TABLE 1.

DR Resuscitation QI Bundle

Objective	Intervention
Improve Fm-PPV	Initiate PPV with PIP 25 and PEEP 5 if infant has bradycardia, apnea, or ineffective respiration; increase PIP to 30 as part of MRSOP steps before intubation attempt
	Increase TI to 1 s if infant not responding to MRSOP steps
	Simulation-based training focused on MRSOP. Change to appropriate size round masks using size guide at the resuscitation cart. Use of ETCO2 detectors with Fm-PPV
	Document MRSOP
Improve documentation	Document indication for intubation. RT to double check the accuracy of documentation with the resuscitation nurse
Debriefing	Debrief after each intubation