C-NPT study plan

Perform a structured primary and secondary assessment on a simulated neonatal/pediatric patient and verbalize stabilization priorities within the first five minutes.

Differentiate neonatal, infant, and pediatric transport physiology and explain how each alters assessment findings and stabilization sequence.

Calculate weight-based resuscitation doses (fluid bolus, epinephrine, dextrose) from a mock dosing reference without error.

Identify triggers that require escalation of care or a higher-level transport team and justify each trigger.

Demonstrate airway positioning, bag-mask ventilation, and suction technique in a hands-on skills practice session.

Interpret 20 arterial, capillary, and venous blood gases, classifying each as respiratory, metabolic, or mixed and identifying the appropriate response.

Compare conventional ventilator modes (SIMV, assist-control, pressure support) and high-frequency modes (HFOV, HFJV) by stating indications, key settings, and common alarms.

Select initial ventilator settings and adjustments for five mock patients presenting with differing respiratory pathology.

Troubleshoot a simulated high-pressure alarm, desaturation, and accidental extubation in sequence.

Explain oxygen delivery devices and blending targets used during ground and air transport.

Explain fetal-to-neonatal circulatory transition and apply it to shunt-dependent and ductal-dependent lesions encountered in transport.

Interpret hemodynamic data including blood pressure trends, perfusion markers, lactate, and NIRS values to classify shock type.

Construct a stepwise management sequence for septic, cardiogenic, and hypovolemic shock in the transport environment.

Calculate concentrations and infusion rates for dopamine, dobutamine, epinephrine, milrinone, and norepinephrine at multiple doses.

Describe weaning assessment and extubation readiness criteria for a ventilated patient being transported.

Apply high-alert medication safety practices including independent double-check, line labeling, and pump limit programming.

Reconcile a mock transport medication list and flag drug interactions, incompatibilities, and look-alike/sound-alike risks.

Compute dilution, dose, and rate for 10 commonly transported infusions and antibiotics, checking each with a second method.

Describe indications, dosing, and adverse effects for prostaglandin E1, surfactant, caffeine, sedation/analgesia agents, and neuromuscular blockers.

Identify medication storage, stability, and temperature requirements relevant to transport packs.

Calculate maintenance fluids, glucose infusion rate, and electrolyte replacement for three mock neonatal and pediatric patients.

Differentiate dehydration and electrolyte derangement patterns and select an appropriate fluid strategy during transport.

Plan short-term nutrition support for a transported patient, including TPN/lipid considerations, enteral feeding decisions, and hang-time limits.

Perform a structured neurologic examination covering tone, posture, reflexes, fontanelle, and gestational-age assessment on simulated patients.

Recognize abdominal and gastrointestinal red flags (bilious emesis, distention, absent bowel sounds) and state the transport implication for each.

Interpret basic aEEG/EEG patterns and describe recognition and initial management of neonatal seizures during transport.

Sequence thermoregulation interventions to prevent hypothermia and hyperthermia across ground and air platforms.

Apply isolation and infection-control principles and identify sepsis risk factors that change transport urgency.

Explain environmental physiology at altitude, including gas expansion, reduced oxygen partial pressure, humidity, and noise/vibration effects on the patient and equipment.

Describe staging and supportive management priorities for hypoxic-ischemic encephalopathy during transport.

Perform a complete pre-transport equipment and supply check and calculate remaining oxygen cylinder duration for three scenarios.

Describe patient securement, restraint, and vehicle/aircraft safety operations including crashworthiness principles and crew briefing.

Assign crew roles and demonstrate closed-loop communication and an SBAR handoff in a simulated transport.

Apply ethical and legal concepts including consent, refusal, transport necessity determination, and family-centered advocacy.

Identify stressors and mitigation strategies for crew safety, fatigue, and communication failure.

Complete two full-length timed practice exams under test-day conditions.

Analyze every missed item and build a 20-item personal error log with a corrective action for each.

Rehearse rapid recall of high-yield numbers including doses, ventilator settings, and normal vital sign ranges by age.

Re-demonstrate the two weakest hands-on skills identified earlier in the plan.