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Discussion

List of level IV NICU's

Can anyone tell me how many level IV NICU's we have nationwide?

I have tried researching on google but can't find any lists. The one's off the top of my head are seattle children's, primary children's, texas children's, kosair ky.

Are they only to be found at children's hospitals? How many are there?

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Riley Children's Hospital Indianapolis

Most (if not all) children's hospitals have level IV NICUs. There are some non-children's hospitals that also have Level IV NICUs and are usually associated with a university. There are some outside of both of these realms, but I don't know of any comprehensive list.

Albany Med in NY and I believe Connecticut Children's Medical Center in Hartford, Ct is as well.

Seattle Children's hospital and Tacoma General in Washington state.

We have at least two in Denver - UCH and Children's Colorado. Children's is the only hospital in the region that does head-cooling. They also do things like fetal surgery, exit procedures, PUBS/transfusion. All the neonatal specialists work between both hospitals (they're located on the same campus and are closely affiliated). I think Presbyterian-St. Luke's in Denver might also be a level IV.

You may have to do a state by state search. Also, keep I mind that some may still be labeled as Level 3 with a subcategory of B C D. We have a university hospital here that meets all the criteria for level 4 but call themselves level 3. It is a bit controversial at times. Look at the criteria for a level 4, and then what the NICUs offer, that will help but it is a daunting process.

I'm pretty sure Sacred Heart Medical Center in Spokane, WA just got upgraded to level IV.

Arnold Palmer in Orlando, Fla.

The Children's Hospital at Montefiore, Weiler Division (Bronx NY), And New York Presbyterian Columbia Childrens Hospital are both Level IV I know

I am confused about the level 3 vs. level 4 NICU classifications. Can somebody please explain the differences to me? The NICU I just started working at is a level 3 NICU. Neonates that need it get surgery at our hospital, which I thought was the difference between a level 3 and level 4 NICU? We do not have ECMO though.

Thank you in advance!

  • Author
dalmatianmancer said:
I am confused about the level 3 vs. level 4 NICU classifications. Can somebody please explain the differences to me?

To my understanding, a level IV offers advanced and complex surgeries often unavailable in level III facilities. Specialty physicians are in house 24/7, and level IV's are always capable of ECMO.

Taken from wikipedia: In addition to providing the highest level of care, level IV NICU's:

  • Are 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.

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