Jump to content


Want to join the discussions?

Sign up for a free membership! 

If you are a member already, log in!

(lost your password? reset it here)

99nicu.org 99nicu.org

Levels of NICU care in the US

Guest sjbrott

Recommended Posts

Guest sjbrott

I have a question: What is the criteria to make a NICU a level III and level IV and how long has the level IV been around?

Link to comment
Share on other sites

  • 2 weeks later...
Guest humbled_nurse

That is a good question. The line between Level III and Level IV can be a little "gray". I'm really not sure if the term Level IV is used in all parts of the country. Basically, my understanding is if you are going to be identified as a Level IV NICU then you have no limitations. You would have the ability to do any kind of surgery (cardio, neuro, transplants, etc...), ECMO capability etc...

Usually Level IV capabilities are found at large Children's Hospitals.

This article may be helpful:


Based on this article the AAP does not recognize a Level IV category, but it does break down Level III units based on what they can do. I think we could all agree that there is quite a variance on what a Level III NICU can handle.

Hope that helps you!

Link to comment
Share on other sites

  • 5 weeks later...
Guest Antares

I agree with humblednurse. There is some debate as to whether facilities that call themselves level IV or V's are creating their own label. I am aware that there are a few sublevels of level III nurseries, Level IIIa units being able to handle everything except complicated surgeries and ECMO, and Level IIIb's being able to offer ECMO and all neonatal surgical procedures. This may vary from state to state, but that's my understanding.

Link to comment
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
  • Create New...