What scenarios do they find most stressful? What NRP Key Behavioral Skills are lacking in clinical practice? Simulation and Debriefing is the safe place to take on these challenges. This format is not designed to be a “short course.” For expert resuscitators who test out, the simulation and debriefing component is an opportunity to practice challenging scenarios that require critical thinking and effective teamwork and communication.Learners who make significant errors and require coaching during the scenario(s) should be directed to their hospital NRP remediation plan or to the Provider Course that uses the sequential practice and evaluation format.Learners who successfully “test out” have passed the final evaluation point of the NRP Provider Course and may proceed to Simulation and Debriefing.In hospitals where complex resuscitation is an uncommon occurrence, it is possible that no one will be eligible to test out of the skills in Lessons 5 through 7. Testing out of complex resuscitation skills is not appropriate for health care professionals who rarely participate in complex resuscitation.The Comprehensive Skills Test requires a team resuscitation and is not a one-person “check-off.”.Provider Course participants who resuscitate newborns frequently and are experts at resuscitation (Essentials or Advanced skills) may “test out” of the sequential practice and evaluation course by leading their team of participants (who are probably also testing out) through at least one NRP algorithm sequence and performing role-relevant skills.Provider Course Format #2: Comprehensive Skills Test (“test out”)
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