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Initiation of a Neonatal Nurse Practitioner Competency Activity in Needle Thoracostomy

Reinarz, Susan DNP, RN, NNP-BC

Section Editor(s): Zukowsky, Ksenia

doi: 10.1097/ANC.0b013e31828e55aa
Beyond the Basics

Pneumothorax is a potentially life-threatening condition in a neonate, requiring emergency intervention. The neonatal nurse practitioner (NNP) must be able to respond quickly and competently to prevent significant potential complications or death. The purpose of this practice improvement project was to implement procedure review for NNP competency maintenance in needle thoracostomy for a tension pneumothorax and to evaluate the effectiveness of procedure review on competency through simulation performance. Eighteen NNPs participated (procedure review = 10, no review = 8). Results showed that procedure review had a small impact on total performance score. The simulation performance increased self-efficacy for all participants, and participants supported simulation-based procedural competency maintenance activities.

Pediatrix Medical Group and Medical University of South Carolina, Charleston.

Correspondence: Susan Reinarz, DNP, RN, NNP-BC, 4540 Turnberry Ln, Grand Prairie, TX 75052 (

The author acknowledges that this manuscript was completed as a requirement for the doctorate of nursing practice degree from the College of Nursing, Medical University of South Carolina (MUSC). The project described and the article was completed with the assistance of Drs Robin Bissinger and Elaine Amella at MUSC, Drs Debra Sansoucie and Darryl Miao at Pediatrix Medical Group, and Rebecca Southworth MBA, BSN, RN, director of Simulation at Cook Children's Medical Center.

The author declares no conflict of interest.

© 2013 by The National Association of Neonatal Nurses