Low-volume overseas military treatment facilities (MTFs) often struggle to maintain staff readiness for high-risk, low-frequency neonatal emergencies. These facilities, such as U.S. Naval Hospital Rota, have limited exposure to critically ill newborns, making it difficult for clinical teams to retain confidence and competence in advanced neonatal stabilization skills. This challenge was brought into focus after a critical incident in which staff were required to stabilize a critically ill infant for more than four hours due to the relocation of the regional neonatal transport team. The event highlighted gaps in coordination, technical proficiency, and confidence, emphasizing an urgent need for a sustainable, evidence-based readiness program tailored to low-resource environments. The Neonatal Emergency Applied Training (NEAT) program was designed in response, using evidence from systematic reviews supporting low-dose, high-frequency simulation as a highly effective educational strategy for maintaining critical care skills. The project followed the Plan-Do-Study-Act (PDSA) quality improvement framework to iteratively develop and refine training content. The intervention included twelve weekly, 15–20 minute, structured mini-simulation sessions led by certified Neonatal Resuscitation Program (NRP) instructors. Training emphasized four domains essential to successful neonatal crisis management: (1) initial resuscitation and airway support (rapid assessment, PPV, CPAP, MR. SOPA), (2) clinical space and equipment readiness, (3) documentation and communication during transfer processes, and (4) multidisciplinary teamwork and role clarity under pressure. Sessions were interactive, scenario-driven, and intentionally brief to fit within clinical operations without disrupting patient care. Pre- and post-intervention assessments measured both perceived and demonstrated performance. All participating multi-service ward staff completed a modified Confidence in Managing Challenging Situations (CMCS) survey, assessing self-rated readiness across five key domains, including responding to unexpected deliveries, managing neonatal deterioration, functioning independently, interdisciplinary communication, and applying critical thinking under stress. Objective competency was evaluated through direct observation and scoring of performance during standardized neonatal simulations, using a checklist that aligned with NRP core competencies and emergency stabilization standards. Following the 12-week program, staff confidence scores rated “positive” (3 or 4 on the 5-point Likert scale) increased from 37.9% to 69.6%, representing an 83.9% relative improvement, surpassing the project’s goal of 60%. Competency scores improved from 72.0% to 95.8%, a 33% increase, while interindividual variability decreased, reflecting improved consistency and teamwork. Four of five confidence domains demonstrated statistically significant gains with large effect sizes, suggesting meaningful practical impact. Participant feedback indicated that the brief, repetitive format enhanced retention, engagement, and perceived readiness for real emergencies. Targeted simulation-based microtraining improves confidence, competence, and teamwork in neonatal emergencies. It offers a sustainable readiness model for low-volume, resource-limited military treatment facilities.