The Project: New Born Neonatal Intensive Care Unit, established in the 1960s, and totally redesigned and equipped with state-of-the-art technology in the I990s, is part of the Holtz Children’s Hospital, located within the University of Miami/Jackson Memorial Medical Center Complex. It is a multidisciplinary facility meeting the needs of premature and critically ill newborns from Miami, South Florida, the Caribbean, and Central and South America.
The Project: New Born Phyllis Simon Special Care Center, also welcomes referrals and transports. A mechanism has been instituted to facilitate the transfer process and to ensure frequent communication to the referring center on the infant’s condition. A specially trained and equipped neonatal transport team is available on a 24-hour basis and can provide ground and air transport as needed.
One of the largest and most respected level IV neonatal units in the country, the center consists of 126 neonatal beds-66 of which are ICU stations and 60 of which are intermediate care step-down beds. In addition, several features of the Newborn Special Care Center serve to ensure optimal clinical care and family involvement. The Newborn ICU, for example, is adjacent to the center’s labor and delivery area, which facilitates a multidisciplinary team approach to complex perinatal problems, from prenatal consultation to delivery room management. The intensive care unit also has state-of-the-art equipment and capabilities, including high frequency ventilation and nitric oxide administration. The unit is staffed by experienced University of Miami faculty neonatologists, neonatal nurses, respiratory therapists, and pharmacists. Part of the intensive care area has been designed and staffed for the delivery of pre- and post-operative care of neonates with complex cardiothoracic and pediatric surgical problems. This arrangement enables a joint effort to provide exemplary care for prenatal and neonatal patients.
A neonatal pulmonary physiology laboratory, located immediately adjacent to the NICU, provides complete pulmonary function testing including respiratory control evaluation. The Neonatal Special Care Center is now developing ECMO capabilities, which allows all critical treatment modalities to be available in one centralized location. A portion of the unit has been specially designed as the Progressive Care Unit and focuses on the developmental aspects of the care of infants requiring prolonged hospitalization. This area is staffed by specially trained nurses and physical and occupational therapists and ensures that the family is closely involved with the care of their infant. The provision of excellent care with consistent standards is facilitated by the use of clinical pathways with case manager involvement. In addition to providing state of-the art comprehensive and multidisciplinary medical care, the services delivered are based on a family centered philosophy.
The Newborn ICU of the Project: New Born Neonatal Special Care Center is staffed by full-time, neonatal-perinatal certified neonatologists, all with academic appointments at the University of Miami School of Medicine. Under the guidance and close clinical supervision of the neonatology specialists, the intensive care unit is additionally staffed by neonatal fellows and the resident staff of the Department of Pediatrics. The intermediate care unit is staffed by faculty pediatricians with expertise in the care of neonatal problems.