304 lines
28 KiB
Text
304 lines
28 KiB
Text
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<mxCell id="GrnqI_YPyWIhoqr68Jun-51" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#fddede;strokeColor=#cc3333;strokeWidth=2;" value="<font style="font-size:18px;"><b>STEP 7</b><br>Transport in <b>ISOLETTE</b> with NICU Team</font>" vertex="1">
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<mxCell id="GrnqI_YPyWIhoqr68Jun-52" edge="1" parent="1" style="endArrow=block;endFill=1;strokeWidth=2;endSize=8;">
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<mxCell id="GrnqI_YPyWIhoqr68Jun-53" parent="1" style="ellipse;whiteSpace=wrap;html=1;fillColor=#5b2c8e;strokeColor=#4a2070;strokeWidth=3;" value="<font style="font-size:18px;" color="#ffffff"><b>NICU CARE<br>TRANSFER</b></font>" vertex="1">
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<mxCell id="GrnqI_YPyWIhoqr68Jun-54" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#dce6f0;strokeColor=#4a4a4a;strokeWidth=3;arcSize=4;" value="" vertex="1">
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<mxCell id="GrnqI_YPyWIhoqr68Jun-55" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#e67e22;strokeColor=#d35400;strokeWidth=2;arcSize=10;" value="<font style="font-size:20px;" color="#ffffff"><b>NICU TEAM ACTIVATION<br>PROCESS</b></font>" vertex="1">
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<mxCell id="GrnqI_YPyWIhoqr68Jun-56" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#ffffff;strokeColor=#4a6fa5;strokeWidth=2;" value="<font style="font-size:18px;"><b>1. INITIATE PAGE</b><br>Pediatric ED Team <b>OR</b><br>Adult ED Team<br>Pages Hospital<br>Operator</font>" vertex="1">
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<mxCell id="GrnqI_YPyWIhoqr68Jun-57" edge="1" parent="1" style="endArrow=block;endFill=1;strokeWidth=2;endSize=8;">
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<mxCell id="GrnqI_YPyWIhoqr68Jun-58" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#ffffff;strokeColor=#4a6fa5;strokeWidth=2;" value="<font style="font-size:18px;"><b>2. REQUEST</b><br><i>"Page NICU team to<br>Adult ED for<br>delivery"</i></font>" vertex="1">
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<mxCell id="GrnqI_YPyWIhoqr68Jun-59" edge="1" parent="1" style="endArrow=block;endFill=1;strokeWidth=2;endSize=8;">
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<mxGeometry relative="1" as="geometry">
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</mxCell>
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<mxCell id="GrnqI_YPyWIhoqr68Jun-60" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#4a6fa5;strokeColor=#2d4a7a;fontColor=#ffffff;strokeWidth=2;" value="<font style="font-size:18px;"><b>3. EXECUTE</b><br>Operator Executes<br>NICU Team Page</font>" vertex="1">
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<mxGeometry height="85" width="280" x="1900" y="990" as="geometry" />
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</mxCell>
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<mxCell id="GrnqI_YPyWIhoqr68Jun-61" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#ffffff;strokeColor=#4a4a4a;strokeWidth=2;dashed=1;dashPattern=8 4;" value="<font style="font-size:18px;"><b>NICU RESPONSE TEAM:</b><br>Attending + Resident</font>" vertex="1">
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</mxCell>
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<mxCell id="GrnqI_YPyWIhoqr68Jun-62" edge="1" parent="1" style="endArrow=block;endFill=1;strokeWidth=2;endSize=8;">
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<mxGeometry relative="1" as="geometry">
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<mxPoint x="2040" y="1100" as="targetPoint" />
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</mxGeometry>
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</mxCell>
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<mxCell id="GrnqI_YPyWIhoqr68Jun-63" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#f0fff0;strokeColor=#1a6b35;strokeWidth=3;arcSize=4;" value="" vertex="1">
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<mxGeometry height="320" width="500" x="190" y="1650" as="geometry" />
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</mxCell>
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<mxCell id="GrnqI_YPyWIhoqr68Jun-64" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#2d8a4e;strokeColor=#1a6b35;strokeWidth=2;arcSize=12;" value="<font style="font-size:20px;" color="#ffffff"><b>STABLE DELIVERY CRITERIA</b></font>" vertex="1">
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<mxGeometry height="40" width="470" x="205" y="1660" as="geometry" />
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</mxCell>
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<mxCell id="GrnqI_YPyWIhoqr68Jun-65" parent="1" style="text;html=1;align=left;verticalAlign=top;spacingLeft=15;spacingTop=10;" value="<font style="font-size:18px;">💚 Heart rate <b>&gt;100 bpm</b><br>💚 Spontaneous breathing with <b>good respiratory effort</b><br>💚 <b>Good tone</b><br>💚 Term gestation (<b>≥37 weeks</b>)<br>💚 No cyanosis or persistent respiratory distress</font>" vertex="1">
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<mxGeometry height="250" width="470" x="205" y="1710" as="geometry" />
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</mxCell>
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<mxCell id="GrnqI_YPyWIhoqr68Jun-66" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#fff5f5;strokeColor=#922B21;strokeWidth=3;arcSize=4;" value="" vertex="1">
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<mxGeometry height="320" width="530" x="750" y="1650" as="geometry" />
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</mxCell>
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<mxCell id="GrnqI_YPyWIhoqr68Jun-67" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#cc3333;strokeColor=#922B21;strokeWidth=2;arcSize=12;" value="<font style="font-size:20px;" color="#ffffff"><b>HIGH RISK/UNSTABLE DELIVERY CRITERIA</b></font>" vertex="1">
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<mxGeometry height="40" width="500" x="765" y="1660" as="geometry" />
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</mxCell>
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<mxCell id="GrnqI_YPyWIhoqr68Jun-68" parent="1" style="text;html=1;align=left;verticalAlign=top;spacingLeft=15;spacingTop=10;" value="<font style="font-size:18px;">🔴 Heart rate <b>&lt;100 bpm</b> despite initial steps<br>🔴 Apnea, gasping, or <b>labored breathing</b><br>🔴 <b>Persistent cyanosis</b><br>🔴 <b>Preterm (&lt;37 weeks, especially &lt;34 weeks)</b><br>🔴 Requiring <b>positive pressure ventilation</b><br>🔴 Requiring <b>chest compressions or medications</b><br>🔴 <b>Congenital anomalies</b></font>" vertex="1">
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<mxGeometry height="250" width="500" x="765" y="1710" as="geometry" />
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</mxCell>
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<mxCell id="GrnqI_YPyWIhoqr68Jun-69" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#fff8ee;strokeColor=#d35400;strokeWidth=3;arcSize=4;" value="" vertex="1">
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<mxGeometry height="420" width="530" x="1340" y="1650" as="geometry" />
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</mxCell>
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<mxCell id="GrnqI_YPyWIhoqr68Jun-70" parent="1" style="rounded=1;whiteSpace=wrap;html=1;fillColor=#e67e22;strokeColor=#d35400;strokeWidth=2;arcSize=12;" value="<font style="font-size:20px;" color="#ffffff"><b>REQUIRED EQUIPMENT</b></font>" vertex="1">
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<mxCell id="GrnqI_YPyWIhoqr68Jun-71" parent="1" style="text;html=1;align=center;verticalAlign=middle;" value="<font style="font-size:18px;" color="#1a3a5c"><b>STANDARD EQUIPMENT (ALL DELIVERIES)</b></font>" vertex="1">
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</mxCell>
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<mxCell id="GrnqI_YPyWIhoqr68Jun-72" parent="1" style="text;html=1;align=left;verticalAlign=top;spacingLeft=15;spacingTop=5;" value="<font style="font-size:18px;">◆ Radiant warmer with functioning heat source <b>(ISOLETTE)</b><br>◆ Oxygen source<br>◆ Suction equipment <b>(bulb syringe)</b><br>◆ Bag-mask ventilation device<br>&nbsp;&nbsp;&nbsp;<i>(T-piece resuscitator preferred, self-inflating bag as backup)</i><br><br>◆ Pulse oximeter with neonatal probe<br>◆ Warmed blankets/towels for drying<br>◆ Umbilical catheter tray<br>◆ Medications and Airway neonatal kit<br>◆ Panda Resuscitator</font>" vertex="1">
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<mxGeometry height="320" width="500" x="1355" y="1740" as="geometry" />
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