Services and Programs

Neonatology

About Level Designations

Level I

• Basic newborn care
• Well-newborn nursery
• Evaluation and postnatal care of healthy newborns
• Neonatal resuscitation
• Stabilization of ill newborns until transfer to a facility at which specialty neonatal care is provided
• Specialty neonatal care

• Special care nursery
• Care of preterm infants with birth weight greater than 1500g
• Resuscitation and stabilization of preterm and/or ill infants before transfer to facility at which newborn intensive care is provided
• Subspecialty neonatal intensive care

• Level IIIA
  • Hospital or state-mandated restriction on type and/or duration of mechanical ventilation
• Level IIIB
  • No restrictions on type or duration of mechanical ventilation
  • No major surgery
• Level IIIC
  • Major surgery performed on site (e.g., omphalocele repair, tracheoesophageal fistula or esophageal atresia repair, bowel resection, myelomeningocele repair, ventriculoperitoneal shunt)
  • No surgical repair of serious congenital heart anomalies that require cardiopulmonary bypass and/or ECMO for medical conditions
• Level IIID*
  • Major surgery, surgical repair of serious congenital heart anomalies that require cardiopulmonary bypass, and/or ECMO for medical conditions

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