Table 1 Equipment, situation, and scenario for the simulations

Equipment

• High-fidelity manikin

• Standard NICU equipment: endotracheal tubes, laryngoscope, Magill forceps, suction catheters, IV cannulas, syringes, chest drains, stethoscope, medications, parenteral solutions, simulated blood products

• T-piece oxygen delivery device (Neopuff™ Infant Resuscitator) and ventilator

• Standard patient monitor

• Defibrillator with neonatal pads

• Audio equipment (intercom and phone)

• Video equipment (3 HD cameras)

Situation

• Orientation to the manikin, room, and equipment by the simulation operator

• Introduction of the patient to two nurses starting the scenario

• One ward clinician and one fellow/neonatologist standby outside the room

• Remaining participants (nurses) in an adjacent room with live stream connection

• Simulation operator^a in a control room behind a one-way mirror, available via intercom

Scenario

• Two nurses start their ABCDE assessment when the neonate deteriorates

• Back-up assistance on request: ward clinician is summoned and starts ABCDE assessment

• Back-up assistance on request: fellow/neonatologist is summoned and starts ABCDE assessment

• Brief answers to questions by the simulation operator; no other cues or suggestions

• All 3 profession categories must have finished their assessment before scenario ends