NRP Neonatal Resuscitation Assessment

When it activates

Scribeable activates a calculator from the encounter. The NRP Neonatal Resuscitation Assessment can activate when the transcript or pasted chart context documents any of these:

• Newborn resuscitation assessment
• Delivery room resuscitation
• Neonatal resuscitation level
• Birth depression evaluation
• Post-delivery stabilization

Inputs the note needs

1 input. Each is resolved from the transcript, the pasted chart context and charted labs; an input marked "asks you" is requested as a clarification when it is undocumented.

Scoring

Level 1: Vigorous — term gestation, good tone, crying. Routine care (dry, clear airway, skin-to-skin). Level 2: Needs stimulation — initial steps (warm, position, clear airway, dry, stimulate). Level 3: Needs PPV — apnea, gasping, or HR <100 despite initial steps. Positive pressure ventilation with MR SOPA corrective steps. Level 4: Advanced resuscitation — intubation, chest compressions (HR <60 despite effective PPV), epinephrine, volume expansion.

Interpretation

Level 1 (~85% of newborns): Routine care. Level 2 (~10%): Most respond to initial steps within 30 seconds. Level 3 (~5%): Effective PPV resolves most; ensure MR SOPA (Mask adjustment, Reposition airway, Suction, Open mouth, Pressure increase, Alternative airway). Level 4 (<1%): Chest compressions for HR <60 despite 30s effective PPV; epinephrine if HR <60 despite 60s compressions + PPV. Document all interventions with timestamps. Targeted preductal SpO2: 1min 60-65%, 2min 65-70%, 3min 70-75%, 5min 80-85%, 10min 85-95%.

Evidence

Sources carried in Scribeable's citation registry for this calculator; guideline version: AAP NRP 2020.

• Wyckoff MH et al. Neonatal Resuscitation: 2020 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular CareAHA/AAP NRP 2020 · 2020 · AHA/AAP · Class I, LOE B · link last verified 2026-03-28

How Scribeable handles it in the note

When an encounter activates the NRP Neonatal Resuscitation Assessment at the mandatory tier, Scribeable resolves its inputs from the transcript, the pasted chart context and any charted labs, and asks you for a missing input you can supply before the note is finalised. Bedside-exam and separately ordered study values are not requested one input at a time; a calculator that carries a combined clarification question may still put that single question to you.

The score is computed in code from the resolved inputs, not recalled by the language model. A stated NRP Neonatal Resuscitation Assessment value is compared against the computed one when the draft's structured summary carries it; a disagreement found there is flagged to the second drafting pass, which is instructed to correct the score and its interpretation, unless Scribeable has supplied the computed value to that pass, in which case the value the draft writes is checked against the supplied one and a detected difference is shown beside the note for you to adjudicate rather than silently rewritten.

Classified as a risk score: activated strictly, by a documented trigger, never by a permissive reading of the encounter.

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Can activate in: Emergency Medicine, Pediatrics, OB/GYN, Anesthesiology, Neonatology.