• Jaime Esbensen Doroba.
• Jaime Esbensen Doroba is a nurse practitioner in the pediatric cardiac intensive care unit at The Johns Hopkins Hospital, Baltimore, Maryland.
• Crit Care Nurse. 2021 Dec 1; 41 (6): 22-27.

BackgroundBoth the Neonatal Resuscitation Program and Pediatric Advanced Life Support guidelines can be used for infants requiring cardiopulmonary resuscitation outside the delivery room. Each set of guidelines has supporting algorithms for resuscitation; however, there are no current recommendations for transitioning older infants outside the delivery room.ObjectiveTo provide background information on the algorithms in the Neonatal Resuscitation Program and Pediatric Advanced Life Support guidelines and to discuss the role that nurses and advanced practice nurses play in advancing scientific research on resuscitation.Content CoveredSummaries of both sets of guidelines, differences in practices, and recommendations for practice changes will be discussed.DiscussionProvider preference and unit practice determine which guidelines are used for infants outside the delivery room. Providers in pediatric intensive care units and pediatric cardiac intensive care units often use the Pediatric Advanced Life Support guidelines, whereas providers in neonatal intensive care units use the Neonatal Resuscitation Program guidelines for infants of the same age. The variation in resuscitation practices for infants outside the delivery room can negatively affect resuscitation outcomes.©2021 American Association of Critical-Care Nurses.

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