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Cascade's Clinical Operations Division works in conjunction with our management team, operations staff and clients to constantly assess and redefine quality to provide both quality assurance and improvement. Our Clinical Operations staff include Clinical Educators and Directors that focus on QA/QI, certification curriculum development, manage our CE/CME training programs and insure client satisfaction, total cost effectiveness and patient outcome improvement.

Our Clinical Operations Division reports directly to Cascade's CEO and manages multiple patient care and outcomes focused committees including:

• Multidisciplinary Clinical Advisory Board
• Physician CME Advisors

In conjunction with our operations team, our Clinical staff work with our clients to develop specialty training curriculums, competency based education courses, and interface with associations and curriculum providers to insure compliance with clinical standards and program administration guidelines.

The three distinct focus areas assessed to define quality are:

1. Structure: Physical equipment and facilities
2. Process: How our systems work (including Faculty)
3. Outcome: Client/Student Satisfaction and Patient Outcomes

Our Quality Improvement initiatives involve both prospective and retrospective reviews. It is aimed at improvement; measuring where we are, and figuring out ways to make things better. These initiatives involve all aspects of our training operations including Instructor recruitment/training, client satisfaction, certification curriculum development, training curriculum delivery, and science/evidence based content. Instructors go through a rigorous screening process. When we train new instructors we do a needs assessment with each new candidate. We teach to the curriculum standards but tailor each course to address the identified Instructor Candidate's specific needs. Those needs may include a better grasp of the subject matter components such as pharmacology, resuscitation, science, etc. and also advanced techniques in education. Because the Instructor Candidate needs vary, so does the instructor development. Ongoing Instructor evaluations are done at random and all course evaluations are reviewed regularly for all Faculty. Course Directors and Faculty include Physicians, Physician Assistants, Nurse Practitioners, Mobile Intensive Care Paramedics, ICU/ER/Pediatric/Cath Lab Nurses, Critical Care Transport/Flight Nurses, Emergency Medical Technicians/Firefighters, and First Responder Technical Rescue Personnel. All faculty are current or retired clinicians/providers with years of experience in their specialty and are required to have provided the skills related to the curriculum they teach in clinical practice.

The Neonatal Resuscitation Program™ is an educational training course that introduces the concepts and basic skills of neonatal resuscitation. Completion of the program does not imply that an individual has the competence to perform neonatal resuscitation. Each hospital is responsible for determining the level of competence and qualifications required for someone to assume clinical responsibility for neonatal resuscitation.

NRP Training Course Process:

This is a three-part course that is open to all new, expired, or current NRP card holders.

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Part 1, Prestudy:

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The first part of the course is self-study of the Textbook of Neonatal Resuscitation (7th edition). This textbook is available for purchase from Cascade or on the AAP Bookstore. Many students who work in labor and delivery, NICU or in neonatology will find that they are already very familiar with the NRP Guidelines and do not need to spend as much time in self-study. However, if this material is new or unfamiliar, the new 7th edition Textbook of Neonatal Resuscitation is the most valuable resource to prepare for the online exam and the classroom portion of the course.
Part 2, Online Exam: The second part of the NRP course is the NRP Online Exam. There are two sections of 25 questions, and four e-Sim Cases. Prior to attending Part 3 of the course a student MUST successfully complete both portions of the exam and the e-Sim Cases. The NRP Online Exam is available for purchase during course registration, and once you purchase the exam, instructions and an exam key will be emailed to you within two business days. If you need the exam sooner, please contact us during normal business hours at (877) 277-6778. You must complete Part 3 within 90 days of completing your NRP Online Exam or else the exam will need to be retaken.

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Part 3, Skills Evaluation: The third and final part of the course is the mandatory classroom portion including demonstration, hands-on practice, skills evaluation, simulation and debriefing. On the day of your classroom session an instructor will demonstrate the skills and be available to coach you before testing begins. You must successfully pass all portions of the required NRP Online Exam before participating in the classroom portion of the course. You must also complete your classroom portion within 90 days of completing your NRP Online Exam. You will be expected to demonstrate basic neonatal resuscitation skills and participate in a team resuscitation and debriefing. Successful completion of the online exam and the skills demonstration will result in an American Academy of Pediatrics/AHA NRP certification card valid for two years.

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Course Materials and Prerequisites:

All materials as well as access to the NRP Online Exam can be found on the AAP website. On the course date the participant must submit their online exam completion certificate. You cannot attend the skills demonstration portion without proof of completion of the NRP Online Exam.