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The NPRP assessment includes questions for hospital EDs around:

  • Infrastructure
  • Administration and coordination of care for children
  • Personnel
  • Pediatric-specific policies
  • Equipment
  • Resources

This assessment can only be completed once per ED; we strongly encourage ED nurse managers to review it with their ED leadership before submitting their responses online.

ED Nurse managers who complete the NPRP assessment will immediately receive:

  • A pediatric readiness score for their ED (range from 0 – 100)
  • The average pediatric readiness score of EDs of similar pediatric volume
  • The average pediatric readiness score of all participating ED’s to use as a benchmark
  • A Gap Report specific to their ED to target efforts for pediatric readiness improvement

If you have any questions regarding the NPRP assessment, contact the Pediatric Readiness Assessment Support at

Gaps and Guidelines

You can view guidelines from the 2018 joint policy statement here: Pediatric Readiness in the Emergency Department. Gaps that were discovered from the previous assessment conducted in 2013-2014 are addressed in these guidelines. These gaps include physician and nurse pediatric care coordination, pediatric disaster planning, interfacility transfer guidelines, weighing and recording weight only in kilograms, and pediatric-specific quality improvement processes in the ED.

The 2021 NPRP assessment questions are based on the 2018 joint policy statement. After completing the assessment, respondents will receive a ‘gap report’ which highlights areas of competence and quality improvement opportunities for their ED. The gap report provides a pediatric readiness score out of a possible 100 points that can be compared to the national average. It does not have any comparison scores to the last assessment. This is because the assessment will always be different due to changing guidelines. Individual hospital scores will not be shared or shared only in aggregate.

Moving Forward

The dynamic nature of quality improvement for EDs on a local and national level requires the involvement of hospital leadership, healthcare administrators, and ED personnel who demonstrate commitment to their communities by improving pediatric readiness. This is a call to action for everyone to be involved in helping to improve quality care for ill or injured children in an emergency.