Neonatal/Pediatric Specialty (NPS) is a certification exam conducted by National Board of Respiratory Care (NBRC). The objective of this exam is to assess knowledge and skills of respiratory therapists in this specialized area.
The candidates require satisfying one of the following requirements for being eligible to take this test-
The applicant is a registered respiratory therapist (RRT).
The applicant is a certified respiratory therapist (CRT) having one year of clinical experience in neonatal/pediatrics specialty.
Note: – CRT and RRT are also certifications offered by NBRC.
The applicant should not be less than 18 years of age.
NPS test is breakdown into two major content areas-
Critical Care: – Evaluate Pertinent Information; Administer and Monitor Specialty Gases; Select, Assemble, and Troubleshoot Equipment; Assess and Manage Airways; Manage Ventilation and Oxygenation; Assist or Perform Procedures; Prevent Ventilator Associated Pneumonia; Assist or Perform Resuscitation; Deliver Pharmacologic Agents.
General Care: – Assess Patient Status and Changes in Status; Anticipate Care Based on Laboratory Results and Nutritional Status; Anticipate Effects of Pharmacologic Agents; Anticipate Care Based on Imaging and Reports of Imaging; Select, Assemble, and Troubleshoot Equipment; Prepare for Disasters; Manage End-of-Life Care; Interact with Members of an Interdisciplinary Team; Evaluate Patient and Family Understanding of Education.
The content of this exam covers following disorders or conditions- General disorders, Prematurity acute phase, Neonatal pulmonary disorders, Asthma, Infectious diseases, Chronic lung disease of prematurity, Congenital defects that require surgical correction, Bronchiolitis, Congenital heart diseases, Shock, Trauma, Neuromuscular disorders, Cystic fibrosis, Neurologic disorders, Pediatric airway, Immunocompromised, Inhalation injuries, and Heart failure.
There are 140 multiple choice questions in this exam, of which 120 are scored and 20 are not scored. The unscored items can not be identified and placed to collect statistical data for future administration of the exam. The exam is administered in 3 hours time period.
Each score able multiple-choice item contributes equally to the raw score. Then, raw scores are converted into scaled scores for compensating the presence of unscored items and difference in different test forms. The passing score is manipulated by modified Angoff method. The current passing score of NPS exam is 75.
This exam is offered at authorized test centers of NBRC in United States and at international sites from Monday through Saturday each week. The candidates can apply for the test by mailing a paper application (available at NBRC website) or online. The eligible candidates are notified by a confirmation letter. The candidates can take this test within 90 days eligibility period.
NPS fees structure is as follow-
Initial application: – $250
Re-application: – $220
Re-certification (Active): – $75
Re-certification (Inactive): – $220