Integrated Skills Station Performance Checklist (Advanced)
The Integrated Skills Station is a required course component used for learner
The instructor may use several scenarios to allow the learner to demonstrate all steps of
the Neonatal Resuscitation Program™ (NRP™) Flow Diagram (Lessons 1 through 4
NRP TM and additional lessons relevant to course objectives) in correct order, using proper
technique, without coaching from the instructor. If the learner makes significant errors
in timing, sequence, or technique, the learner returns to the appropriate Performance Skills Station for
additional help and practice.
If the instructor wants more detail and sample vital signs, Performance Checklist 6 may be used.
Participant Name: ___________________________
Critical Performance Steps Details
Obtains relevant perinatal history Gestational age, fluid, expected number of babies, additional risk
Performs Equipment Check Warm, Clear airway, Auscultate, Oxygenate, Ventilate, Intubate,
Discusses plan and assigns team Use NRP Key Behavioral Skills throughout resuscitation to
member roles improve teamwork and communication.
Completes initial assessment Term, tone, crying or breathing?
(option) Meconium management If NOT vigorous, assist with/performs tracheal suction.
Performs initial steps Warm, clear airway if necessary, dry, remove wet linen, stimulate.
Evaluates respirations and heart rate Auscultate apical pulse or palpate umbilicus.
(HR) Heart rate less than 60 beats per minute (bpm), apneic or
Initiates positive-pressure ventilation Apply mask correctly, rate 40-60/minute.
(PPV) with 21% oxygen
Calls for additional help, if needed A minimum of 2 resuscitators necessary if PPV required.
Requests pulse oximetry Place probe on right hand before plugging into monitor.
Assesses for rising heart rate and oxygen HR remains below 60 bpm.
saturation within first 5-10 breaths. Heart rate not rising. Pulse oximetry might not be functioning.
Assesses chest movement and bilateral Initially respond that bilateral breath sounds are absent and
breath sounds. chest is NOT moving with PPV.
Takes ventilation corrective steps Instructor decides how many corrective steps are necessary.
(MR SOPA) Mask adjustment and Reposition head.
Suction mouth and nose and Open mouth.
Increase Pressure (do not exceed 40 cm H2O).
Use Alternative airway (endotracheal [ET] tube or laryngeal mask
Requests assessment of bilateral breath Bilateral breath sounds and chest movement are present.
sounds and chest movement
Performs 30 seconds of effective PPV
Evaluates HR, breathing, and oxygen Heart rate remains below 60 bpm.
Pulse oximetry might not be functioning.
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