Childcare CPR & first aid requirements
First Aid & CPR North Dakota
If you work in childcare in North Dakota — whether at a daycare, preschool, home-based care, or camp — first aid and CPR certification is not optional. It's a licensing requirement, and for good reason: children are among the most vulnerable to choking, allergic reactions, and injuries. Being prepared to respond can mean everything.
What North Dakota requires
North Dakota requires infant and pediatric CPR, AED and pediatric first aid through a department-approved program for all staff responsible for caring for or teaching children, under NDAC 75-03-09 and 75-03-10. Certification must be in place before any unsupervised access to children, with a 90-day window for new staff and a two-year renewal cycle, overseen by the Department of Health and Human Services, Early Childhood Services. Keeping approved, current certification on file is part of staying licensed.
Anaphylaxis and medication administration
Under NDAC 75-03-09 and 75-03-10, medications must be stored in an area inaccessible to children, with refrigerated medications kept in a spillproof container, and may be given only with the parent's written authorization on file. The rules do not lay out an epinephrine protocol, so best practice is to keep a child's prescribed autoinjector immediately reachable, paired with an individual allergy action plan and staff trained to recognize anaphylaxis and act quickly.
How our courses meet these requirements
A recognized, standards-based certification — online theory paired with a hands-on skills check — meets North Dakota’s requirement and keeps your team ready to act.
Don't wait for renewal day
In a real emergency, the adult already with the children is the one who has to act, and seconds count more than anything else. A pediatric certification built on recognized national standards, using a department-approved program, prepares your team to respond with skill and calm, and shows parents their child is genuinely safe in your care. It is the clear way to meet North Dakota's rule before any staff member works unsupervised.