Karen teaches using evidence based studies as its foundation and core. She incorporates the traditional AAP/NRP information, then expands on that by discussing the published research regarding neonatal resuscitation. 

Karen discusses the current AAP/NRP, guidelines and the 2020 Emergency Cardiac Care Guidelines Neonatal resuscitation recommendations from which NRP is derived. She discusses topics such as thermal management, clarity about meconium, suctioning, the use of oxygen, cord clamping (neonatal transitional physiology), and much more. She speaks clearly regarding when, why and how to help a baby in respiratory distress or in need of neonatal resuscitation.

Karen also addresses what works in the out-of-hospital setting, in birth centers, and anywhere a baby is born. She enlightens her participants on how “our bodies” respond in an emergency, then instructs and helps participants practice skill sets to help them perform more efficiently.

This unique material is taught from the baby’s perspective, physically, psychologically and emotionally. Karen is one of the few instructors who constantly updates their teaching material, by conducting many case reviews (debriefs) with birth professionals, truly shedding light on what gets missed during resuscitations. Taking birth professionals on a dive deep of the material while improving their quality of care.

Originally, Karen’s workshop was designed and written for midwives and those working in the out of hospital setting. Over the years, and through feedback, we’ve realized this material is really applicable to everyone who is around pregnant or birthing people.

While the material is for everyone, the Live, Skill-Testing is geared towards those getting their NRP card. Live, Skill-Testing is a requirement for the NRP card. Hands on skill practice is a GREAT way to work on your skills and practice for a resuscitation. More about the NRP card.

Now with Karen’s course on Teachable, everyone has the opportunity to practice in the comfort of their own homes, even if Karen isn’t coming to a city near you.

All of Karen’s material is specifically designed and taught for any setting where babies are born, including hospital, birth centers and home births. The class is suitable for MDs, EMTs, CNMs, CMs, PAs, CPMs, DEMs, RNs, doulas, birth assistants, lactation consultants, childbirth educators, students, apprentices, helpers and anyone who may be present around the time of birth, including parents.

A note about Doulas... 

A doula who understands the resuscitation process is a doula who will more calmly accompany a family whose baby requires this intervention. I know that the theoretical and practical awareness Karen offers is invaluable because I have been "that doula" when resuscitation was needed!  During a resuscitation, the doula may be the only one who focuses on the parents and can respond to their questions. She can't do that if she is unfamiliar with the procedure.  Rather than standing at the parents side as shocked and lost as they are, she can allay their panic via her composed presence.  The birth atmosphere will change  precipitously with most resuscitations....the doula can provide constancy, a low soothing voice and explanation, thus keeping the parents present during these harrowing moments. While the medical providers offer the resuscitation...the doula can mitigate the parents' sense of impotency and desperation. Karen's course is called INTEGRATIVE resuscitation for a reason! - Joni Nichols doula in CA

Training with Karen has three parts:

1. Register and pay for Integrative Resuscitation of the Newborn: Online. Non-refundable. (Required) Preview and purchase the Teachable course here.

2. Register and pay for live, Skill-Testing session. 100% refundable if you cancel due to illness or birth. 100% refundable if Karen cancels. (Required) There may be an additional cost for Advanced equipment. Check individual locations for price information. Find out if Karen is Skill Testing near you.

3. Register and pay for the NRP 8th Edition Essentials Provider Curriculum OR NRP 8th Edition Advanced Provider Curriculum. Paid directly to AAP/NRP (NRP Online Learning Platform). Non-refundable.
   Not all locations offer Advanced. Transferrable (within 90 days) to another instructor-led event, through NRP Online Learning Platform.

CEUs are included in your Teachable registration. CEUs are available from Midwifery Education Accreditation Council (MEAC), and California Board of Registered Nursing (BRN). A quiz and evaluation are required to be eligible for CEUs.

Previous fees included:

• The whole-day workshop and skill testing were combined and totaled $260

• NRP 7th edition textbook $69.95

• NRP exam was $35

In 2020, due to covid, an increased need for online training, and a safer group event protocol for skill testing, we split up the day and put the full-day lecture online and separated the fees (online lecture and in-person skill testing). In 2022, we increased our fees slightly ($20) to account for the cost of living increase and running costs. In 2022, NRP released the 8th edition with price increases.

As of March 1, 2023, all CPMs are required to take the Advanced NRP Provider course. See the explanation here.

Current fees include:

• Integrative Resuscitation of the Newborn Course on Teachable is being updated, and we have cut prices! It WAS $180, NOW $120.

• Live-Skill Testing is $120 for Essentials and $160 for Advanced, plus any venue fees if applicable. (Fully refundable if canceled due to birth, illness, or death)

• NRP 8th ed textbook is $74.95 (on the NRP website)+tax+shipping

• NRP exam is $45+tax

We keep the fees as low as we can while still providing exemplary newborn resuscitation training. If cost is a concern, please reach out, and we'll find a way to make it work.

At this time, we recommend you’re very mindful if traveling to Skill-Testing. Please do not make travel arrangements until the class is confirmed. If you’re flying to attend skill-testing, please contact us beforehand.

If you can’t attend Skill-Testing with Karen, try to find a local hospital location and take Karen’s Teachable course to get all the out-of-hospital specific info that you’ll use to give an exemplary level of care.

See Day of Live, Skill-Testing for detailed information.

Karen’s Teachable course is non-refundable.

Karen’s Live, Skill-Testing is 100% refundable if the instructor cancels, or if you cancel for any reason before the registration deadline. 

If YOU need to cancel your spot at the Live, Skill-Testing, and you would like to attend another location, please contact us.

If you need to cancel your spot at Live, Skill-Testing due to an emergency (illness, birth, or death) please contact us in advance of your scheduled Live, Skill-Testing session. 

You will receive the full class refund, minus a $15 admin fee as long as we hear from you in advance of class. If you don’t show, and don’t contact us, no refund will be available.

Please be on time: Our time together is limited. It’s vital to be on time for your time-slot. This means arriving 15 minutes early and leaving plenty of time for traffic, child-care issues, or the unforeseen.

Late Arrival Policy: If you are more than 10 minutes late, for any reason, please don’t come. You may be able to reschedule, if there are other available time-slots. But please show up to your time-slot, on time.

I know being on time can be a struggle, but please understand the importance of being on time for your session. Set extra alarms, leave early, be on time ...

Common (but unacceptable) reason for being late:

• traffic

• childcare issues

• the dog ate my certificate

• we have a new puppy and he needed to go out 

• I got lost coming here

• my partner was late picking me up

• there was construction on my way 

• my GPS was wrong

• HealthStream was doing maintenance

If your original Skill-Testing location/date doesn’t work for you, you’re welcome to email us and see if another location has space available. Due to social distancing guidelines, we can’t squeeze people into the class like before, so there may or may not be space available. Priority will be given to participants that signed up for that location, first. If there’s not initially space, you will be put on the waitlist and we’ll contact you if space becomes available. 

Please Note: Changing locations last minute may result in full classes and you may not be able to attend a Live, Skill-Testing event with Karen Strange. Live, Skill-Testing is a requirement for the NRP card (called the instructor-led event). If you don’t attend a Live, Skill-Test with Karen, you have 90 days from your NRP online exam date to complete another Instructor-led event in your area (typically held at hospitals). It’s most convenient to make it to the Live, Skill-Testing with Karen that you registered for, since the environment is ever changing. 

Unfortunately no. At this time, we’re not able to accommodate babies in class. If you’re umable to attend the Live, Skill-Testing, be sure to check out Karen's Teachable course!

I get it! Education is an investment and an expensive one! Resuscitation of the Newborn is not a subject matter you want to skimp on. Lucky for you, I travel around the country teaching because this is the workshop you need to confidently help a baby breath.

So here's why I don't offer students a discount...

1) Schools don't offer discounts - you pay for school and continuing education. This is part of your education.
2) AAP/NRP card is required for licensure, for apprenticing, school or for clinicals - you have to take an AAP/NRP course from somewhere (either from me or the hospital, but its way more fun in my class, you will get a lot more information confidence and understanding than anywhere else!)
3) My workshop is the best there is! - This is the only workshop of its kind! I teach the most updated Resuscitation of the Newborn course that exists, with the latest evidence-based research, trauma informed care, using a multi-perspective approach. You will not be disappointed!

No, I don't offer a student discount, because I teach the best Resuscitation of the Newborn training there is and its worth the investment!

Still struggling with the price of investment? Contact us, we offer payment plans to split up the cost (at no additional fee).

First, understand that the purpose of an audit is to sit in on a class you've already attended to review the material you already know. Karen's workshop is very different than ALL other NRP courses and, therefore, she offers all new content. Please read “What makes Karen's class different?” for more information.

This training takes you beyond the basic AAP/NRP training. You’ll learn: the science behind neonatal transitional physiology, the use of O2, pulse oximetry in the out of hospital setting, a clear perspective on meconium and meconium protocols, a deep confidence about when, why and how to breathe for a newborn that is either not breathing or not breathing well, all using care focused on the least traumatic way.

Because this is new material, new information, and a new perspective, it is not available to audit.

Karen’s Teachable course is a great way for anyone present around the time of birth to be prepared for a baby that needs help, whether or not they are seeking the AAP/NRP card. Read here for what makes Karen different.

The information taught in the online Teachable course covers a vast array of information specific to resuscitation of the newborn. If you already have an NRP card but wish to attend Karens Live Skills session you will be required to take the online Teachable course.

Find out more about NRP card

The NRP card is not required nor necessary in order to take the online Teachable course but is required in order to attend a Live Skill-Testing sessions.

For those wanting more practice and wish to attend and have taken Karens online Teachable course within 6 months, they do not have to re-take the Online Teachable course in order to attend another the Live Skills-Testing session.

If it has been over 6 month since you took the online Teachable course then a refresher is required.

As of Jan 1, 2022, there’s a few updates:

• We’re using the 8th Edition NRP Textbook

• Before registering, you will need to decide if you’re taking NRP Essential or Advanced. Unsure which to choose? Read more

• NEW NRP Platform (no more HealthStream)

• NEW eLearning online assessment (no more eSim)

For sessions held in 2022, those who want/need the AAP/NRP 8th Edition Provider Card, you must complete the following:

1. Register and pay for Karen's online course on Teachable. Required. Non-refundable.

2. Register and pay to reserve your spot at the live, Skill-Testing session. Required. Not all locations offer Advanced.

   Before registering, you will need to decide if you’re taking NRP Essential or Advanced. Not all locations offer Advanced. Unsure which to choose? Read more

3. Read the 8th Edition Textbook

4. Once you receive email notification that the class is guaranteed, you'll log into AAP/NRP, setup your new Global ID, purchase either Essentials or Advanced curriculum. (Not all locations offer Advanced)

5. Pay and register for the 8th Edition eLearning online learning assessment (used to be exam). All fees paid directly to AAP/NRP. Non-refundable.

6. Complete course survey on NRP Online eLearning Platform.

7. Print your Completion Certificate and it to Karen's live skills. See picture here.

8. Attend the live skills session Details here

9. Once you receive the email after the live, skill-testing, you can view or print your eCard on NRP online eLearning platform (about a week after the class).

The process is quite involved and takes a varied amount of time, based on the learner. Check out our 2022 Book & Testing for more info. If you have any questions please contact info@karenstrange.com

The new 8th Edition process and choosing Essentials or Advanced has brought up even more questions. Read all about Essentials and Advanced here.

If you work at a CABC-accredited birth center, then you will need to have the Advanced NRP card.

NARM requires the CPM to take Advanced NRP.

Additional Considerations

We have had several questions about choosing the Essentials NRP card or the Advanced NRP card. It has been over a year and five months since I started teaching the new 8th edition, and it’s been difficult to adapt the course for out-of-hospital providers. I want to offer my perspective since it has changed since I first started teaching these courses. The following is NOT to be taken as legal advice and is my opinion only. 

While I do teach chest compressions as part of my online course and in during my Essentials live skill-testing class, but it is not technically part of the NRP Essentials provider curriculum and a skill listed on the Essentials NRP card. It is listed under the NRP Advanced provider card.

This could lead to a concerning scenario. What if you have your NRP Essentials provider card and perform chest compressions on a baby who suffers a bad outcome? Even if you perform the chest compressions correctly, and it’s NOT your fault, could you be legally responsible for performing a skill that is outside the purview of the NRP Essentials provider or even if you did it correctly, you have not taken the correct NRP course which covers chest compressions.

While many of the skills in the Advanced training take practice and supervision to become proficient and are almost impossible to do in the out-of-hospital setting, the chest compression possibility is a scenario you might want to consider. With that reasoning and to cover yourself, I suggest you as a licenses provider would want to take the NRP Advanced Provider course instead. 

Again, this is NOT legal advice. If you still have questions about whether to take Essentials or Advanced, you should contact your place of employment, supervising midwife, or even a lawyer to help you navigate through these legal gray areas.

Just so you know, the morning portion of the live skill-testing class is the Essentials portion, which includes the scenarios. Those who come to Essentials leave around midday after we are finished, and those who are taking Advanced will stay for lunch. Then, I will go through the Advanced skills.  It is more spacious, fun, and easy.  We do not do scenarios but practice inserting the LMA in the manikin heads and intubating the doll. Then, I have fake umbilical cords for practicing umbilical vein catheterization. Next, I have chicken legs for intraosseous line placement which is interesting to do. I do not promote doing these skills in practice. I do not think it is possible to actually get the practice and supervision necessary to become proficient in the skill, yet it is still fun to practice, and since chest compressions are listed as part of the NRP Advanced provider curriculum, you will get chest compressions as part of the NRP skills learned.

NRP Essentials Provider course

• Karen’s foundation of Neonatal Resuscitation

• Normal versus not-normal in preparation for resuscitation

• Initial steps of resuscitation

• Positive-Pressure Ventilation

  • The first few breaths

  • The succeeding breaths

• MR SOPA

• Laryngeal Mask Airway (LMA)

The Essential NRP Provider is a half-day course

NRP Advanced Provider course

Will include:

• NRP Essentials Provider course content (as listed above)

• Endotracheal intubation

• Medications

• UVC placement

• I/O placement

The Advanced NRP course is a full-day course

For most midwives, the material taught in the NRP Essentials provider course will fit the majority of their needs, however, it does lack chest compressions. The material taught in Advanced (UVC and IO placement for epinephrine) may be inappropriate for the out-of-hospital setting. The most important aspects of newborn resuscitation are thermal management, ventilation, and preparing for transfer. 

Regarding chest compressions and which to take—Essential or Advanced—chest compressions are covered in my Teachable online course which is required to take in order to attend the Live Skills Session. It is also covered during the Live Skills Sessions for both the Essentials and Advanced classes. 

Now with that said, if you are taking the NRP Essentials provider course, then the actual NRP Essentials does not include chest compressions. The NRP Advanced course does include chest compressions. NARM now requires the CPM to take the Advanced NRP course. CABC workers must have Advanced.

BLS states: For infants: A compression-ventilation ratio (external cardiac compression [ECM] + rescue breathing) of 30:2 for basic (one-rescuer) CPR was chosen in the Consensus on Science and Treatment Recommendations (CoSTR) for all infants (except newborns, i.e. at birth) children and adults, but a ratio of 15:2 chosen for CPR performed by two.

NRP states on page 166 the chest compression ratio is 3:1. 

NRP Scope of Practice Statement: Every out-of-hospital provider who anticipates managing a newborn at birth needs to know how to initiate positive-pressure ventilation and use the MR. SOPA ventilation corrective steps to achieve lung inflation. For many out-of-hospital providers, laryngeal mask insertion is part of their legal and professional scope of practice; however, intubation and vascular access are not within the scope of many out-of-hospital providers.

NARM Scope of Practice Statement:

The scope of practice of the CPM is derived from the NARM Job Analysis, state laws and regulations, and individual practice guidelines developed by each midwife according to her skills and knowledge. NARM POLICY UPDATE

As of Jan 1, 2022, we’ll be using the 8th Edition NRP Textbook. Read 2022 Book and Testing for more info.

This material is a great for any professional working in any birth setting, including home, birth center, or hospital births.

Please be advised, Karen DOES NOT teach specific hospital protocols, how to do a particular job, or policies related to any specific hospital. Those specifics must be obtained from the professional’s place of employment or employer.

Yes! 6.5 CEUs from Midwifery Education Accreditation Council (MEAC) or from California Board of Registered Nursing (BRN) are included after completing the Teachable course. The quiz and evaluation are required to be eligible for CEUs. Note: North American Registry of Midwives (NARM) accepts MEAC CEUs.

An additional 2 (FREE!) CEUs are available after viewing Karen's Baby’s Experience webinar, which are included in the registration fee.

For Midwifery Bridge Certificate, you can use 11 CEUs from the NRP online exam and 6.5 for Karen’s live workshop.

The 11 CEUs available for the NRP online exam (taken on HealthStream), cannot be used for NARM licensure (because it is a required course for licensure of the CPM).

The Beyond the Basics Webinars have 0.1 CEU (1 contact hour) available for each webinar. To receive CEU certificate, you must complete all requirements including video, quiz, evaluation, and required additional information. 

For Midwifery Bridge Certificate, you can use 11 contact hours from the NRP Advanced online exam and 6.5 contact hours for Karen’s Teachable course.

No, it is a course of completion. As per the NRP website, “Please note: NRP courses do not certify learners to perform resuscitation.”

No. As per the NRP website, “Please note: Course participants should not exceed their scope of practice defined by their professional governing body state statutes, and institutional job description.”

Yes. If you've attended one of Karen Strange's class in the past 2 years, your NRP card is still available for download on HealthStream (or the new NRP Learning Platform).

As a gift to our sponsors, we offer one free registration which includes the Teachable course and the skill-testing session. Sponsors can transfer their free gift to another student as long as they email us the name of the person in advance. Once the registration is transferred, the sponsor is responsible for paying for their own registration (Teachable + skill-testing session). The free registration can only be transferred once. If the student doesn’t show up to their session, it will be forfeited.

In order to get the NRP card, you must complete the course on the NRP Online Learning Platform and watch Karen Strange’s Integrative Resuscitation of the Newborn lecture on Teachable before attending the Live, Skill-Testing.

During the Live, Skill-Testing session, you need to be able to perform the skills, counts, and scenarios as demonstrated.

If you are unable to coordinate the counts or reproduce the skills taught, then you may not pass the class and will need remediation or practice with the recommendation to take it at another time.

NRP states:

“If significant errors occur or if the learner requires coaching, the learner should not pass the course.”

Karen Strange cannot be held responsible for natural disasters, weather, labor strikes, acts of war or other events that may cause any workshops to be rescheduled. Karen Strange reserves the right to postpone the workshop to another time, date and location, if necessary. In the event of a workshop cancellation, refunds will be issued. Registrants may also transfer their fees toward any live, skill-testing session with Karen Strange.

Karen Strange does not teach specific hospital protocols, how to do a particular job, or policies related to any specific hospital. Those specifics must be obtained from the professional’s place of employment or employer.

The Neonatal Resuscitation Textbook 8th Edition Pg. xii states that Completion Does Not Imply Competence. “The Neonatal Resuscitation Program is an educational program 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.”

The views and opinions expressed by Karen Strange are her own and may not represent the views and opinions held by AAP/NRP, or any other organization.

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