The Neonatal Resuscitation Program® (NRP®) conveys a gold-standard, evidence-based approach to the care of newborns at birth utilizing a blended learning format including adaptive learning, online testing, case-based simulations, hands-on skills practice, and simulation/debriefing to facilitate effective team-based care.
Why is the Program Important?
- Health care professionals who care for newborns at birth must be equipped with the knowledge and skills to provide high quality neonatal resuscitation.
- Intervention at birth is needed for about 10% of all births and some providers may not have many opportunities to use these skills regularly.
- There is a critical need to better and more effectively train health care providers to be prepared for a high stake, low frequency neonatal resuscitation at delivery to prevent mortality and long-term morbidity due to birth asphyxia.
Who Can Benefit?
- NRP trains various health care professionals who care for the newborn at birth including physicians, registered nurses, nurse practitioners, respiratory care practitioners, and physician assistants.
- Starting with the 8th Edition, set for release June 1, 2021, health professionals can choose to take NRP Essentials or NRP Advanced. NRP Essentials targets those health professionals who need to know the skills of basic neonatal resuscitation, including drying, warming, stimulation, suction and positive-pressure ventilation. These may include Labor/ Delivery nurses, first responders or postpartum ward nurses. Any health professional who may be expected to do a full neonatal resuscitation should take NRP Advanced.
- Currently, there are over 400,000 NRP trained healthcare providers in the United States and most institutions require NRP completion for those who care for newborns in the delivery room.
- NRP has expanded internationally to Canada, with over 43,000 Canadian NRP Providers.
- The NRP textbook is currently available in English, Spanish, and French. Additional translations of NRP materials and courseware are in process.
- NRP provides high quality, standardized training to ensure that health care professionals are trained to provide evidence-based, high quality care for newborns at birth.
- Most hospitals and healthcare institutions in the United States require health care professionals who care for newborns at birth to complete the NRP program every two years.
How is the Program Implemented?
- Currently, NRP is delivered with a blended learning solution. NRP Provider candidates must first read the Textbook of Neonatal Resuscitation, 8th Edition and pass an online competency to ensure mastery of The NRP curriculum. Next, NRP Providers attend an in-person Instructor-Led Event in order to demonstrate mastery of various resuscitation skills and concepts.
- Ancillary materials are available to enhance NRP learning including delivery room reference charts, equipment posters, and access for NRP Instructors to the online Instructor Toolkit (ITK).
- NRP can be implemented through a training of trainers cascade that starts with expert NRP instructors selected by the AAP to train in country instructors. The train-the-trainer program overseen by the NRP Steering Committee provides expertise to train Master Trainers to start high quality NRP in your country.
- The 8th edition NRP will be launched June 2021 with an enhanced program to better meet the needs of providers and instructors.
- Starting with the 8th Edition, the NRP will be implemented in selected American Heart Association (AHA) training centers around the world.
- NRP is currently expanding its reach and partnering with countries with high quality standards of care using a combination of educational materials and training.
- The AAP also supports various webinars and seminars to disseminate the latest evidence-based practices around NRP for NRP instructors and providers. An NRP Road Show is a daylong event that showcases NRP Steering Committee members doing short lectures, the subjects of which may vary, but could include updated science behind NRP, skills-based sessions for airway management, neonatal resuscitation during COVID and a question/answer session.
- Experienced NRP Providers who qualify can apply to be NRP Instructors and teach NRP to others.
Delivering Value and Impact
- NRP provides training for the most up-to-date evidence-based practices in neonatal resuscitation and incorporates innovative learning methodologies to better equip health care professionals to care for newborns at the time of birth.
- NRP is the first life support program that emphasized simulation, communication, and skills during a high-stakes resuscitation situation.
- NRP encourages healthcare professionals to practice neonatal resuscitation skills, teamwork and behavior skills, and ensure high competency and quality.
- International expansion of NRP could greatly impact the quality of neonatal resuscitation worldwide.
- NRP completion is the gold standard program in the U.S. and required of most healthcare providers present during childbirth.
- NRP is based on extensive International Liaison Committee on Resuscitation (ILCOR) evidence review, which is supported by the AAP, and new editions of NRP come out every 5 years incorporating updates in ILCOR guidelines and science.
- American Heart Association (AHA)
- Resuscitation Quality Improvement (RQI) Partners
- International Liaison Committee on Resuscitation (ILCOR)
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American Academy of Pediatrics