Nursing Grand Rounds: NRP in Action – 2013 Update Through Simulation

About Seattle Children’s Neonatal Resuscitation Program (NRP) Courses

NRP courses are held at the University of Washington Medical Center Institute for Simulation and Interprofessional Studies (ISIS)

Courses are held at the Institute for Simulation and Interprofessional Studies (ISIS) at the University of Washington Medical Center Surgery Pavilion. Parking is available for a fee directly across the street from the main entrance to the University of Washington Medical Center in the Triangle Parking Garage.

Institute for Simulation and Interprofessional Studies (ISIS)
University of Washington Medical Center Surgery Pavilion
1959 NE Pacific St.
Seattle, WA 98195-6410

Seattle Children's is an approved provider of continuing nursing education by the Washington State Nurses Association Continuing Education Approval and Recognition Program (CEARP), an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. Nursing continuing education credit is available only the first time the participant takes this in-person course using the Textbook of Neonatal Resuscitation, 6th edition, and the 6th edition NRP online examination. When a participant renews their NRP status with 6th edition materials (repeats this 6th edition course) continuing nursing education credit is not available.

NRP Provider Course

All participants register for a Provider course, including those wishing to renew their NRP provider status.

Neonatal Resuscitation Program (NRP) is an education program of the American Academy of Pediatrics (AAP) and the American Heart Association (AHA) that teaches concepts and skills of neonatal resuscitation. Our learners study the Textbook of Neonatal Resuscitation, 6th Edition, 2011 (or view the DVD-ROM that accompanies the textbook) and pass the online examination (written test) prior to attending any NRP course. This allows much of the scheduled course time to be used for hands-on practice and simulation. Emphasis is placed on increasing self-efficacy, managing the unexpected, and supporting the efforts and contributions of each team member.

Our NRP courses are designed to cover all nine lessons in the textbook; however, participants may receive credit for the course by completing the minimum course requirement which is Lessons 1 through 4 and Lesson 9. This is often the case for licensed midwives or midwifery students, or other healthcare professionals who are not responsible for performing or assisting with intubation or medication administration. Seattle Children's Hospital cannot determine this for you. Check your institution's policy if you are not sure of your NRP course requirement.

All participants must demonstrate resuscitation skills covered in Lessons 1 through 4 and identify all decision points of the NRP algorithm.

Course participants who do not have job responsibilities for procedures such as intubation or umbilical venous catheter placement may learn about and demonstrate these procedures to enhance their learning experience if they complete testing for Lessons 1 through 9. NRP does not certify the learner to perform any technique, does not imply competence to perform neonatal resuscitation, and does not determine the participant's scope of practice.

This course is not recommended for those who have little or no experience in a birth setting.

Required NRP course materials

  • Textbook of Neonatal Resuscitation, 6th Edition, American Academy of Pediatrics and the American Heart Association, 2011. Many healthcare employers have copies for loan; otherwise you may purchase a textbook from the American Academy of Pediatrics online bookstore, or other online book retailers.

Course completion

This is a hands-on interactive course. To successfully pass the course, the learner must:

  • Produce the Verification of Completion document from the NRP online examination (written test) on course day
  • Demonstrate neonatal resuscitation skills (minimum Lessons 1 through 4 in the textbook)
  • Demonstrate the NRP resuscitation flow diagram in correct sequence (use NRP textbook pages 299-302 [Integrated Skills Performance Checklist, Basic or Advanced] as your guide)

Upon successful completion, participants are granted an NRP Course Completion Card, which designates NRP Provider status. Provider status is current for two years.

For more information

For additional information, see the NRP Course Brochure (PDF).

For course availability and online registration, use the links below.

Please email Tanya Sisk with any questions not answered here.


The fee for the NRP course is $125. Morning courses are from 8:30 a.m. to 12 p.m. Afternoon courses are from 1 to 4:30 p.m.

To keep registration costs low, we do not cater refreshments. A limited selection of food and beverages is available at the snack bar right outside the simulation center. 

NRP Hospital-Based Instructor Course

The NRP instructor's role has changed from "teacher" to "learning facilitator." This Hospital-Based Instructor course prepares new instructors to conduct 6th edition NRP Provider courses which use a simulation-based curriculum. Instructor-trainees will learn to guide NRP students through acquisition of resuscitation skills; learn to create and conduct scenarios using tactile, visual and auditory cues; and conduct effective debriefings. The course also covers the administrative tasks within the NRP instructor's role. Registrants must meet eligibility requirements, and complete course prerequisites, as stipulated by the American Academy of Pediatrics.

Required course materials

These may be purchased at the AAP online bookstore or other online book retailers. Course participants may share textbooks. The AAP requires each instructor candidate to own a personal copy of the NRP Instructor DVD.

  • NRP Instructor Manual (2011)
  • Textbook of Neonatal Resuscitation, 6th edition (2011)
  • NRP Instructor DVD

Course eligibility

  • Current (on course date) NRP Provider card that covers Lessons 1-9
  • State licensure as a registered nurse, respiratory therapist, MD, DO or physician assistant
  • Experience working with newborns in a hospital setting
  • Delivery room neonatal resuscitation experience is preferred
  • Letter of recommendation/support for instructor teaching


The fee for the NRP Hospital-Based Instructor Course is $300.

To complete your registration, submit the following three items:

  1. Photocopy of both sides of your current NRP Provider card
  2. Photocopy of verification of your professional licensure as an RN, RT, MD, DO or PA (Washington state licensees may print a copy of their credentials from the Department of Health website)
  3. Letter of support  (DOC) from your manager or supervisor

Please note: Your space in this course is not confirmed until we receive payment or payment arrangements and verify receipt of the above three items.

Course prerequisites

After we receive payment or payment arrangements and verify the above registration items, you will receive confirmation of registration and additional information, including instructions to complete the following prerequisites prior to your instructor course:

  1. Obtain and view the NRP Instructor DVD: An Interactive Tool for Facilitation of Simulation-Based Learning and complete the education activity (post-test) during the 30 days before your course date.
  2. Self-study the Textbook of Neonatal Resuscitation, 6th edition (2011).
  3. Self-study the Instructor Manual for Neonatal Resuscitation, 5th edition (2011) and write the answers to the NRP Instructor Self-Assessment (found in Appendix A of the Instructor Manual).
  4. Pass the 6th edition online NRP examination, Lessons 1 through 9, during the 30 days before the instructor course (the online exam fee is covered by your course registration fee).

Cancellation Policy for NRP Courses and NRP Hospital-Based Instructor Courses

Please note that your full registration fee will not be refunded if you fail to attend the course, request to cancel or reschedule with less than one week's notice prior to the course date.

If you reschedule before one week prior to the course, your full registration fee will be applied to your new course. If you reschedule with less than one week's notice, a $10 transfer fee will be applied.

If you cancel before one week prior to the course, your registration fee will be refunded minus a $30 administrative fee. If you cancel with less than one week's notice, your registration fee will not be refunded.

Please email Tanya Sisk if you would like to cancel or reschedule your participation.