Not All NICUs are Created Equal
Many hospitals have NICUs, but not all NICUs are the same. The American Academy of Pediatrics (AAP) differentiates newborn care units by their ability to care for patients. At CHOC Children’s, we are proud to be a Level 4 Neonatal Intensive Care Unit, the AAP’s highest level.
What is Level 4 care?
Bringing a baby to our neonatal intensive care unit means that child will be provided the greatest care possible with the latest advances in medical treatment by specially trained physicians and nurses. Most hospitals offer Level 1 neonatal care. The basic care in these units includes a well-newborn nursery, the evaluation and postnatal care of healthy newborns, neonatal resuscitation and the stabilization of ill newborns so that they can be transferred to a more advanced hospital, like CHOC.
Beyond the first level, units are recognized as providing specialty neonatal care (Level 2) and intensive care (Level 3). As a Level 4 unit, we exceed the standards of a traditional NICU. We provide care to babies of all birthweights and gestational ages. Our pediatric surgeons and anesthesiologists are on site to perform minor and major surgery—in some cases, even in the patient’s bed. We provide advanced respiratory support such as high-frequency ventilation and inhaled nitric oxide and offer prompt, on-site access to a full range of pediatric medical subspecialists. We also offer advanced imaging such as MRI with the ability to have experienced pediatric radiologists read those images quickly. We are also able to provide ECMO, cardiac critical care, therapeutic body cooling, real-time seizure monitoring and much more. Learn more about the life-saving technology used in our NICU.
Do Your Homework
While it is comforting for most parents to know that CHOC neonatologists—physicians specially trained to treat newborns and their unique health conditions—practice at or have privileges at hospitals throughout the region, it is important to research the actual level of care available at or near the hospital in which a child will be born. It is also important to note whether each given NICU provides the same level of care for all babies. Some hospitals can only provide higher levels of care for a small amount of babies; CHOC is licensed to provide Level 4 (Level IV) care for all of our patients. In many cases, our physicians may be able to be in the delivery rooms for at-risk babies, but if they do not have the life-saving equipment the baby needs close at hand, they will have to have the baby transported to CHOC Children’s.