Understanding Pediatric Readiness Focus Areas

NPRP Toolkit - Prepare

This sections clarify what to expect in each focus area, also known as a domain, of The National Pediatric Readiness Project (NPRP) checklist and offers practical recommendations to ensure accurate scoring and effective planning for improvements.

Purpose: Ensures your ED has systems in place to support pediatric care.

  • Identify nurse and physician/APP PECCs.
  • Review pediatric policies and organizational structure.
  • Confirm transfer agreements and disaster plans include children.

Purpose: Assesses staff training, education, and maintenance of pediatric skills.

  • Gather education and certification records (PALS, ENPC, TNCC).
  • Review orientation and ongoing competency processes.
  • Ensure access to pediatric training or simulation.

Purpose: Measures how pediatric care is tracked and improved within your QI framework.

  • Review your QI plan for pediatric metrics.
  • Identify processes for reviewing pediatric cases and sharing feedback.
  • Note existing pediatric performance indicators.

Purpose: Evaluates the availability of written, up-to-date pediatric policies.

  • Review pediatric-specific ED policies: sepsis, trauma, child abuse, sedation, and medication safety.
  • Ensure transfer/transport policies include pediatric patients.
  • Confirm alignment with AAP, ACEP, and ENA guidance.

Purpose: Confirms availability and accessibility of age- and size-appropriate supplies for pediatric care.

  • Conduct an equipment check using NPRP recommended lists.
  • Verify availability, organization, and labeling of pediatric supplies.
  • Ensure weight-based dosing tools are up-to-date and accessible.