Under the 7th Edition, are learners required to complete all skills during the integrated skills station?
NRP instructors have a tremendous amount of flexibility in determining how to evaluate learners during the Integrated Skills Station (ISS).
The ISS is the point where the learner passes or fails the NRP Provider course. If you are confident that a learner knows the NRP flow diagram sequence and he/she has demonstrated this in multiple practice scenarios, instructors may not need to take the learner through numerous scenarios during the ISS.
However, if the learner has never put the entire NRP Flow Diagram together in sequence, the instructor may need to see the entire sequence in a scenario (or more than one scenario) to ensure that the learner understands the sequence and can perform or assist with all interventions,depending on the learner's scope of practice. The instructor can ultimately decide how much the learner needs to demonstrate at the point of the Integrated Skills Station. It is up to the instructor, depending on what the instructor has already assessed about the learner and what the hospital expects the learner to do during a neonatal resuscitation.