Elkhart General has long required every nurse on the delivery team be
able to accurately assess the baby's condition and perform the needed
resuscitation measures that may include intubation, intravenous line
placement, and medication delivery.

But the hospital recently made changes to the way medical personnel
are tested on performing these life-saving procedures on babies.

Instead of testing an individual alone on his or her resuscitation
knowledge and hands-on skills, the unit has gone to a team approach,
Nufer said. Now, the individual is tested when working with a team of
doctors and nurses in a real-life situation.

The realistic sim baby takes training to a new level.

"The team works together to know what each person's role is. By
seeing, hearing and feeling in a simulated environment, each person
will know instinctively what to do," Nufer said, and the sessions are
taped for discussion of improved teamwork.

The condition of the computer-controlled sim baby can quickly change,
very similar to real life.

The baby can cry or not make a sound. It can have seizures. Its heart,
oxygen and respiratory rates can change. Its blood pressure can rise
or suddenly fall.