• Renovated unit opened in 2002 with 50 NC level IV beds
• Over 800 admissions/year from southeast and worldwide.
• ECMO, high frequency ventilation, inhaled Nitric Oxide, Hypothermia and perinatal asphyxia.
• Focus on ELBW patients and their families.
• Expertise in persistent pulmonary hypertension and congenital diaphramatic hernia.

For additional information contact: Ronald Goldberg M.D.

 

• 12 convalescent beds. Admission to the TCN is primarily by route of Duke's Intensive Care Nursery as a "step-down" unit.
• 2 "Care-by-Parent" rooms are used to help facilitate a transition from hospital to home environment by allowing the parents a 'trial run' in caring for their infant on their own.
• Providers in the TCN take a multi-disciplinary, developmental care team approach. Physicians, nurse practitioners, nurses, therapists, dietitians, lactation consultants, and family members work together in developing a manageable home program suitable for the individualized needs of the infant.
• Convalescent care of ELBW infants, chronic lung disease of infancy, feeding problems, infants with non-acute surgical, neurosurgical, and sub-specialty medical issues.

For additional Information Contact: William F Malcolm M.D.

 

The Special Care Nursery at Durham Regional Hospital provides care for acutely ill and convalescing infants. Infants who no longer require Level III-IV care, may be transferred to this nursery for their convalescent period. Infants requiring surgery or sub-specialty medical care are routinely transferred to a local Level 3 unit. Duke University's Division of Neonatology manages the 18-bed unit. The medical director is Margarita Bidegain, M.D., and Susan Izatt, M.D. is the Associate Director. Both Dr. Bidegain & Dr. Izatt rotate through the Duke Level IV intensive care nursery.

Special care services offered in the nursery include:

• Infants needing short term mechanical ventilation, CPAP, surfactant administration, hyperalimentation, PICC lines and care for infants with ostomies.
• Developmentally emphasized care of growing premature infants
• Lactation support services, and a breastfeeding room.
• Physical, speech and occupational therapy

For additional information, contact: Margarita Bidegain, Medical Director

Hilda Holloway, RN, BSN, Nurse Manager
Nursery Services (919) 470-4230

 

SPECIAL CARE NURSERY (5800 Nursery)
7 Level II beds for neonates not requiring intensive care
Short stay unit with focus on preparing family and infant for discharge home
Feeding team involving family caretaker, bedside nurse, lactation, occupational and speech therapists
For additional Information on TCN or SCN, Contact: William F Malcolm M.D.

The Special Care Nursery at Alamance Regional Medical Center (ARMC) is the newest member of the Duke Health System's neonatal service. The new unit includes 12 beds and state of the art technology and provides care for the acutely ill and convalescing infant.

Infants requiring surgery or sub-specialty medical care are transferred to a local level IV unit. Special care services offered in the nursery include, but are not limited to: electronic documentation, transcutaneous billirubin readings, NCPAP, short term mechanical ventilation, surfactant administration, transcutaneous C02/02 monitoring, hyperalimentation, percutaneous central venous lines and care of the growing infant.
Duke University's Division of Neonatal Medicine under the Directorship of Ronald N. Goldberg, Professor of Pediatrics & Chief of Neonatology at Duke, manages the Special Care Nursery at ARMC. The medical director is Hugo A. Navarro, M.D., Assistant Clinical Professor of Pediatrics, Division of Neonatology. Pager (919) 970-5930, Office (336) 538-7378.

Dr. Vandana Nayal is a board eligible neonatologist, trained at the Oregon Health Sciences University. Dr. Nayal has primary clinical responsibility at ARMC. In addition, both Dr. Navarro and Dr. Nayal provide call at the level IV Duke University Intensive Care Unit.

For additional information, contact: Janet Maddry, RN, Unit Coordinator,
pager (336) 513-9554, Office (336) 538-7385.

Hugo A. Navarro, M.D.
NICU Director
Alamance Regional Medical Center

The Special Infant Care Clinic (SICC), is a multidisciplinary medical and neurodevelopmental follow-up clinic for high risk infants. Clinic patients have either graduated from our Intensive Care Nursery or are referred by a well child care provider in the community. The clinic team is comprised of a neonatologist, pediatrician, child psychologist, physical therapist, occupational therapist, speech therapist, social worker and nurse clinician. An occupational therapist and nutritionist are also available for consultation. The main objectives of our clinic are:

1) to assist the community well child care physician in providing early post discharge medical care and coordinating multiple subspecialist involvement for infants with complicated neonatal courses and chronic medical problems, and to facilitate the transition of total care of the chronically ill child with disabilities to the well child care provider by two to three years of age.

2) to monitor the neurodevelopmental progress of infants at significant risk for developmental problems, and when an abnormality is detected, to make appropriate referrals for intervention.

3) to assess whether the neurodevelopmental outcome of a particular child is consistent with his/her neonatal course, and if not, to initiate further diagnostic evaluation and appropriate referrals.

4) to train future well child care providers (pediatric and family practice residents) and neonatology fellows in neurodevelopmental assessment of high risk infants and post-discharge medical care of the intensive care nursery graduate. Fellow level training in neurodevelopmental research is available through the fellowship program.

5) to monitor and analyze the outcome of former critically ill high risk infants treated with new medications and technologies in order to improve medical care and developmental outcome of newborn infants in the future.

   Contact: Ricki F. Goldstein, M.D. or Melody Lohmeyer RN, MSN

 

 

To refer a patient, 24 hours a day:
Ask for the neonatologist on call at:
1-800-MED-DUKE (1-800-633-3853)
or dial the pager directly at: (919) 970-1714.

Phone (919) 668-1592
Fax (919) 681-6065