does not improve after initial resuscitation steps?

If the baby’s condition does not improve, further interventions such as additional positive pressure ventilation or other resuscitative measures may be required to support the baby's breathing and circulation.

What post-resuscitation actions are taken after the baby’s condition stabilizes?

After the baby's condition stabilizes, post-resuscitation actions include cleaning the resuscitation equipment, ensuring proper hygiene by washing hands with disinfectant, and documenting the procedures performed during the resuscitation.

What was the result of the final evaluation of the baby after the resuscitation process?

The final evaluation showed that the baby was crying, had active muscle tone, and had a normal heart rate of 120 beats per minute, indicating that the resuscitation was successful.