What Is NRT?                   View the NRT Curriculum

NHCH NRT Aug 2013

NRT stands for Neonatal Resuscitation Team(s) and is often used as an acronym for “NRT Training.”  HI-CHI has facilitated training for Nurses and Respiratory Therapists at six neighbor island hospitals to implement Neonatal Resuscitation Teams (NRTs).  These NRTs enhance each hospital’s capacity for addressing the needs of at-risk newborns and for better stabilizing them before transport to the tertiary care centers on Oahu: Kapi‘olani Medical Center for Women and Children (KMCWC) and Kaiser Permanente Medical Center.

Hawai‘i Island and Maui birthing hospitals have completed the initial NRT Training. Kona Community Hospital has the first operating NRT. 



Participating Hospitals:

          • Hawai‘i Island: Kona Community Hospital, Hilo Medical Center, North Hawai‘i Community Hospital   
          • Maui: Maui Memorial Medical Center
          • Kauai: Wilcox Memorial Hospital & Kauai Veterans Memorial Hospital
          • Molokai:  Molokai General Hospital

NRT Training Process 

NRT Training follows a fairly regular progression that varies somewhat according to the hospital. It appears to be complicated for anyone who isn’t familiar with it.

  1. NRP (Neonatal Resuscitation Program) – repeat every 2 years at rural hospital                     
  2. S.T.A.B.L.E. (volunteers, Queens Medical Center) – every two years at rural hospital
  3. NRT (Neonatal Resuscitation Team) 8 hour course – one time training at rural hospital
  4. NRT 4-day Training (40 hours) at Kapi‘olani Medical Center for Women and Children (KMCWC). This includes 2 days of intubation training for participants selected by each hospital.
  5. Maintenance of skills
    • Quarterly “Refresher” review of resuscitation scenarios using simulation equipment
    • Maintenance of NRP and S.T.A.B.L.E. certification – every 2 years
    • Repeat of NRT 2-day Training course – frequency varies according to hospital policy (usually 1-3 years).
    • 2-day intubation training only