What Hospital‐based Instructors and Administrators Need to Know
about the 7th Edition
In spring 2016, the American Academy of Pediatrics (AAP) and American Heart
Association (AHA) will release the 7th Edition of the Neonatal Resuscitation
Program® (NRP). The administrative changes are a result of the NRP Strategic
Plan, NRP Instructor Survey and Focus Groups, and Instructor Development
Task Force recommendations. The materials and new Database and Learning
Management System must be in use by January 1, 2017.
The NRP Steering Committee has prepared the following summary highlighting major changes for the
NRP 7th Edition.
NRP DATABASE AND LEARNING MANAGEMENT SYSTEM
The NRP has partnered with HealthStream to develop a new NRP Database and Learning Management
7th Edition Database
The new NRP database will automate many aspects of the administrative portion of NRP. All NRP 7th
edition courses should be recorded within the new database.
Learning Management System
- Instructors will create course rosters in the database before the course. Instructors or
administrators can register students into the course, or students can search for courses in their
area and request to register.
- After the course, instructors can quickly confirm if a student passed, failed or did not attend the
course before submitting the roster. After the roster is submitted, students will receive a link to
a post‐course evaluation.
- Learners will receive their course completion e‐card immediately after they complete the post‐
- NRP cards will be electronic, and stored within each instructor and provider’s database record.
Users can use the system to e‐mail their course completion card to a third party (for example, an
Existing (6th Edition) Database
- The NRP Online Instructor Examination, NRP Online Provider Examination, eSimulation, NRP
Instructor Renewal Course, and NRP Instructor Candidate Course will all be web‐based and
housed within the learning management system.
- Institutions that are not HealthStream customers can continue to access NRP materials using
their existing Learning Management System and HealthStream Connect.
NRP 6th Edition courses can be taught until December 31, 2016. Any 6th edition courses should be
recorded using the existing NRP Course Database, not the new HealthStream Database. The existing
NRP Course Database will close to instructors on February 1, 2017.
NRP 7TH EDITION MATERIALS – WHAT’S NEW
The Textbook of Neonatal Resuscitation, 7th Edition has 11 lessons:
NRP Online Examination
- Foundations of Neonatal Resuscitation
- Preparation for Resuscitation
- Initial Steps of Newborn Care
- Positive‐pressure Ventilation
- Alternative Airways: Endotracheal Tubes and Laryngeal Masks
- Chest Compressions
- Post‐resuscitation Care
- Resuscitation and Stabilization of Babies Born Preterm
- Special Considerations
- Ethics and Care at the End of Life
Beginning with the NRP 7th Edition, there will be separate examinations for NRP Instructors and
Providers. The Instructor Examination will include part of the Provider Examination, but will also focus
on NRP instructor skills.
NRP eSim is a new online neonatal resuscitation simulation exercise that
will be a required component for achieving NRP provider status and
maintaining NRP instructor status with the 7th Edition. This new
methodology will allow learners to practice the NRP steps of
resuscitation in a virtual environment. Everyone will complete an
equipment checklist case, followed by two additional cases of their
NRP Instructor Toolkit
- The NRP Instructor Toolkit is a new requirement for all NRP
Instructors and NRP Instructor Candidates.
Benefits of the toolkit include access to instructional resources,
continuing education credits, downloadable materials, multimedia,
the NRP Online Examination, eSim Cases and the new web‐based
NRP Instructor Course.
- Beginning in 2017, all NRP Instructors are required to purchase
access to the Toolkit before the renewal date on their card. For
example, if your NRP Instructor status expires in April 2017, the
Toolkit should be purchased before the end of April 2017.
- If an instructor chooses not to maintain their Toolkit access before
their expiration date, their instructor status will become inactive.
- Instructor Candidates should purchase their Toolkit access when
their instructor application has been approved by the AAP.
Candidates must familiarize themselves with the Toolkit content and
complete the independent educational requirements for instructor
development before participating in mentor‐led provider courses.
HOW TO ACHIEVE AND MAINTAIN STATUS
NRP Instructor Status
- Beginning with the 7th Edition, learners will self‐study
the Textbook and complete all 11 Lessons of the course.
There is no longer an option to take selected lessons.
- Provider course completion cards will be valid for two
years, until the end of the course month. For example,
anyone who passes a course in April would have a valid card
through the last day of April 2 years later.
- Learners will need to search for instructor‐led courses in
the database and pre‐register for the course they plan to
New Instructor Education
- On January 1, 2017 the NRP Regional Trainer role will be
retired. All Regional Trainers will become Hospital‐based
Instructors, and retain their existing expiration date.
- Instructor completion cards will be valid for two years,
until the end of the month. For example, if your current
renewal date is March 14, 2016, your next renewal is due
by March 31, 2018.
- After January 1, 2017 all Instructors must purchase access
to the NRP Instructor Toolkit when they renew their
instructor status. Institutions can purchase Toolkit access
for their instructors. Toolkit access is not transferable or
pro‐ratable. If an instructor leaves the institution, Toolkit access will remain with the instructor.
- The traditional in‐person instructor course facilitated by a
Regional Trainer will be replaced with a web‐based
instructor course. Education requirements include
coteaching 2 courses under the guidance of an instructor
mentor. Steps to becoming an instructor are reflected in
the infographic on the right.
- All NRP instructors who have taught at least four NRP
provider courses can become an instructor mentor.
Instructor mentors are required to affirm an instructor
candidate’s application, co‐teach at least two courses
with a candidate, and facilitate a “debrief the debriefer”
- Throughout 2016, instructor candidates may review the
NRP instructor DVD and participate in a traditional
Regional Trainer led instructor course, or complete the
new web‐based instructor course and coteach two
courses under the guidance of a mentor. Beginning in
2017, all instructor education must be completed using
7th Edition requirements
- If you will teach 6th edition instructor courses through
2016, plan ahead! The NRP Instructor DVD: An Interactive
Tool for the Facilitation of Simulation‐based Learning will
no longer be available for purchase by February 2016.
WHAT STAYS THE SAME FOR NRP 7TH EDITION?
- The American Academy of Pediatrics requires NRP
Provider Card renewal every 2 years; but, your facility may require more frequent renewal. It is
the institution’s responsibility to determine the consequences of allowing NRP Provider status to
- Any person who works with newborns is eligible to take an NRP Provider course; however, the
course has little relevance for a person who has never seen the birth of a healthy term newborn.
- All learners may study, practice, and demonstrate all NRP skills if desired, including intubation
and emergency umbilical venous catheter placement. NRP does not certify or ensure
competence to perform these skills in an actual resuscitation.
- Components of the in‐person NRP Provider course include Performance Skills Stations
(optional), Integrated Skills Station (required) and Simulation and Debriefing (required).
- The recommended NRP instructor to learner ratio at a Provider course is 1 instructor to 3‐4
7TH EDITION TIMELINE
- Spring 2016 – Launch of all NRP 7th Edition products, materials, database and learning management
- October 21, 2016 – NRP Current Issues Seminar in San Francisco, CA
- January 1, 2017 – 7th Edition mandatory implementation date and NRP Regional Trainer title retirement.