Neontal Intraosseous Needle Use Question Title * 1. Since September 2017,have you worked with patients less than 3 months of age within the UK? Yes No OK Question Title * 2. Which city or town do you work in? (e.g. Manchester) OK Question Title * 3. Between September 2017 and now, which clinical areas have you worked in? (tick all that apply) Tertiary NICU (Level 3) Local Neonatal Unit (Level 2) Special Care Baby Unit (Level 1) General paediatrics/Paediatric Emergency Dept OK Question Title * 4. Does your currently hospital have a policy for Intraosseous Needle use in infants in the NICU/SCBU? No Yes, in paediatrics/Emergency Dept only Yes, on the neonatal unit only Yes, it applies to paediatrics, neonatal unit and ED. Don't know OK Question Title * 5. Do you know where your hospital keeps intraosseous devices? Yes No OK Question Title * 6. What grade are you? Consultant Staff Grade/Associate Specialist Registrar/Middle Grade Senior House Officer ANNP/band 8 nurse/midwife Band 6/7 nurse/midwife Band 5 nurse/midwife OK Question Title * 7. Have you received any formal training in interosseous needle insertion? No Yes (please specify e.g. APLS) OK Question Title * 8. Do you feel that you would benefit from further training in IO insertion? Yes No OK Question Title * 9. Which medication or fluids would you consider running through an IO device? (tick all that apply) Crystalloid volume (incl. NaCl and Dextrose) Blood products Adrenaline Corticosteroids Analgesics and/or sedatives Electrolyte solution (e.g. Hartmann's) Amiodarone Adenosine Bicarbonate OK Question Title * 10. Since September 2017, did you need to use an IO needle at any time? Yes No OK Question Title * 11. For the FIRST TIME you used an IO device since September 2017, was the device a drill assisted, spring-assisted or manual device? Power-assisted (e.g. EZ-IO) Spring-assisted (e.g. BIG) Manual (e.g. Cook needle) Device manufactured for another purpose (e.g. butterfly needle) Other (please specify) OK Question Title * 12. For the FIRST TIME you used an IO device since September 2017, what was the indication for use? (tick all that apply) Newborn requiring resuscitation at birth Presumed sepsis Presumed hypovolaemia Cardiac arrest Other (please specify) OK Question Title * 13. For the FIRST TIME you used an IO device since September 2017, how old was the patient? 0-6 hours of age 6-24 hours of age 24-72 hour of age Older than 72 hours, but less than 1 week of age 7 to 28 days of age Older than 28 days OK Question Title * 14. For the FIRST TIME you used an IO device since September 2017, at the time of IO insertion, was the patient: Preterm (<37 weeks corrected gestation) Term (>37 weeks corrected gestation) Neonate <28 days of age who had been discharged, then returned to hospital unwell Over 28 days of age OK Question Title * 15. For the FIRST TIME you used an IO device since September 2017, where was the location of the resuscitation? Pre-Hospital/Community Emergency Department Paediatric ward Neonatal unit Postnatal ward Delivery Suite/Theatre Midwifery-Lead unit Other (please specify) OK Question Title * 16. For the FIRST TIME you used an IO device since September 2017, did you manage to effectively site the device? Yes No OK Question Title * 17. For the FIRST TIME you used an IO device since September 2017, how many attempts were required to effectively site an IO device? 1 2 More than 2 OK Question Title * 18. For the FIRST TIME you used an IO device since September 2017, where was the device sited? Distal tibia Proximal tibia Distal femur Humeral head Other (please specify) OK Question Title * 19. For the FIRST TIME you used an IO device since September 2017, please tick any problems which occurred: Failure to site device effectively Dislodged after insertion Problem with securing dessing None Unable to ascertain whether position was effective Other (please specify) OK Question Title * 20. For the FIRST TIME you used an IO device since September 2017, did any of the following complications occur: Extravasation Fracture Skin/local infection Osteomyelitis Compartment syndrome OK Question Title * 21. For the FIRST TIME you used an IO device since September 2017, was the device left in place for longer than the initial resuscitation? No, it was removed straight away Yes, but I do not know how long for Yes, please specify how long it was left in place: OK Question Title * 22. Since September 2017, did you need to use an IO device more than once? Yes No OK Question Title * 23. For the SECOND TIME you used an IO device since September 2017, was the device a drill assisted, spring-assisted or manual device? Power-assisted (e.g. EZ-IO) Spring-assisted (e.g. BIG) Manual (e.g. Cook needle) Device manufactured for another purpose (e.g. butterfly needle) Other (please specify) OK Question Title * 24. For the SECOND TIME you used an IO device since September 2017, what was the indication for use? (tick all that apply) Newborn requiring resuscitation at birth Presumed sepsis Presumed hypovolaemia Cardiac arrest Other (please specify) OK Question Title * 25. For the SECOND TIME you used an IO device since September 2017, how old was the patient? 0-6 hours of age 6-24 hours of age 24-72 hour of age Older than 72 hours, but less than 1 week of age 7 to 28 days of age Older than 28 days OK Question Title * 26. For the SECOND TIME you used an IO device since September 2017, at the time of IO insertion, was the patient: Preterm (<37 weeks corrected gestation) Term (>37 weeks corrected gestation) Neonate <28 days of age who had been discharged, then returned to hospital unwell Over 28 days of age OK Question Title * 27. For the SECOND TIME you used an IO device since September 2017, where was the location of the resuscitation? Pre-Hospital/Community Emergency Department Paediatric ward Neonatal unit Postnatal ward Delivery Suite/Theatre Midwifery-Lead unit Other (please specify) OK Question Title * 28. For the SECOND TIME you used an IO device since September 2017, did you manage to effectively site the device? Yes No OK Question Title * 29. For the SECOND TIME you used an IO device since September 2017, how many attempts were required to effectively site an IO device? 1 2 More than 2 OK Question Title * 30. For the SECOND TIME you used an IO device since September 2017, where was the device sited? Distal tibia Proximal tibia Distal femur Humeral head Other (please specify) OK Question Title * 31. For the SECOND TIME you used an IO device since September 2017, please tick any problems which occurred: Failure to site device effectively Dislodged after insertion Problem with securing dessing None Unable to ascertain whether position was effective Other (please specify) OK Question Title * 32. For the SECOND TIME you used an IO device since September 2017, did any of the following complications occur: Extravasation Fracture Skin/local infection Osteomyelitis Compartment syndrome OK Question Title * 33. For the SECOND TIME you used an IO device since September 2017, was the device left in place for longer than the initial resuscitation? No, it was removed straight away Yes, but I do not know how long for Yes, please specify how long it was left in place: OK Question Title * 34. Since September 2017, have you used an IO device more than twice? Yes No OK Question Title * 35. For the THIRD TIME you used an IO device since September 2017, was the device a drill assisted, spring-assisted or manual device? Power-assisted (e.g. EZ-IO) Spring-assisted (e.g. BIG) Manual (e.g. Cook needle) Device manufactured for another purpose (e.g. butterfly needle) Other (please specify) OK Question Title * 36. For the THIRD TIME you used an IO device since September 2017, what was the indication for use? (tick all that apply) Newborn requiring resuscitation at birth Presumed sepsis Presumed hypovolaemia Cardiac arrest Other (please specify) OK Question Title * 37. For the THIRD TIME you used an IO device since September 2017, how old was the patient? 0-6 hours of age 6-24 hours of age 24-72 hour of age Older than 72 hours, but less than 1 week of age 7 to 28 days of age Older than 28 days OK Question Title * 38. For the THIRD TIME you used an IO device since September 2017, at the time of IO insertion, was the patient: Preterm (<37 weeks corrected gestation) Term (>37 weeks corrected gestation) Neonate <28 days of age who had been discharged, then returned to hospital unwell Over 28 days of age OK Question Title * 39. For the THIRD TIME you used an IO device since September 2017, where was the location of the resuscitation? Pre-Hospital/Community Emergency Department Paediatric ward Neonatal unit Postnatal ward Delivery Suite/Theatre Midwifery-Lead unit Other (please specify) OK Question Title * 40. For the THIRD TIME you used an IO device since September 2017, did you manage to effectively site the device? Yes No OK Question Title * 41. For the THIRD TIME you used an IO device since September 2017, how many attempts were required to effectively site an IO device? 1 2 More than 2 OK Question Title * 42. For the THIRD TIME you used an IO device since September 2017, where was the device sited? Distal tibia Proximal tibia Distal femur Humeral head Other (please specify) OK Question Title * 43. For the THIRD TIME you used an IO device since September 2017, please tick any problems which occurred: Failure to site device effectively Dislodged after insertion Problem with securing dessing None Unable to ascertain whether position was effective Other (please specify) OK Question Title * 44. For the THIRD TIME you used an IO device since September 2017, did any of the following complications occur: Extravasation Fracture Skin/local infection Osteomyelitis Compartment syndrome OK Question Title * 45. For the THIRD TIME you used an IO device since September 2017, was the device left in place for longer than the initial resuscitation? No, it was removed straight away Yes, but I do not know how long for Yes, please specify how long it was left in place: OK Question Title * 46. Since September 2017, have you used an IO device more than 3 times? Yes No OK DONE