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Recommended Citation
Coble M, Snow T. Virtual Rounding in the Level II NICU. Technological Innovations in Care Redesign and Delivery podium presentation at Transforming Practice: The Intersection of Technology and Nursing Excellence; Advocate Health Nursing Research and Professional Development Conference 2025; November 12, 2025; Virtual.
Presentation Notes
Technological Innovations in Care Redesign and Delivery podium presentation at Transforming Practice: The Intersection of Technology and Nursing Excellence; Advocate Health Nursing Research and Professional Development Conference 2025; November 12, 2025; Virtual.
Abstract
Introduction and Context This initiative addresses the challenge of providing 24/7 Neonatology supervision at a Level II regional NICU while meeting AAP guidelines. Traditional in-person rounding was limited by staffing and geography. We implemented the TytoCare™ device—previously used in adult populations—for virtual rounding. This allowed Neonatologists to remotely “see” and “hear” neonates in real time, supporting care quality, continuity, and improved family experiences.
Implementation Strategy All APPs and Neonatologists were trained on TytoCare™, which offers high-resolution video, auscultation, and two-way communication. Following stakeholder approval, the device was deployed for daily rounds, enabling real-time collaboration between the APP and remote Neonatologist. This strategy advanced telehealth in neonatal care while maintaining efficient clinical workflows.
Outcomes and Impact Since October 2024, 69 neonates have been rounded on virtually, avoiding transport to the tertiary NICU. This has improved family-centered care, reduced disruptions, and enhanced care access. Patient and staff feedback has been overwhelmingly positive, affirming the safety, effectiveness, and thoroughness of this virtual care model.
Insights Virtual rounding with TytoCare™ maintained clinical quality and improved resource utilization. It reduced transfers, strengthened APP-Neonatologist collaboration, and highlighted telehealth’s value in extending subspecialty care to regional sites. This approach is ideal for settings with limited on-site Neonatology coverage.
Implications This innovation is transferable to similar Level II NICUs. Broader rollout could reduce healthcare costs and improve access to specialty care. Feedback has been shared with the vendor for device enhancements. Monthly usage tracking continues, and expansion across our health system is under consideration.
Document Type
Oral/Podium Presentation
Publication Date
11-12-2025
Virtual Rounding in the Level II NICU
Introduction and Context This initiative addresses the challenge of providing 24/7 Neonatology supervision at a Level II regional NICU while meeting AAP guidelines. Traditional in-person rounding was limited by staffing and geography. We implemented the TytoCare™ device—previously used in adult populations—for virtual rounding. This allowed Neonatologists to remotely “see” and “hear” neonates in real time, supporting care quality, continuity, and improved family experiences.
Implementation Strategy All APPs and Neonatologists were trained on TytoCare™, which offers high-resolution video, auscultation, and two-way communication. Following stakeholder approval, the device was deployed for daily rounds, enabling real-time collaboration between the APP and remote Neonatologist. This strategy advanced telehealth in neonatal care while maintaining efficient clinical workflows.
Outcomes and Impact Since October 2024, 69 neonates have been rounded on virtually, avoiding transport to the tertiary NICU. This has improved family-centered care, reduced disruptions, and enhanced care access. Patient and staff feedback has been overwhelmingly positive, affirming the safety, effectiveness, and thoroughness of this virtual care model.
Insights Virtual rounding with TytoCare™ maintained clinical quality and improved resource utilization. It reduced transfers, strengthened APP-Neonatologist collaboration, and highlighted telehealth’s value in extending subspecialty care to regional sites. This approach is ideal for settings with limited on-site Neonatology coverage.
Implications This innovation is transferable to similar Level II NICUs. Broader rollout could reduce healthcare costs and improve access to specialty care. Feedback has been shared with the vendor for device enhancements. Monthly usage tracking continues, and expansion across our health system is under consideration.
Affiliations
Atrium Health WFB Brenner Children's Hospital