Table 1 The contents of the debriefing scenario on a simulation of high-risk neonatal care

1

Initial assessment of neonatal respiration

In the initial assessment, respiratory function-related diagnostic test results were not reviewed and lung sounds were not auscultated

2

Interpretation of lung sounds

The student was confused by misinterpreting normal lung sounds as abnormal lung sounds during the initial assessment and after endotracheal suction

3

Interpreting patient monitor alarms

When a patient monitor alarm sounded for airway obstruction due to apnea or sputum, only SpO₂ levels were checked and only tactile stimuli were provided

4

Airway positioning

A low tidal volume alarm sounded because a high-risk neonate was placed in hyper-extension position

5

Aseptic procedure during endotracheal suction

Hands wearing sterile gloves, a suction catheter, and the ventilator circuit were contaminated during endotracheal suction and hands were not washed after suction

6

Ventilation during endotracheal suction

Endotracheal suction was continued when SpO₂ dropped below 90% and the heart rate dropped, so SpO₂ and the heart rate did not recover

7

Role of the leader

The intervention was incorrect or delayed because the charge nurse focused only on nursing records, without giving proper instructions or help to other members