Criteria for Neonatal Transfer (1) and Neonatal NICU Admission Criteria [PDF] (2)
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Criteria for neonatal transfer (1) p 147
Conditions that require transfer to a center that provides neonatal intensive care include the following:
1. Prematurity and/or birth weight of less than 1500 g.
2. Gestational age of less than 32 weeks.
3. Respiratory distress requiring ventilatory support (continuous positive airway pressure [CPAP], ventilation).
4. Seizures.
5. Congenital abnormal ease and/or inborn errors of metabolism.
6. Congenital heart disease or cardiac arrhythmias requiring cardiac services.
7. Severe hypoxic – ischemic injury.
8. Other conditions requiring neonatology consultation and consideration of transfer:
A. Severe hyperbilirubinemia possibly requiring exchange transfusion.
B. Infant of a diabetic mothers.
C. Severe intrauterine growth restriction.
D. Birth weight between 1000 g and 2,000 g and gestational age between 32 and 36 weeks.
E. Procedures unavailable at referring hospital.
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Neonatal NICU Admission Criteria [PDF](2)
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Resources:
(1) Manual of Neonatal Care, 6th ed, 2009. JP Cloherty et al.
(2) Department of Social Services, Office of Medical Services Neonatal Intensive Care Unit Admission Criteria (developed in consultation with South Dakota Neonatologists) [PDF]. No date on document. Accessed 11-10-2014.
