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Neonatal intensive care unit

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Neonatal intensive care unit

A neonatal intensive care unit (NICU), a.k.a. an intensive care nursery (ICN), is an intensive care unit (ICU) specializing in the care of ill or premature newborn infants. The NICU is divided into several areas, including a critical care area for babies who require close monitoring and intervention, an intermediate care area for infants who are stable but still require specialized care, and a step down unit where babies who are ready to leave the hospital can receive additional care before being discharged.

Neonatal refers to the first 28 days of life. Neonatal care, a.k.a. specialized nurseries or intensive care, has been around since the 1960s.

The first American newborn intensive care unit, designed by Louis Gluck, was opened in October 1960 at Yale New Haven Hospital.

An NICU is typically directed by one or more neonatologists and staffed by resident physicians, nurses, nurse practitioners, pharmacists, physician assistants, respiratory therapists, and dietitians. Many other ancillary disciplines and specialists are available at larger units.

The term neonatal comes from neo, 'new', and natal, 'pertaining to birth or origin'.

A neonatal nurse practitioner is a registered nurse who has been specially trained to help with the care of a newborn. A dietician helps ensure the baby gets enough nutrients for healthy growth. A respiratory therapist helps with managing oxygen and breathing machines. A physical or occupational therapist watches the baby's development.

Healthcare institutions have varying entry-level requirements for neonatal nurses. Neonatal nurses are registered nurses (RNs), and therefore must have an Associate of Science in Nursing (ASN) or Bachelor of Science in Nursing (BSN) degree. Some countries or institutions may also require a midwifery qualification. Some institutions may accept newly graduated RNs having passed the NCLEX exam; others may require additional experience working in adult-health or medical/surgical nursing.

Some countries offer postgraduate degrees in neonatal nursing, such as the Master of Science in Nursing (MSN) and various doctorates. A nurse practitioner may be required to hold a postgraduate degree. The National Association of Neonatal Nurses recommends two years' experience working in a NICU before taking graduate classes.

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