My hospital just closed our Level II NICU and converted us to a Level I Nursery. They also fired our Neonatalogist of 25 years and bought in a new on-call neonatlogist. We are in the inner city and a very high risk neigborhood where most of the mothers don't have pre-natal care. Do any of you with a Level I Nursery with no NICU or peds floor have just on-call doctors and no one in house. We have already had two incidents in the pass six days since they took over. One baby was mec-stained and no neonatalogist to intubate and visualize the cords. Prayerfully the baby didn't have any resp. distress but I feel that is a very dangerous situation. The nursery nurses are still required to attend all high-risk deliveries in L&D which most of them are and any outside deliveies that come in the ER without a neonatalogist, pediatrican, resident, intern or NP. We have no doctors in house except the OB-GYN. I am getting ready to resign because I don't feel that this is a safe situation. I have complained to the manager and VP of nursing and I am told that a Level I Nursery is not requried to a physician in-house.