Dr.Sai Sunil Kishore is a leading Neonatologist with 20+ years of clinical experience. He is currently associated with Medicover Hospital (Vizag).
Level I units are typically referred to as the well baby nursery. These facilities have the capability to provide neonatal resuscitation at every delivery; evaluate and provide postnatal care to healthy newborn infants; stabilize and provide care for infants born at 35 to 37 weeks gestation who remain physiologically stable; and stabilize newborn infants who are ill and those born less than 35 weeks gestation until until transfer to a facility that can provide the appropriate level of neonatal care. Required provider types for well newborn nurseries include pediatricians, family physicians, nurse practitioners and other advanced practice registered nurses.
Level II units are also known as special care nurseries and have all of the capabilities of a Level I nursery. These facilities are required to have pediatric hospitalists, neonatologists and neonatal nurse practitioners, in addition to Level I health care providers.
Level II units are able to:
Level III units are required to have the same care providers required for Level II facilities (pediatric hospitalists, neonatologists and neonatal nurse practitioners) and Level I facilities (pediatricians, family physicians, nurse practitioners and other advanced practice registered nurses). In addition, Level III units must provide, either onsite or at a closely related institution by prearranged consultative agreement, the following providers: pediatric surgeons, pediatric medical subspecialists, pediatric anesthesiologists and pediatric ophthalmologists.
Level III neonatal intensive-care units are able to:
The highest level of neonatal care provided occurs at regional NICUs, or Level IV neonatal intensive care units. These units are required to have pediatric surgical subspecialists on staff in addition to the care providers required for Level III units. Regional NICUs have all the capabilities of Level I, II and III units.
In addition to providing the highest level of care, Level IV NICUs: