About NRP
NRP is the AAP/AHA standard for newborn resuscitation, required for staff who attend deliveries or care for newborns. NRP is structured differently from ACLS/PALS: you complete the AAP NRP online course (9th-Edition Essentials or Advanced, whichever matches your role) through the AAP’s NRP Learning Platform, then come in for the required hands-on Megacode assessment and simulation. Our $160 covers the in-person Megacode; the AAP online course is priced and sold by the AAP, separately, and is not included.
How NRP certification works
NRP has two required parts:
Part 1: Online (done first, before booking us)
- Go to the NRP Learning Platform (run by the AAP, not by us)
- Purchase the AAP NRP online course (9th-Edition Essentials or Advanced, whichever matches your role; pricing set by AAP)
- Complete the online course
- Download or save your completion certificate. You’ll need it
Part 2: In-Person Megacode (with us)
- Book the NRP Megacode session below
- Bring your online completion certificate
- Complete the Integrated Skills Station and the Simulation/Megacode with your instructor
- Get your NRP Provider eCard
Your eCard counts both halves: the AAP online course and your in-person Megacode. That is the full NRP Provider card your employer accepts, not a skills-only slip.
What’s covered in the in-person Megacode
The online portion covers the cognitive content. The in-person session focuses on the hands-on skills and team performance:
- Initial steps of newborn resuscitation
- Positive-pressure ventilation (PPV) and effective ventilation troubleshooting (MR. SOPA)
- Chest compressions in the newborn (3:1 ratio)
- Endotracheal intubation and airway management
- Umbilical venous catheter (UVC) access
- Medications: epinephrine dosing and administration
- Communication and team dynamics in newborn resuscitation
- Full simulation/Megacode scenario performed as team leader
Renewals
Renewing your NRP Provider card follows the same two-part path as a first certification: complete the current AAP NRP online course, then come in for the in-person Megacode. If your online completion falls within the same renewal cycle you’re set; if it’s older than two years you’ll retake the AAP online course first (see the FAQ). Renew before your card expires to stay continuously certified for L&D and newborn care.
FAQ
Why is the online part on a different website? The American Academy of Pediatrics owns the NRP curriculum and sells the online course directly through their learning platform. Every NRP provider in the country goes through that same online portal; we can’t sell or change the online portion. We’re the in-person Megacode side.
What if my online certificate is more than 2 years old? You’ll need to retake the AAP NRP online course before the in-person Megacode. The AAP requires both within the same renewal cycle.
I also work with older kids. Do I need PALS too? NRP covers newborn resuscitation in the first hours of life; pediatric ICU, ED, and NICU roles often carry PALS alongside it for infants and children beyond the delivery room. Check your unit’s requirement. If you need both, we usually schedule PALS and NRP on the same day so you can finish them in one trip.
Do you offer on-site NRP for our birth center, OB practice, or midwifery group? Yes. On-site NRP Megacode is hard to find in Las Vegas outside hospital settings, so this is one of the things we do most. Within 25 miles of Las Vegas, minimum 4 students. Each student still completes the AAP NRP online course on their own time first. See On-Site Training.
Can I do the Megacode before the online? No. You must complete the AAP NRP online course first and bring your completion certificate to the in-person session.
Cancellation? 48+ hours = full refund. <48 hours = 50% credit. See cancellation policy.
Who needs NRP
NRP is required for any clinician present at deliveries or in the care of newborns in the first hours of life:
- Labor & Delivery RNs
- NICU and special care nursery RNs
- Mother/Baby and postpartum nurses
- Neonatologists, pediatricians who do newborn care
- Family medicine physicians who attend deliveries
- OB and OB hospitalists
- CRNAs and anesthesiologists who cover OB
- Pediatric and neonatal transport teams
- Respiratory therapists assigned to L&D or NICU
- Midwives
Don’t see your department here? Check with your employer to confirm you’re in the right class, or ask us before you book.
