Neonatology

Levels of Care Definitions

Level I - Well Newborn Nursery

Capabilities

  • Provide neonatal resuscitation at every delivery
  • Evaluate and provide postnatal care to stable term newborn infants
  • Stabilize and provide care for infants born between 35-37 weeks gestation who remain physiologically stable
  • Stabilize newborn infants who are ill and those born at <35 weeks gestation until transfer to a higher facility

Level II - Special Care Nursery

Capabilities

Level I capabilities plus:

  • Provide care for infants born ≥32 weeks gestation and weighing ≥1500 grams who have physiologic immaturity or who are moderately ill with problems that are expected to resolve rapidly and are not anticipated to need subspecialty services on an urgent basis
  • Provide care for infants convalescing after intensive care
  • Provide mechanical ventilation for brief duration (<24 hours) or continuous positive airway pressure or both
  • Stabilize infants born before 32 weeks gestation and weighing less than 1500 grams until transfer to a neonatal intensive care facility

Level III - NICU

Capabilities

Level II capabilities plus:

  • Provide sustained life support
  • Provide comprehensive care for infants born <32 weeks gestation
    and weighing <1500 grams and infants born at all gestational ages
    and birth weights with critical illness
  • Provide prompt and readily available access to a full range of pediatric medical subspecialists, pediatric surgical specialists, pediatric anesthesiologists, and pediatric ophthalmologists
  • Provide a full range of respiratory support that may include  conventional and/or high-frequency ventilation and inhaled nitric oxide
  • Perform advanced imaging, with interpretation on an urgent basis, including computed tomography, MRI, and echocardiography

Level IV - Regional NICU

Capabilities

Level  III  capabilities plus:

  • Located within an institution with the capability to provide surgical repair of complex congenital or acquired conditions
  • Maintain a full range of pediatric medical subspecialists, pediatric surgical subspecialists, and pediatric anesthesiologists at the site
  • Facilitate transport and provide outreach education

 

* The Regional Perinatal Center is a facility housing a Level IV program and which provides all aspects of maternal and neonatal care and whose functions and responsibilities also include education, evaluation and data collection within that region. Strong Memorial Hospital is the designated Regional Perinatal Center for New York State Finger Lakes Region.

Connect with Golisano Children's Hospital

Golisano Children's Hospital Development

Contact Us

Neonatology Division
Golisano Children's Hospital
601 Elmwood Avenue
Box 651
Rochester, NY 14642
Phone: (585) 275-2972
Fax: (585) 461-3614

Neonatal Intensive Care Unit (NICU)
Secretary: (585) 275-2267
Parent Information: (585) 275-5905
Fax: (585) 275-8805
Transport Line: (585) 275-2198

NICU Continuing Care Program (NCCP)
NCCP: (585) 275-8373
Fax: (585) 461-3614