About the Readiness Toolkit

The National Pediatric Readiness Project (NPRP) is a national quality improvement initiative co-led by the Health Resources Services Administration’s (HRSA) Emergency Medical Services for Children (EMSC) Program, the American Academy of Pediatrics, the American College of Emergency Physicians and the Emergency Nurses Association. The NPRP Toolkit is a comprehensive and dynamic set of resources coordinated by the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) with the support and contribution of numerous national experts. This toolkit is available as a free open-access resource intended for use by all providers (e.g. technicians, nurses, physicians, EMS providers, and ancillary staff) across the spectrum of pediatric emergency care to help facilitate delivery of high quality care to all children.

The NPRP Toolkit content is organized by the seven domains of pediatric readiness: Administration and Coordination; Healthcare Provider Competencies; Quality Improvement; Policies and Procedures; Patient Safety; Support Services; and Equipment, Supplies, and Medications. The tools and resources align with the joint policy statement “Pediatric Readiness in the Emergency Department” and will assist pediatric emergency care providers to better understand and achieve the components of pediatric readiness in their emergency department (as highlighted in the NPRP Assessment). The NPRP Toolkit also provides support and recommendations for other stakeholders involved in pediatric emergency care such as hospital directors, quality improvement leaders, family advisory network personnel, caregivers, and patients.

The materials included in the NPRP Toolkit will be updated periodically to ensure the latest recommendations and guidelines are included. Sign in or create an account to stay connected to receive notifications when new materials are added and help ensure we are meeting the needs of all users.

Thank you for your dedication to the emergency care needs of children!

This section contains resources regarding the qualifications and responsibilities for the physician and nursing Pediatric emergency care coodinator (PECC) staffing your emergency department (ED).

Revised in 2020 by:

  • Mohsen Saidinejad, MD, MBA, FAAP, FACEP
  • Sam Shahid, MBBS, MPH

This section contains resources regarding the necessary skills, knowledge, and training in emergency evaluation and treatment of children of all ages among staff in your emergency department (ED).

This section contains resources regarding the integration of pediatric patient care-review processes into the Quality Improvement (QI)/Performance Improvement (PI) plan of your emergency department (ED).

Site Assessment and Checklist:

Disease Specific QI tools:

QI Data Analysis and QI Education:

Revised in 2020 by:

  • Sujit Iyer, MD
  • Elizabeth Stone, PhD, RN, FAEN, CPEN, CHSE

This section contains resources regarding disaster preparedness plans for your emergency department (ED).

ENA Related Statements:

Currently under revision by:

  • Steve Krug, MD

This section contains evidence-based clinical pathways and papers to support evidence-based decision making.

This section provides guidance on specific components associated with inter-facility transfers.

Currently under revision by:

  • Natalie E. Lane, MD

This section contains resources regarding the delivery of pediatric care in your emergency department that reflects an awareness of unique pediatric patient safety concerns.

Revised in 2020 by:

  • Toni Gross, MD, MPH, FAAP
  • Madeline Joseph, MD, FAAP, FACEP

This section contains a checklist of all the pediatric equipment, supplies, and medications necessary to care for children of all ages and sizes.

NPRP Checklist

This checklist is based on the American Academy of Pediatrics (AAP), American College of Emergency Physicians (ACEP), and Emergency Nurses Association (ENA) 2018 joint policy statement “Pediatric Readiness in the Emergency Department”. Use this tool to check if your hospital ED)has the most critical components listed in this joint policy statement.

Download the 2020 ED Checklist here. (updated April 5, 2021)

This version is intended to be printed and used to take inventory of your ED.

Download the 2020 ED Interactive Checklist here. (updated March 17, 2021)

This document provides direct links to Toolkit resources, where applicable; this interactive document is not the Checklist in its entirety.

Any resources in the Toolkit with an asterisk (*) are pulled from the 2012 Toolkit and currently being updated (if needed). Check back frequently for updated content.