Our intensive care nursery is a 49 bed, state-of-the-art facility staffed by board-certified neonatologists, neonatal nurses, respiratory therapists, pharmacists, dietitians and social workers. Our patients have access to all tertiary pediatric subspecialties, including pediatric surgery, pediatric neurosurgery, and pediatric heart surgery.
The Children’s Surgery Center provides surgical services to neonates and children with a variety of conditions. It is the first Level I Children's Surgery Center, verified by the American College of Surgeons (ACS), on the West Coast.
UC Davis Medical Center also boasts at UC Davis Fetal Care and Treatment Center. A team of Pediatric Surgeons, Neurosurgery, Urology, Perinatologists, Anesthesia, Cardiology, Radiology, Neonatology coordinates care of fetuses with a variety of prenatal conditions. This allows for the fetal interventions or surgery for conditions such as Twin to Twin Transfusion Syndrome, Myelomeningocele, Hydrops Fetalis and others. We participate in the UC Fetal Consortium which is a multidiscliplinary group across the UC Medical Campuses that collaborates on research projects aimed at advancing the level of care provided to pregnant mothers and their fetus.
The Pediatric Intensive Care Unit provides services to infants recovering from heart surgery. Our ECLS program is hosted in the PICU and staffed by board-certified pediatric critical care specialists.
The UC Davis Medical Center and Children's Hospital offers Pediatric Critical Care and Neonatal Transport services to the greater Sacramento area and counties of Northern California. UC Davis is also a leader in pediatric telemedicine, providing telemedicine support to several community nurseries and emergency departments. Together these programs allow us to care for a large variety of rare neonatal conditions from throughout Northern California.
Infants that are discharged from the NICU that are at high risk for developmental delay are followed in our Baby Steps Clinic at the MIND Institute. This is a unique, and world renowned institute dedicated to the investigation of neurodevelopmental disorders. The Baby Steps clinic is staffed by Board-certified developmental and behavioral pediatricians, neonatologists, licensed developmental psychologists and social workers.
The Center for Health and Technology is the home of the Center for Virtual Care and the Telemedicine Clinic. The Center for Virtual Care provides the opportunity for high fidelity simulation training of fellows, residents, and nursing staff.
Our training program offers up to 12 months of experience in the NICU. Fellows' supervised responsibilities include counseling of high risk families on the obstetrical service, evaluation and stabilization of newly admitted infants and ongoing care of those on the clinical service. Fellows coordinate the performance of needed procedures and consultations with subspecialty services. They participate in the preparation for patient discharge and long-term care. Fellows are responsible for mentoring and supervising the work of residents and medical students.
Time on service is generally spent on the Red Team. The Red Team is typically composed of an attending, a fellow, residents, medical students, and occasionally NNPs or hospitalists. Fellows spend one week on service at a time (Thursday through Wednesday). Fellow shifts are 7am-7pm while on daytime service. During this service week, fellows are also on transport call 24 hours a day. Should a transport fellow be required (which is typically rare as most transports are conducted by a skilled nursing team), the Jeopardy fellow is called in to cover the following day shift and allow the service/transport fellow to rest.
Night calls have been consolidated into night shifts to improve continuity of care and scholarly time management. The night fellow works with a resident or hospitalist to provide care to infants on both the Red and Blue Teams. Fellows spend one week at a time on night service (Thursday night through Wednesday night/Thursday morning).
Fellows attend a weekly Pediatric Cardiology/Cardiothoracic Surgery Conference where pre- and post-operative management of current patients is discussed. Weekly Fetal Treatment Team meetings provide additional exposure to infants with prenatally diagnosed congenital heart disease. Fellows also participate in the prenatal counseling of families diagnosed with fetal heart disease. Fellows also attend monthly didactic sessions with the cardiothoracic surgeons to review pre- and post-operative management of congenital heart disease. Additional opportunities to attend fetal echocardiography clinic and PCICU rounds are also available.
Neonatal fellows participate in High Risk OB clinic with our perinatologists. Additional exposure to MFM is provided through the weekly Fetal Treatment Team meetings.
Fellows attend one half-day clinic per month at the MIND institute where high-risk NICU graduates undergo medical and psychometric evaluation, and are referred to appropriate services when needed.
Fellows are on Jeopardy call approximately once every 6th week throughout their training. The Jeopardy fellow is responsible for covering rounds the following day if the service fellow has been called out on transport. Most transports are covered by a transport team composed of specially trained nurses, and use of the Jeopardy fellow is limited.