Abstract
Context
The Neonatal Resuscitation Program (NRP) Pediatric Education Training & Simulation (PETS) skill stations were
developed in collaboration with the NRP Steering Committee to be conducted at the American Academy of Pediatrics’
National Conference & Exhibition. Development of PETS stations was necessitated by the release of the Textbook of
Neonatal Resuscitation, 7th edition. The PETS stations focused on two simulation scenarios and provided educational
guidance on teaching and debriefing skills and are intended for use in hospitals or organizations without access to a
simulation center or with limited access to equipment. The stations created an all-inclusive simulation experience that can
be replicated and used in settings outside of a hospital while providing a realistic environment for participants.
Description
The PETS stations were designed to teach medical practitioners how to deliver and resuscitate the newborn as the
stations mirror the equipment, monitors, and supplies found within a functioning Labor & Delivery unit in the United
States. All equipment and supplies listed in Appendix 1 and 2 of the NRP 7th edition textbook were incorporated into the
stations. In addition, one neonate and one premature infant simulator, with anatomically correct airways, were included
alongside prewritten scenarios. Most essential supplies were placed in a hang up jewelry organizer for ease of access.
This allowed for numerous materials to be transported to their destination effortlessly.
Observation/Evaluation
We found that the most insightful feedback was from direct observation of participants during implementation of the skill
stations. In planning the course, we took many administrative steps to facilitate a fast-paced realistic experience, and
learned that some steps were easier to accomplish onsite with participants. We found that creating a realistic
environment enhanced the teaching and debriefing components of the skill stations. By focusing on the skills and
teamwork needed to successfully complete a scenario, the participants took away valuable skills that they could apply in
their varied professional settings.
Discussion
Our challenge was to take a monumental list of equipment and functionally incorporate it into a location not normally
utilized for medical simulation. While participants involved with the simulation were pleased with the overall realistic
setting provided, it appeared that not everyone utilized all of the equipment. While performing clean-up, it was apparent
certain supplies were untouched. Whether this is due to time constraints for the actual simulation or just being
overwhelmed by the sheer amount of equipment provided is unclear. Overall, the potential for NRP instructors traveling
to surrounding communities with PETS stations greatly increases the quality of simulation available. They provide
benefits to those with limited resources and those providing simulation support outside of their facilities.
References: Weiner, G. Textbook of Neonatal Resuscitation, 7th Ed. Elk Grove Village, IL. American Academy of
Pediatrics; 2016.
