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Wednesday, Feb 28, 2024

Little Things Count in NICU Upgrades

Families have the opportunity to spend more quality time with their newborns as area hospitals make privacy a priority when upgrading their neonatal intensive care units.

Kaiser Permanente and Sharp HealthCare are among the latest health care facilities to step up their NICU accommodations locally on the heels of Rady Children’s Hospital-San Diego.

Kaiser’s $20 million makeover to its NICU at the San Diego Medical Center on Zion Avenue was just unveiled in late October when the facility moved from a 5,000-square-foot space on the fourth floor to a 15,000-square-foot space down the hall, an area formerly occupied by the head and neck surgery clinic.

In place of rows of Isolettes lined up in one large area, the new NICU is divided into 24 single beds in private rooms with six additional beds in shared rooms. The space is flexible to accommodate twins or even quadruplets in one contiguous area.

Dr. Matthew Sebald, medical director of the NICU at Kaiser Permanente in San Diego, points out the NICU is now immediately adjacent to the Labor and Delivery Department, but its main advantage is improving the quality of life for families who can hold their baby or breast-feed in a private and soothing environment.

“I’m a little bit nostalgic about leaving the old NICU, but parents didn’t have much privacy and they had to leave while doing things like sign-outs with patients,” Sebald said. “Here they can stay as long as they want.”

Staying Close

Extended stays are made easier with chairs that fold into beds and access to several showers within the NICU. Although much of the equipment will remain the same, Sebald said an upgraded monitoring system will ensure medical attention is immediately available.

“The quality of care has been great so that shouldn’t change,” he said.

Another addition to the space is windows with views to the outside, and diurnal lighting that mimics the natural cycle of light outdoors.

Kaiser has also improved accommodations for high-risk expectant mothers with the addition of eight single rooms in the Perinatal Special Care unit. The $5 million expansion offers patients a comfortable healing environment with private bath/showers and large windows.

“This allows high-risk moms to be in single rooms with a lot more privacy and it puts them right next to NICU and to Labor and Delivery, which are the two most likely places they’ll end up,” Sebald said.

Sharp Mary Birch Hospital

At Sharp Mary Birch Hospital for Women & Newborns on Health Center Drive in Kearny Mesa, which handles the largest number of births in the state with more than 8,400 births in 2011, the NICU is in the midst of expanding from 61 beds to 84. The expansion is part of an overall $30 million expansion and renovation at Sharp Mary Birch that includes enlarging a Perinatal Special Care Unit to 36 beds and increasing a Women’s Acute Care Unit to 14 beds.

Similar to Kaiser, Sharp Mary Birch is transitioning from an open concept setting to one that affords more privacy with about half the area converted to private rooms. While several areas of the NICU have already opened, one section is still in progress and is expected to be completed by the end of the year.

Toward that goal, a neurologic intensive care nursery with nine beds will be opening within the NICU by the end of November. The nursery will be staffed with specially trained nurses, occupational therapists and physical therapists who will work with babies at risk for neurological problems or conditions such as seizures.

Dr. Paul Wozniak, neonatologist and medical director of neonatal medicine for Sharp HealthCare, said the new facility will accommodate remote monitoring of brain wave testing as well as body cooling, a treatment used for babies who lack oxygen at birth.

Wozniak said one of the more impressive features in addition to converting to private rooms is bringing in natural light into every area.

“It’s been noted for promoting healing and health,” he said. “Plus it’s much nicer for the patients and the staff.”

Rady Children’s Hospital–San Diego was a pioneer for introducing private rooms into NICUs in the county when its Acute Care Pavilion opened in October 2010.

Dr. Brian Lane, a neonatologist and medical director of the developmental high-risk infant follow-up at Rady Children’s Hospital, said the NICU has 23 single rooms and 12 semiprivate rooms. He described the single rooms as being more developmentally appropriate and much quieter than the large open space, with fewer intrusions from the babies’ ventilators and monitors that sound alarms.

“Before there were 20 babies in one big space, and if one baby’s alarm goes off, that increases the noise level for all the babies,” said Lane, adding that the more spacious 185-square-foot rooms are designed so parents can spend the night. “As a parent, I know if my baby was in the ICU I’d sure appreciate the chance to be there as much as possible.”


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