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Neonatal Resuscitation Program (NRP) 2011: New Science, New Strategies

Zaichkin, Jeanette RN, MN, NNP-BC; Weiner, Gary M. MD, FAAP


The 6th edition Neonatal Resuscitation Program (NRP) resuscitation flow diagram that appeared as Figure 2 on page 48 in the February 2011 issue of Advances in Neonatal Care, in the article titled “Neonatal Resuscitation Program 2011: New Science, New Strategies” has since been revised by the American Academy of Pediatrics.

The NRP Steering Committee has now revised the 6th edition flow diagram by removing the curved arrow and its word “No”, and replacing it with a double-headed arrow connecting the “HR below 60” diamond and the “Take ventilation corrective steps” action box.

We regret any confusion this has caused. The updated flow diagram, pictured below and reprinted with permission by the American Academy of Pediatrics, will be included in all 6th edition NRP materials. The American Academy of Pediatrics is also notifying all NRP instructors of this error and correcting the flow diagram published October 18, 2010 in Pediatrics online:

Advances in Neonatal Care. 11(3):224, June 2011.

doi: 10.1097/ANC.0b013e31820e429f
Professional Growth and Development

In spring 2011, the American Academy of Pediatrics (AAP) will release sixth edition materials for the Neonatal Resuscitation Program (NRP). This edition brings changes in resuscitation practice and a new education methodology that shifts the instructor from “teacher” to “learning facilitator” and requires the NRP course participant to assume more responsibility for learning. The change from a lecture format to simulation-based learning requires instructors to learn new skills and meet new requirements to maintain instructor status.

The sixth edition of the Textbook of Neonatal Resuscitation and the fifth edition of the Instructor's Manual for Neonatal Resuscitation are currently in press. The AAP granted permission to use material from these forthcoming publications in this article.

Jeanette Zaichkin is a consultant for the American Academy of Pediatrics Neonatal Resuscitation Program Steering Committee, editor of the Instructor's Manual for Neonatal Resuscitation, and associate editor of the Textbook of Neonatal Resuscitation. She is the neonatal outreach coordinator at Seattle Children's Hospital;

Dr. Gary M. Weiner is a participant in the ILCOR neonatal delegation and associate editor for the Textbook of Neonatal Resuscitation. He is a an associate clinical professor at Wayne State University School of Medicine, Detroit, Michigan;

The authors wish to acknowledge Rachel Poulin, MPH, manager, Neonatal Resuscitation Program, American Academy of Pediatrics, for her assistance with the preparation of this manuscript.

© 2011 by The National Association of Neonatal Nurses