In a recent government meeting, healthcare professionals discussed the evolving landscape of neonatal care, particularly focusing on the role of telehealth and the qualifications of practitioners involved in critical procedures like intubation. A proceduralist with 30 years of experience emphasized that the effectiveness of intubation is more dependent on the individual’s skill rather than their title, challenging the assumption that neonatologists are inherently better at such procedures than nurse practitioners (NMPs).

The speaker highlighted that both neonatologists and NMPs undergo the same rigorous simulation training and that there is no substantial evidence to suggest that one group consistently outperforms the other in intubating infants, including those as premature as 22 weeks. The discussion underscored the importance of having the most skilled individual available to perform the procedure, regardless of their professional designation.

Concerns were raised about the limitations of telehealth in urgent situations, particularly when immediate physical intervention is required. The proceduralist argued that in critical moments, such as needing to intubate a baby, having a qualified practitioner en route is preferable to relying solely on remote guidance. They advocated for a hybrid model of care that ensures the best possible outcomes for vulnerable patients.

The meeting concluded with a call for improved training, better equipment, and a focus on the individual capabilities of healthcare providers to enhance the quality of neonatal care. The discussion reflects a broader shift towards recognizing the diverse skill sets within the medical community and the need for adaptable care models in high-stakes environments.