General Requirements

General Requirements The Level II neonatal designated facility shall maintain all Level I capabilities plus: 1. Provide comprehensive care for infants born ≥32 weeks of gestation and weighing ≥ 1500 grams who have physiologic immaturity or who are moderately ill with problems that are expected to resolve rapidly and are not anticipated to need subspecialty services on an urgent basis. 2. Provide care for infants convalescing after intensive care. 3. Provide mechanical ventilation for brief duration (less than 24 hours) and/or continuous positive airway pressure for a condition expected to resolve rapidly or until transfer to a higher-level facility is achieved. 4. Stabilize infants born before 32 weeks gestation and weighing less than 1500 grams until transfer to a Level III or Level IV neonatal intensive care facility. 5. Maintain a staff of providers including those listed in Basic Care plus pediatric hospitalists, neonatologists, and neonatal nurse practitioners. 6. Referral to a higher level of care for all infants when needed for pediatric surgical or medical subspecialty intervention. 7. Level II nurseries must have equipment (e.g., portable x-ray machine, blood gas analyzer) and personnel (e.g., physicians, specialized nurses, respiratory therapists, radiology technicians and laboratory technicians) to provide ongoing care of admitted infants as well as to address emergencies.