Mastering the Neonatal Resuscitation Program (NRP) is essential for any medical professional involved in newborn care. While understanding the guidelines is important, the real foundation of effective resuscitation lies in hands-on skills that must be practiced, refined, and performed with confidence. Before sitting for NRP certification, providers should ensure they are proficient in the following critical competencies.
LBW Training Center, an American Heart Association Training Center, offers comprehensive, low-stress NRP courses, led by founder Lynn Browne-Wagner, RN, MSN, and backed by over 40 years of educational expertise, at multiple convenient locations across Arizona.
Effective Airway Positioning and Mask Seal
A successful resuscitation begins with proper airway management. Providers must know how to position the newborn’s head in the “sniffing” position, select the correct mask size, and create an adequate seal. Even small leaks can reduce ventilation effectiveness, making this skill essential for all NRP-trained clinicians.
Delivering Proper Positive Pressure Ventilation (PPV)
PPV is one of the most important interventions in neonatal resuscitation. Before certification, providers should practice delivering breaths at the correct rate and pressure, monitoring chest rise, and troubleshooting ineffective ventilation. Comfort with corrective steps, such as repositioning the mask or increasing pressure, is key.
Performing Chest Compressions with Correct Technique
If a newborn’s heart rate remains below 60 bpm despite effective PPV, chest compressions must be initiated. Providers should be confident using the two-thumb encircling technique, coordinating compressions with ventilation at the recommended 3:1 ratio, and maintaining consistent rhythm and depth.
Endotracheal Intubation and Airway Adjunct Use
Though not required for all providers, many clinicians must demonstrate competency in neonatal intubation. Being able to identify indications, choose equipment, visualize landmarks, and confirm tube placement is crucial, especially during high-risk deliveries.
Umbilical Venous Catheter (UVC) Placement for Emergency Medications
When medications are required, rapid UVC access may be lifesaving. Providers should understand how to prepare equipment, identify the umbilical vein, and secure the catheter quickly and safely.
Effective Communication and Team Coordination
Technical skills alone are not enough. NRP emphasizes clear communication, role assignment, and closed-loop responses to ensure seamless care during time-sensitive situations.
Get Life-Saving Skills with NRP Certification in Tempe, AZ
By mastering these hands-on skills before certification, providers build the confidence and competency needed to respond effectively when every second counts. Call us today at 602-283-0079 to learn more or find a class near you.
