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UNIT UPDATES

  • ICN-3 service is located in the ICN-4 indefinitely. Please use the Peds Kangaroo Care list to track our patients. (see orientation tab for details)

  • Please monitor FOCs thoughtfully. Normal head growth is ~0.5-1 cm/week. If growing faster or slower, FOC should be rechecked and if truly growing above that, the infant should have a HUS to evaluate for hydrocephalus or other intracranial problem.

  • Please give charge nurse updated cache every evening before signing out to the NICU team.

  • Infants with microcephaly should be reported to the DOH:



Daily Schedule:

8:00 AM Resident Morning Report (Tuesdays and Wednesdays)

9:00 AM Rounds

11:00 AM Teaching (Currently we are not routinely participating in daily teaching with MBU during the COVID pandemic)

5:00 PM Sign out to NICU

ICN-3 Admission/Transition Criteria

  • Newborns requiring close observation during a period of transition (period of 6 hours immediately post-partum). Examples include:

    • Infants with mild respiratory distress that have the potential for a successful transition.

      • Any infant who has a continuing oxygen requirement of more than 1/2 liter of oxygen via nasal cannula at the end of the 6 hours of the transition should be admitted to the NBICU. These infants would be eligible to return to the ICN-3 after 24 hours if stable on nasal cannula.

  • Transfer from NBICU, ICN-4, Mother Baby Unit, Labor and Delivery, Newborn Clinic, Pediatric Clinic or Carrie Tingley Hospital that meet admission criteria.

  • All infants directly admitted or transitioned to ICN-3 must be at least 34 weeks gestation by first trimester ultrasound or Ballard exam if no ultrasound is available and have a birth weight of at least 1700 grams.

  • Stable newborns including those with prematurity, neonatal abstinence syndrome or requiring diagnostic work-ups.

  • Newborns requiring management of or continued screening for hypoglycemia.

  • Newborns requiring frequent or continuous monitoring of vital signs.

    • Newborns no more than 7 days of age if readmitted to ICN-3 for hyperbilirubinemia, feeding difficulties, or poor weight gain without concerns of infection.

    • Newborns no more than 14 days of age if transferred from NBICU or ICN-4 and meeting the following criteria:

    • Stable respiratory status, requiring no more than 1 liter of oxygen via nasal cannula. Patients that received higher level of oxygen support (eg, high flow) should be stable on nasal cannula for a minimum of 12 hours prior to transfer.

    • Anticipated length of hospital stay > 48 hours. In the case that a patient needs to be transferred and discharge is expected in < 48 hours, discharge planning (eg, PCP follow up, discharge education) should be in process.

    • A corrected age of 34 weeks if born at 32 weeks gestational age.

    • Infants born at 33 weeks gestational age that are deemed stable by the NBICU team and accepted by the ICN-3 Attending.

Questions/comments/updates? Please contact nurrea@salud.unm.edu.