| Administrative Frequently Asked Questions |
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- How do FAQs on the CPS NRP web site get posted or revised?
- Who can become an NRP Instructor?
- How do I become a registered NRP Instructor?
- What is the national Canadian NRP Instructor database?
- Is there a cost for registering in the new database?
- How does a current instructor register with national Canadian NRP Instructor database?
- Can an organization pay for multiple instructor registrations?
- What do I do when I'm ready to run a provider course?
- What if my instructor status has expired?
- How does an instructor stay current? Updated!
- Would we extend the two-year requirement for Instructors to teach two courses if they take parental or other extended leave? Updated!
- I am an NRP provider. If I have not completed a provider renewal course by my two-year renewal date, do I have to re-take an entire provider course? Updated!
- Does my “Team Teach” course count toward my required courses to remain current as an NRP Instructor?
- What is meant by “team teaching”? New!
- How does a provider stay current?
- Will the database track NRP providers?
- What happens if I lose my instructor/provider card?
- How are provider cards distributed?
- Can NRP Coordinators at facilities input course rosters on behalf of instructors? Updated!
- What CME credits can I claim for NRP?
- Will the CPS register courses that are delivered outside Canada?
- I am moving to another province. Will my NRP status be recognized there?
- Can Canadian NRP Provider course participants take the online written exam offered by the AAP? New!
- Is the online system able to notify the Instructor about the results of the on-line exam (pass or fail) and which responses were incorrect?
- Who needs to take “Lesson 8: Resuscitation of Babies Born Premature?”
- Are all Practitioners required to complete lessons 1 to 9?
- I work in the emergency area. Lesson 9 does not seem to be applicable in this setting. Do I still need to complete that lesson for the basic course?
- As a primary care paramedic, I am required to complete a basic course. However, there are components of management of preterm babies in lesson 8 that seem more applicable to my practice than lesson 9.
- How do we deal with a student who repeatedly requires re-evaluation of their Megacode station?
- How do FAQs on the CPS NRP web site get posted or revised?
FAQs are submitted to the NRP Education Subcommittee by NRP Instructors, the CPS or NRP Steering Committee members.
FAQs are reviewed by the Education Subcommittee, and modified or withdrawn based on new information or redundancy. The FAQ is then circulated to the NRP Executive, followed by the Steering Committee for input and approval before being posted.
The FAQs reflect a consensus of opinion of clinicians, educators and administrators from multiple Canadian jurisdictions. Scientific answers are interpretation of the literature by the group. FAQs are normally written in response to issues requiring clarification rather than policy statements, prescriptive guidelines or evidence based scientific recommendations.
Please provide feedback or new questions if you feel either are required.
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- Who can become an NRP Instructor?
Please see our Instructor Registration page for details.
- How do I become a registered NRP Instructor?
Please see our Instructor Registration page for details.
- What is the national Canadian NRP Instructor database?
The national Canadian NRP Instructor database is managed by the Canadian Paediatric Society.
NRP instructors and instructor trainers listed in the database :
- Receive NRP Instructor or Instructor Trainer cards.
- Receive credit for assisting instructors in courses.
- Have access to a secure, online system for updating their information and reviewing their status.
- Are able to register provider and instructor courses, and submit participant rosters online.
- Receive pre-printed provider cards to distribute to course attendees.
- Receive regular updates on Canadian guidelines and Canadian NRP FAQs
- Receive 6-month and 3-month reminders to renew their instructor status.
- Have the AAP Instructor Update newsletter e-mailed directly to them.
- Have access to data to help monitor and improve NRP activity within each province.
When included on an instructor's roster, NRP providers:
- Receive an NRP provider card as proof of their status.
- Are able to verify their status from the national office.
- Can replace a lost NRP provider card.
Confidentiality: All information in the database is confidential; however the CPS will share NRP data with provincial and national NRP organizations to enable them to monitor the availability of instructor trainers and instructors as well as the provision and size of courses within their area.
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- Is there a cost for registering on the new database?
Yes. Instructors pay a registration fee of $85 every two years. This fee will be used to cover the costs of maintaining the database and supports the issuing of instructor and provider cards. The CPS does not charge providers directly.
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- How does a current instructor register with the Canadian NRP instructor database ?
Please see our Instructor Registration page at: for details.
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- Can an organization pay for multiple instructor registrations?
Yes. Organizations may do so by completing the Instructor Registration Form for each instructor and then forwarding all the forms, along with payment for each instructor.
- What do I do when I'm ready to run a provider course?
Visit Running NRP Courses. Instructors must be registered to submit rosters or to be credited as an assisting instructor.
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- What if my instructor status has expired?
You will need to take an instructor course. Contact your local NRP Instructor Trainer or regional representative for details.
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- How does an instructor maintain their instructor status?
An instructor must teach two courses every two years and pay the registration fee to remain current. The CPS database will keep an electronic record of rosters, confirming which instructors have taught courses. Six months prior to their status expiring, Instructors will be sent an email reminder, which will include their official expiration date of their instructor registration, as well as the number of courses the CPS has on file for them. Three months later, Instructors will be sent a hard-copy letter (to their preferred mailing address), which they must fill out and return to the CPS office, along with the $85 fee. This fee is payable by cheque (to the CPS), Visa or MasterCard. Once all of the necessary documentation has been received, the renewal will be processed and a new instructor card will be issued.
New instructors are required to ‘team teach' a provider course before they can submit their registration form and be entered into the database. This ‘team teach' course does not count as one of the 2 courses needed to stay current.
An NRP instructor should undergo an evaluation of performance every two years in keeping with their provincial NRP committee guidelines.
They should participate in an instructor update workshop when there is a significant change in NRP guidelines.
All NRP Instructors should also:
• maintain currency in neonatal resuscitation practices and education.
• know their own limitations, and seek resources and assistance when required.
• complete and submit course rosters to CPS, ensuring that successful course participants receive their Provider cards
• maintain communication with their Provincial/Regional NRP Program.
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- Would we extend the two-year requirement for Instructors to teach two courses if they take parental or other extended leave?
No. In exceptional circumstances, institutions may extend Instructor status for a fixed period (no more than three months) to allow them to teach a course and meet the requirements (see similar question regarding Providers). While this extension is at the discretion of the institution, the date of renewal will remain unchanged.
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- I am an NRP provider. If I have not completed a provider renewal course by my two-year renewal date, do I have to re-take an entire provider course?
The answer is "yes", but it may be modified in exceptional circumstances by your institution. Historically, individual regions have permitted, on occasion, an extension or a "grace" period, extending NRP provider registration for periods of several weeks to allow for scheduling of courses or academic calendars. This period should not exceed three months however the length of the extension is at the discretion of the institution. Please note that the provider’s original renewal date will remain unchanged. Extension of provider status should be the exception rather than the rule, reserved for unexpected or unavoidable circumstances. Please see Maintaining Current Provider Status for more information.
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- Does my “Team Teach” course count toward my required courses to remain current as an NRP Instructor?
No, the “Team Teach” is not considered one of the two courses required to remain current.
- What is meant by “team teaching”?
“Team teaching” (also known in some provinces as the “return demonstration”) is an important last step in the process of becoming an NRP Instructor. Team teaching should occur soon after participation in an NRP Instructor course - and no longer than 6 months after the course.
The learning environment for teaching should be an NRP Provider or Provider renewal course – the NRP Instructor Course may include facilitated skill stations, however, these do not fulfill the team teaching requirement. Team teaching is a learning experience for the instructor trainee during which a Preceptor observes the trainee, then debriefs and provides constructive feedback. Occasionally, instructor trainees will need more than one team teaching experience – successful completion of a team teach is at the discretion of the Preceptor.
The Preceptor should be an NRP Instructor-Trainer or an experienced NRP Instructor, designated by an Instructor-Trainer. The role of the Preceptor is to support and guide the new Instructor.
Registration with the CPS as a qualified NRP Instructor commences from the date of satisfactorily completed team teaching. The team teaching course is not counted as one of the two (2) courses an instructor needs to teach every two (2) years.
- How does a provider maintain current status?
See Maintaining Current Provider Status
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- Will the database track NRP providers?
Yes, through course rosters and the distribution of provider cards. Instructor and Provider data will be supplied to provincial organizations to help monitor and improve NRP activity within your province.
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- What happens if I lose my instructor/provider card?
Once you have been issued a CPS NRP instructor or provider card, you can contact CPS staff for a replacement at nrp@cps.ca. There is no charge for your original card; however there is a $10 charge for replacement cards. Please include the following information with your request:
• The date of your most recent NRP Provider or Provider Renewal Course.
• The name of your NRP instructor.
• The name of the hospital or institution where the course was held.
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- How are provider cards distributed?
Once a course roster has been submitted, CPS staff forward provider cards to the course instructor for signature and distribution to course participants. We encourage instructors to ask course participants to provide a self-addressed, postage paid envelope for the instructor to use to forward provider cards. The cost of provider cards is included in the instructor registration fee.
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- Can NRP Coordinators at facilities input course rosters on behalf of instructors?
Yes. Please contact the CPS to obtain a Login ID and Password.
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- What CME credits can I claim for NRP?
Physicians : NRP is approved for Mainpro-C credits (College of Family Physicians of Canada) and Maintenance of Certification Section 1 credits (Royal College of Physicians and Surgeons of Canada). Course participants can claim 8 credits for a full course and 4 credits for a renewal/update course. These credits apply to instructor training/update courses as well.
Nurses: In Canada , nurses can log their course time as part of their provincial regulatory body continuing competency requirements.
RRTs : The individual regulatory bodies determine what qualifies for credits according to their program. The Canadian Society of Respiratory Therapists simply counts the number of hours.
Midwives : Annual or biennial (every 2 years) certification in NRP is required to maintain registration with provincial regulatory bodies across Canada .
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- Will the CPS register courses that are delivered outside Canada?
The CPS does not routinely register NRP Providers outside Canada. Exceptions have
been made by prior arrangement with the Canadian NRP Steering Committee to assist
jurisdictions that use Canadian materials and do not yet have the capacity to maintain
their own NRP infrastructure.
NRP Instructors with current registration with the CPS who deliver Instructor or
Provider courses outside of Canada can apply to have the course included in the CPS
database. The course can be accepted by the CPS if:
- it is supported by a Canadian educational institution,
- uses Canadian NRP Instructors as faculty, and
- the Canadian version of NRP is taught.
The Canadian Instructors can then register themselves as having delivered that course
for the purpose of maintaining their Instructor status.
The CPS does not have any jurisdiction over health care providers outside Canada.
Canadian NRP Instructors who teach outside Canada should make themselves aware
of local organizations that might oversee neonatal resuscitation education. When
teaching NRP, it should be made clear that the NRP is an educational program.
Successful completion of the program does not imply certification of clinical
competence.
- I am moving to another province. Will my NRP status be recognized there?
Both instructor and provider status is portable across Canada . However, given the provincial and territorial differences in process, instructors and instructor trainers should contact the local provincial or regional NRP administration for information. Some jurisdictions do require incoming instructors to team teach before delivering courses in their institutions.
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- Can Canadian NRP Provider course participants take the online written exam offered by the AAP?
Yes. However, because the online exam does not address the Canadian modifications, the NRP Instructor will need to confirm that the learner has had an opportunity to review the Canadian materials, and has correctly completed the handful of Canadian questions. If any of these questions are not answered correctly, the participant should be mentored regarding the correct answers.
If the participant elects to complete the online exam, they will need to review the Canadian recommendations and adapted documents found on the CPS website. The participant will also need to complete the Canadian performance checklists and Megacode testing under the guidance of a NRP Instructor within 30 days of successfully completing the online evaluation in order to obtain a Course Completion Card. The online exam must take place prior to evaluation of Performance Checklists and/or Megacode.
http://www.aap.org/nrp/provider/provider_oeoverview.html
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- Is the online system able to notify the Instructor about the results of the on-line exam (pass or fail) and which responses were incorrect?
No. The participant is expected to print the page that indicates they have passed/failed and bring that to the instructor. The printout does not indicate which questions the participant got wrong. Future versions of the software may address this issue.
- Who needs to take “Lesson 8: Resuscitation of Babies Born Premature?”
Lesson 8 is most suited to providers who are likely to care for preterm babies; however it is important to note that a preterm baby may be born in any facility. All providers are encouraged to read the entire NRP text.
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- Are all Practitioners required to complete lessons 1 to 9?
No. There are currently 2 options to reach course completion. Practitioners who are required to perform or assist in all levels of resuscitation will complete all lessons. For those practitioners whose skill set or scope of practice does not include the full extent of resuscitation, lessons 1 to 4 and 9 , with the appropriate Performance Checklists and Megacode are completed for course registration. Practitioners are encouraged to complete Lesson 8 as well.
The Course Completion Card, issued by the Canadian Paediatric Society will indicate the lessons and megacode completed. All providers are encouraged to read the entire NRP text.
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- I work in the emergency area. Lesson 9 does not seem to be applicable in this setting. Do I still need to complete that lesson for the basic course?
Yes. Even though Lesson 9 has a focus on the application of ethical and communication principles as they may arise in the clinical labour and delivery area, the fundamental principles are applicable to resuscitation in any setting. Health care professionals such as paramedics and emergency room personnel may encounter situations involving unexpected preterm labour and delivery. To support parents and deliver care in these stressful situations, it is helpful to understand ethical and communication principles and apply them using an informed, compassionate and family-centred manner. The NRP course can provide discussion opportunities that can assist in applying the content of Lesson 9 to your particular environment.
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- As a primary care paramedic, I am required to complete a basic course. However, there are components of management of preterm babies in lesson 8 that seem more applicable to my practice than lesson 9.
NRP courses are designed to meet the needs of care providers in the unique environments that they practice. Inclusion and discussion of additional lessons is encouraged to expand knowledge. A course for primary care paramedics may include, as a minimum, lessons 1 to 4 and 9, but components of other lessons may be helpful for developing management approaches for resuscitation in environments outside of the hospital setting.
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- How do we deal with a student who repeatedly requires re-evaluation of their Megacode station?
Suggested solutions for a provider who repeatedly requires re-evaluation of the Megacode include:
- debriefing with the participant, and troubleshooting to discover where the problem arose;
- a period of retraining to address the problems;
- re-testing with a different instructor;
- and supervised practice.
Readiness for clinical practice and certification of competence are determined by healthcare employers and regulatory bodies, and not by registration with the NRP, which is an educational tool. In addition, the Megacode does not test competence - it tests the ability to perform a simulation.
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Updated: August 2010
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