1. Improving the Effectiveness of
Bag and Mask Ventilation Training
in an Academic Center NICU
Jim Barry
Medical Director, University of
Colorado Hospital NICU

2. Background
• BMV is a simple skill that is simply done wrong
frequently
• Simulation and Learning (and not forgetting)
Theory
– Retrieval based testing/learning improves short and
long term memory- THE WAY WE TEST MATTERS
– Partial task trainers and deliberate practice can
improve skill attainment in trainees (LP)
• Knowledge Gaps
– Can the combination of deliberate practice and
retrieval testing improve skill acquisition and retention
for BMV ?

3. PICO Question
• Population
– Primary- 2011- 2012 Pediatric Residents from Univ Co
– Secondary- other NICU staff: RNs, RTs, NNPs, MDs
• Intervention
– Formal training: deliberate practice, knowledge (retrieval vs
recognition), spacing
• Comparison
– Subjects in 3 groups varied by testing: Recognition, Retrieval,
Retrieval+Practice
• Outcome
– Changes in BMV Knowledge and Skill at 1 month and 6-12
months later

4. Approach
• Randomized controlled study
1. Randomize teams monthly into 1 of 3 study groups
2. Knowledge evaluation with pre/post-test (Retrieval
or Recognition) beginning/end of month and 6-12
months
3. Pretest, questionnaire to determine BMV experience
and career choice
4. Evaluate BMV skill and equipment knowledge with
video-recorded session using apneic neonatal partial
task trainer
5. BMV scoring tool and mastery learning applied
6. Pre/PostData collected: Knowledge, BMV skill

5. 3 Questions
• What would be the best format/time to evaluate
long(er) term retention? 3,6,9 months
• Currently at single center, could this be
replicated at other sites?
• How could this education/intervention be applied
to patient outcomes?