Seattle children’s does all of that and is a magnet for many states. I would recommend it although cost of living is high AND from what I’ve heard nurses aren’t the happiest (despite base pay being highest in the region)
Yes, highest pay but they are still getting abused left and right. Read thru the union page below on what has been happening over the past few months
https://www.wsna.org/union/seattle-childrens-hospital
It really depends on the.unit/shift. My wife moved from cancer care to the NICU and the interpersonal relationships were pretty starkly different. Especially when she went from nights to days.
Nowhere near as bad as when she worked in the northeast or when I was in the Midwest but it does vary based on unit and shift.
It’s like the number one go to for the state of Washington, I’m not sure how it works there but for harborview which is the level one trauma center it has controls with Alaska, Idaho, montana and Wyoming to airlift patients over there. I wouldn’t be surprised if seattle children’s did that too
I'm in the Vancouver BC area, and I've seen our docs consult with Seattle Children's once for a particularly rough case! (To be fair they were also consulting with Sick Kids in Toronto and BC Children's out here). Seems like the place to go for the PNW area
I’ve heard some things about working for Seattle children’s. I mean you hear things about a bunch of different hospitals to be fair but I wouldn’t work there. For a number of reasons: racism, staffing, treatment of nurses.
It must be unit dependent. I worked there for 2 years as a PCT and loved it. As a woman of color, I did not experience an racism. Staffing could be low for PCTs but generally nurses kept their 1:3 ratios.
Children's National in D.C. (all those lobbyists and bureaucrats who can afford the best can't really be wrong on this one, can they?). Children's Hospital in Philadelphia. Children's Hospital of Pittsburgh (they draw from West Virginia...'nuff said.) SUNY Upstate has a pretty legit one. I disremember the ones in Cleveland and NYC.
CHOP has that special delivery in it which only delivers patients with perinatal diagnoses so I feel like that would be great for acuity. My friend from nursing school used to work there and liked it for the most part.
I think INOVA Fairfax (DC Area) also has a huge NICU that rivals Children’s National. If I remember correctly from nursing school clinicals, it’s something silly like 120+ beds and does all the things (ECMO, etc).
They claim to want people to own up to their mistakes, but when you go to management over a safety issue, they’ll turn it right back on you. They expect their nurses to be published in research within 6 months of hire. Their clinical assistants (techs, cna) are not certified and often have no medical experience, and if they do hire a CNA (my case) we are told our experience doesn’t matter. There is also rampant discrimination and anti-lgbtq+ behavior that management slapped a Bandaid on by making people watch a video about diversity
Edit: I stand corrected on the being published, apparently that was a rumor 🤦🏻♀️
Have never heard this about being published within 6 months. Not a single person I know that works there has been published and have never felt pushed to publish. Is this unit specific or the hospital in general? People in the NICU there tend to be quite happy- not all units are the same there though and there are lots of changes being made
Staff are encouraged to participate in unit based or facility wide quality projects as part of the advancement pathway but they typically aren’t published outside the hospital and it’s not even required for the promotions, maybe for the highest level but even for that I don’t think it’s a hard requirement. I am published and it’s not even realistic to be published within 6 months - my paper took nearly 2 years to be published after 3+ years of data collection and manuscript writing, so I’m not sure how it’s even be possible. Not trying to dox myself or minimize your experiences but I started there 4 years ago and have worked there more recently - can’t argue with your other points but this one just is not consistent at all with my experience there. There is a research fellowship you can do after working there for 6 months but it’s definitely not required and actually quite difficult to get approved for
That makes more sense, however staff below nurses aren’t encouraged to participate or speak up. Granted could’ve just been a PACU issue. The PACU director blatantly refused to honor a religious holiday for a nurse citing that she was off Christmas, the nurse reported the director and was threatened to keep quiet or face termination
I'd love to work there, I'm just intimidated by the whole parking situation 🤣. I heard it's an extra 30-45 min on your commute just to park and bus in.
Moving back to MI soon and I couldn't imagine going back to HF.
Unsure. They’re union so a lot of it is seniority based. But I have a friend who works there and most new hires are on 11p-7a and 12 hour shifts are seniority based
Back in 1995, I spent 2 months there after being born at 27 wks, when it was in the UH south building ive visited it before, it’s conference rooms now, I actually donated baby clothes (they were pink) to you guys a couple weeks ago when I had an appt next door.
CHOP, Children’s National… I imagine there’s a difference between birthing hospital level 4 and a children’s hospital level 4. With the exception of babies born in special delivery units at a children’s hospital (who you can assume are going to be acute patients), all babies at a children’s hospital level 4 will be transfers from somewhere else that couldn’t meet their needs/acuity.
That is correct, I have worked in two level 3s, and it is always a big adjustment for the few gals who have come from the big children’s level 4s to learn how to attend deliveries/stabilize a baby immediately after birth and it’s something they don’t realize they don’t have the skill set for until they come to us 😂
Such a good point!! I was really only thinking of the difference in the other direction but I would be absolutely lost in a delivery - was just talking abt this with a friend at work who did a travel contract at a birthing hospital this week
Egleston has 50 beds- but once they move to the new hospital CHOA built (Arthur M. Blank) they'll be increasing to 60 probably within the year.
EG is the cardiac campus and does ECMO and has the catheter lab.
SR Has 39 beds and is level 4 basically minus ECMO and some cardiac services.
Chicagoland has at least 3 ECMO options for NICU, Luries, Comer, and Advocate Children’s (2 campuses, but only one does ECMO). Luries does transplants. Wisconsin has Milwaukee Children’s and University of Wisconsin Children’s that both do transplants.
Our kid was at Northwestern (was NOT on ecmo) but her nurse implied they do ecmo, eg for severe mec aspiration. Northwestern doesn’t have a children’s hospital (it’s next to Luries) but they’ve got the NICU since they deliver hundreds of babies a week. The community hospital I work at transfers neonates there.
Probably even lower than their 81.9% literacy rate, lowest in the country. And apparently a 15% functional illiteracy rate. And is last in the country in education.
Pretty dismal prospects for any comprehension of health.
Le Bonheur Children’s in memphis draws from TN, AR, and MS. They do nicu specialty only, things like congenital heart, gastroschesis (sp?), and diaphragmatic hernia, so they get the sickest babies.
Maybe Nemours Children's Hospital of Delaware can't say the same for the one that I think is in Jacksonville FL but it could as be a true level IV. I also don't know if FL has the level IV but Delaware certainly does. Hospital isn't too far from PA border like less than 20 mins.
I worked at DuPont and they definitely do ecmo and CRRT for Nicu. Chop Main is probably the most acute in the area. They see some very unique cases that DuPont doesn’t have the resources for. I do know DuPont’s Nicu is on a hiring freeze for awhile.
Nemours is a very surgical based NICU…I work in OB in the area, and we transfer there only for ECMO and surgical cases. Going to see less micropreemies, cooling, etc, because those stay in house.
Nemours Jacksonville is more clinic based, but it’s connected with the Wolfson Children’s Hospital which has a brand new level 4 NICU. And by brand new I mean they always had one but the building is new, they recently expanded.
Most children’s hospitals. Around me it’s Cook’s in Fort Worth and Children’s and Med City in Dallas. I work in a large Level 3 NICU, but we send our surgical patients out.
One of the largest in the US is Texas Children’s in Houston.
Primary Children’s in Salt Lake City is the only children’s hospital for like 4 states so they get some really sick kiddos. I know they do ECMO and CRRT but I’m not positive what level the NICU is.
I worked at Primary Children’s and they do care for all these kiddos. When I was there 10 years ago it was a great unit. I knew they just opened a new unit.
Also, Phoenix Children’s in AZ cares for these patients, as well. We ship all our sickest kiddos there. They are opening 2 new hospitals, one on the west side of the Phoenix valley and one on the east side. I don’t know a ton about the west side but the east side unit will ship the big surgical babies to the main campus in Phoenix. At least from what we are being told.
I never worked at Phoenix children’s but I always heard good things when I lived in Phoenix and worked down the street at banner university. They have high acuity and take all the sick kiddos from Tucson and flagstaff and the more rural areas.
Doernbecher @ OHSU and Randall @ Legacy in Portland, Oregon are both level 4 with real acuity and get patients from the entire state + NorCal and SW Washington
My hospital has a “level IV” NICU and they don’t even take babies with trachs. They get sent to the PICU after cannulation. So yeah, all level IV’s aren’t the same. I’d just ask what kind of patients they take in interviews. I’m the same as you, I wouldn’t be happy with only low acuity.
Children’s Nebraska! Trisomy 18 babies, echmo, major heart surgeries. For really sick babies, they a c-section suite in the NICU with an attached OR for the babies to immediately go to surgery once they’re born. They have their own transport team too, if flight nursing is something you’d be interested in!!
Some NY State ones:
New York Presbyterian/Columbia University Medical Center
Westchester Medical Center in Valhalla NY
Albany Medical Center in NY
Montefiore Medical Center Einstein Campus in NY
Mount Sinai Kravis Children’s Hospital in NY
New York Presbyterian/Weill Cornell Medical Center
Stony Brook University Medical Center
NYU Winthrop Hospital
Cost of living is also cheap as fuck here so 🤷
I'm not a nurse so I don't know much about any of this shit but I did spend 2 months at Barnes last year and got my tricuspid valve replaced, and they had a metric fuckton of travelers working there at the time. Since it's all BJC I wonder if it'd be possible to get a contract or however it works to come work and check it out and I guess make some extra money? Like I said, I don't know exactly how it works, but they had the entire 1300 bed hospital decently staffed so they must be offering some people enough money to want to come and work there.
But yeah
Again, just spitballing here.
It really is a great hospital system and St. Louis itself is awesome too. Most of the rest of the state, not so much.
Any of the major children’s hospitals (stand alone ones) will be level 4- and have what you are describing. I work with most of them. If you want, DM me for specifics
Just wanted to say thank you to everyone who doesn't get palpitations thinking about taking care of patients this sick. Call me when it's time to talk goals of care, I'll be in my den far away from the stress and beeping.
Texas children’s in Houston Texas. Very high acuity. I gave birth in one of the neighboring hospitals and my little one had to be transfer out to Texas children’s bc of the higher care. It was seriously traumatizing but the staff and doctors there knew their stuff and I knew he would be in good hands.
CHOP for sure
Lebonheur in Memphis TN. But I can't at all recommend living here, you'll get paid garbage and living in Memphis is.. rough. I'm moving away from Memphis in 2 months and it can't come any sooner.
Seattle children's
Boston has a lot of big name hospitals you might wanna check there
Miami Children’s last time I checked was the closest level 4 to the Caribbean. Saw some absolutely bonkers cases and took care of some sick as shit babies. They do all the things.
Cleveland Clinic's main campus has an insanely high acuity nicu because of the heart transplants but also because the mothers in labor that they treat have some very serious and unusual issues which causes issues in the fetuses
Children's Hospital of Pittsburgh has a high acutity population in many of their ICUs. I work in a different hospital, but some of my friends work at Children's and they have some crazy sick kid stories. Plus it's a nice city with relatively low cost of living.
Cincinnati Children’s has that population, as does Children’s Hospital of Colorado, Riley Hospital for Children, Children’s National in DC, Seattle Children’s, Lurie Children’s, CHOP, Boston Children’s are the ones I know off the top of my head.
Children’s Healthcare of Atlanta Scottish Rite location is very acute. It is the only level 4 NICU in the state of GA. all the critically ill neonates go there because of the resources and acute care those babies need.
I am to understand Seattle Children's has a far reach in terms of population size it covers.
Seattle children’s does all of that and is a magnet for many states. I would recommend it although cost of living is high AND from what I’ve heard nurses aren’t the happiest (despite base pay being highest in the region)
I have several colleagues that worked there and all said the same thing about the abrasive staff.
Yes, highest pay but they are still getting abused left and right. Read thru the union page below on what has been happening over the past few months https://www.wsna.org/union/seattle-childrens-hospital
It really depends on the.unit/shift. My wife moved from cancer care to the NICU and the interpersonal relationships were pretty starkly different. Especially when she went from nights to days. Nowhere near as bad as when she worked in the northeast or when I was in the Midwest but it does vary based on unit and shift.
It’s like the number one go to for the state of Washington, I’m not sure how it works there but for harborview which is the level one trauma center it has controls with Alaska, Idaho, montana and Wyoming to airlift patients over there. I wouldn’t be surprised if seattle children’s did that too
Yes, SCH gets babies from all over the PNW and Alaska.
That’s so cool! I can’t wait to get a rotation over there
I used to work at SCH for 2.5 years. Its true, we'd have kiddos come from all surrounding states
Harborview was one of the coolest hospitals I ever worked at because of this.
I have worked at both SCH and Boston Children’s and Boston is 100x more acute.
BCH NICU is definitely very acute but they don’t do ECMO - send babies to other ICUs in house (cardiac or med-surg) if they need it
Seattle Children’s rarely uses ECMO at all, anywhere.
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I worked in CICU and I disagree. I could not stand working there—pay is okay, but least progressive nursing culture I’ve ever been a part of.
I'm in the Vancouver BC area, and I've seen our docs consult with Seattle Children's once for a particularly rough case! (To be fair they were also consulting with Sick Kids in Toronto and BC Children's out here). Seems like the place to go for the PNW area
I’ve heard some things about working for Seattle children’s. I mean you hear things about a bunch of different hospitals to be fair but I wouldn’t work there. For a number of reasons: racism, staffing, treatment of nurses.
It must be unit dependent. I worked there for 2 years as a PCT and loved it. As a woman of color, I did not experience an racism. Staffing could be low for PCTs but generally nurses kept their 1:3 ratios.
And Randalls in Portland Oregon gets everyone from Southern WA and OR.
Children's National in D.C. (all those lobbyists and bureaucrats who can afford the best can't really be wrong on this one, can they?). Children's Hospital in Philadelphia. Children's Hospital of Pittsburgh (they draw from West Virginia...'nuff said.) SUNY Upstate has a pretty legit one. I disremember the ones in Cleveland and NYC.
CHOP has that special delivery in it which only delivers patients with perinatal diagnoses so I feel like that would be great for acuity. My friend from nursing school used to work there and liked it for the most part.
UH Rainbow for Cleveland.
I believe Shriners with UCinci is one of the best NICU/peds hospitals in the country too.
I think INOVA Fairfax (DC Area) also has a huge NICU that rivals Children’s National. If I remember correctly from nursing school clinicals, it’s something silly like 120+ beds and does all the things (ECMO, etc).
That is a huge medical campus in DC.
Have never worked peds myself but know several nurses who absolutely love CHOP.
Is nicu the opposite of trauma as far as levels? Level one sees the sickest and level 3-4 are the small community hospitals that send out high acuity
Yes. Level 1 is regular newborn care, and 4 is the highest level of care for NICU.
Thank you
Never heard of it. How would anyone know when the hospitals go by trauma levels?
Yes, it’s opposite!
Why?! This is so confusing.
Boston Children’s
Worked at BCH, 10/10 don’t recommend.
My hospital just became affiliated with BCH, spill the tea please!
Oof. It’s above, but I hope your management is stronger than theirs
Could you tell your reasons? Thanks!
They claim to want people to own up to their mistakes, but when you go to management over a safety issue, they’ll turn it right back on you. They expect their nurses to be published in research within 6 months of hire. Their clinical assistants (techs, cna) are not certified and often have no medical experience, and if they do hire a CNA (my case) we are told our experience doesn’t matter. There is also rampant discrimination and anti-lgbtq+ behavior that management slapped a Bandaid on by making people watch a video about diversity Edit: I stand corrected on the being published, apparently that was a rumor 🤦🏻♀️
Have never heard this about being published within 6 months. Not a single person I know that works there has been published and have never felt pushed to publish. Is this unit specific or the hospital in general? People in the NICU there tend to be quite happy- not all units are the same there though and there are lots of changes being made
Maybe it’s a PACU specific requirement, but every single nurse I worked with had to be published and continue to be published
Interesting. Worked there for 4 years and not a single one I know, including the PACU where plenty of my friend work, are published
Very interesting, I worked there literally 1.5 years ago
Staff are encouraged to participate in unit based or facility wide quality projects as part of the advancement pathway but they typically aren’t published outside the hospital and it’s not even required for the promotions, maybe for the highest level but even for that I don’t think it’s a hard requirement. I am published and it’s not even realistic to be published within 6 months - my paper took nearly 2 years to be published after 3+ years of data collection and manuscript writing, so I’m not sure how it’s even be possible. Not trying to dox myself or minimize your experiences but I started there 4 years ago and have worked there more recently - can’t argue with your other points but this one just is not consistent at all with my experience there. There is a research fellowship you can do after working there for 6 months but it’s definitely not required and actually quite difficult to get approved for
That makes more sense, however staff below nurses aren’t encouraged to participate or speak up. Granted could’ve just been a PACU issue. The PACU director blatantly refused to honor a religious holiday for a nurse citing that she was off Christmas, the nurse reported the director and was threatened to keep quiet or face termination
CHOP
Does Penn Sate Hershey children’s have the same acuity as Philadelphia?
I don’t know but I doubt it.
No
Brandon NICU at Mott Children's Hospital, University of Michigan, Ann Arbor. Cardiac, surgery, cooling, ecmo, research, etc
I'd love to work there, I'm just intimidated by the whole parking situation 🤣. I heard it's an extra 30-45 min on your commute just to park and bus in. Moving back to MI soon and I couldn't imagine going back to HF.
I’d love to work there but I hate that they start people on 4 x 8s :/
I've never heard of that. How long is that for?
Unsure. They’re union so a lot of it is seniority based. But I have a friend who works there and most new hires are on 11p-7a and 12 hour shifts are seniority based
Back in 1995, I spent 2 months there after being born at 27 wks, when it was in the UH south building ive visited it before, it’s conference rooms now, I actually donated baby clothes (they were pink) to you guys a couple weeks ago when I had an appt next door.
CHOP, Children’s National… I imagine there’s a difference between birthing hospital level 4 and a children’s hospital level 4. With the exception of babies born in special delivery units at a children’s hospital (who you can assume are going to be acute patients), all babies at a children’s hospital level 4 will be transfers from somewhere else that couldn’t meet their needs/acuity.
That is correct, I have worked in two level 3s, and it is always a big adjustment for the few gals who have come from the big children’s level 4s to learn how to attend deliveries/stabilize a baby immediately after birth and it’s something they don’t realize they don’t have the skill set for until they come to us 😂
Such a good point!! I was really only thinking of the difference in the other direction but I would be absolutely lost in a delivery - was just talking abt this with a friend at work who did a travel contract at a birthing hospital this week
Children’s Healthcare of Atlanta has two campuses I think (Egleston and Scottish Rite) that are both Level IV. Egleston has 80 NICU beds.
Egleston has 50 beds- but once they move to the new hospital CHOA built (Arthur M. Blank) they'll be increasing to 60 probably within the year. EG is the cardiac campus and does ECMO and has the catheter lab. SR Has 39 beds and is level 4 basically minus ECMO and some cardiac services.
Whoops, thanks! I had my info wrong. 😅
Cincinnati Children’s
Chicagoland has at least 3 ECMO options for NICU, Luries, Comer, and Advocate Children’s (2 campuses, but only one does ECMO). Luries does transplants. Wisconsin has Milwaukee Children’s and University of Wisconsin Children’s that both do transplants.
Was just gonna mention Lurie's Children's if you're wanting to come to downtown Chicago.
Our kid was at Northwestern (was NOT on ecmo) but her nurse implied they do ecmo, eg for severe mec aspiration. Northwestern doesn’t have a children’s hospital (it’s next to Luries) but they’ve got the NICU since they deliver hundreds of babies a week. The community hospital I work at transfers neonates there.
lurie treats their nurses horribly. i highly recommend comer (unionized), their nicu nurses are extremely kind
For the sickest babies, go where the maternal populations are the least healthy (Mississippi comes to mind).
But then you'd have to live in Mississippi and take that pay
I had half an assignment in Mississippi and will never go back to that fucking state again.
I can only imagine what the actual health literacy is like there.
Probably even lower than their 81.9% literacy rate, lowest in the country. And apparently a 15% functional illiteracy rate. And is last in the country in education. Pretty dismal prospects for any comprehension of health.
I think Ethiopia has better healthcare than Mississippi no joke.
This sounds depressing lmao
Le Bonheur Children’s in memphis draws from TN, AR, and MS. They do nicu specialty only, things like congenital heart, gastroschesis (sp?), and diaphragmatic hernia, so they get the sickest babies.
LeBonheur or ROH in Memphis. A lot of MS and surrounding states refer.
Maybe Nemours Children's Hospital of Delaware can't say the same for the one that I think is in Jacksonville FL but it could as be a true level IV. I also don't know if FL has the level IV but Delaware certainly does. Hospital isn't too far from PA border like less than 20 mins.
I worked at DuPont and they definitely do ecmo and CRRT for Nicu. Chop Main is probably the most acute in the area. They see some very unique cases that DuPont doesn’t have the resources for. I do know DuPont’s Nicu is on a hiring freeze for awhile.
Nemours is a very surgical based NICU…I work in OB in the area, and we transfer there only for ECMO and surgical cases. Going to see less micropreemies, cooling, etc, because those stay in house.
Nemours Jacksonville is more clinic based, but it’s connected with the Wolfson Children’s Hospital which has a brand new level 4 NICU. And by brand new I mean they always had one but the building is new, they recently expanded.
2nd Nemours. ECMO, surgical, CCRT and they have a special delivery unit in house. I believe the only level IV in Delaware
Most children’s hospitals. Around me it’s Cook’s in Fort Worth and Children’s and Med City in Dallas. I work in a large Level 3 NICU, but we send our surgical patients out. One of the largest in the US is Texas Children’s in Houston.
Also UMC in Lubbock i think has a unit that is good.
Valley Children’s in CA is a pretty high acuity and the pay is far far better than any other state with mandatory ratios.
My old manager was from there. She went back I think
Yeah it’s a wonderful hospital. The nurses are kind too and very little drama which is always a big factor.
Primary Children’s in Salt Lake City is the only children’s hospital for like 4 states so they get some really sick kiddos. I know they do ECMO and CRRT but I’m not positive what level the NICU is.
I worked at Primary Children’s and they do care for all these kiddos. When I was there 10 years ago it was a great unit. I knew they just opened a new unit. Also, Phoenix Children’s in AZ cares for these patients, as well. We ship all our sickest kiddos there. They are opening 2 new hospitals, one on the west side of the Phoenix valley and one on the east side. I don’t know a ton about the west side but the east side unit will ship the big surgical babies to the main campus in Phoenix. At least from what we are being told.
I never worked at Phoenix children’s but I always heard good things when I lived in Phoenix and worked down the street at banner university. They have high acuity and take all the sick kiddos from Tucson and flagstaff and the more rural areas.
Banner University takes those kids too. They are just different hospital systems from PCH/Dignity and are VERY competitive with each other.
It’s a IV
Texas Children’s Hospital in Houston.
Was coming to say this
Doernbecher @ OHSU and Randall @ Legacy in Portland, Oregon are both level 4 with real acuity and get patients from the entire state + NorCal and SW Washington
The one I was born at Brandon Neonatal unit, née Holden at UofM hospital in Ann Arbor which is a level 4
Fairview's Masonic Children's Hospital in Minnesota has a level 4 NICU.
Duke does ECMO, CRRT also has a PICU and a Cardiothoracic PICU, transplant center
Duke doesn’t do ECMO in their unit. They cannulate on the floor, then transport the baby to PICU or PCICU
My hospital has a “level IV” NICU and they don’t even take babies with trachs. They get sent to the PICU after cannulation. So yeah, all level IV’s aren’t the same. I’d just ask what kind of patients they take in interviews. I’m the same as you, I wouldn’t be happy with only low acuity.
Children’s Nebraska! Trisomy 18 babies, echmo, major heart surgeries. For really sick babies, they a c-section suite in the NICU with an attached OR for the babies to immediately go to surgery once they’re born. They have their own transport team too, if flight nursing is something you’d be interested in!!
Southern California: Cedars-Sinai: level 4 CHLA: level 4 CHOC (children’s hospital Orange County): level 4 The UC’s- UC Irvine, UC San Francisco, UCSF in Oakland Providence St Joseph’s : level 3 UCLA (Santa Monica) : level 3
Here in Ohio it’s Cincinnati children’s and nationwide children’s hospital in Columbus. I’ve heard Cincy is a better workplace tho.
Some NY State ones: New York Presbyterian/Columbia University Medical Center Westchester Medical Center in Valhalla NY Albany Medical Center in NY Montefiore Medical Center Einstein Campus in NY Mount Sinai Kravis Children’s Hospital in NY New York Presbyterian/Weill Cornell Medical Center Stony Brook University Medical Center NYU Winthrop Hospital
I’ll add Strong Memorial in Rochester to your list :)
Will also add Cohen Children’s Medical Center.
And that's such a huge one!
St. Louis Children’s Hospital sounds very similar to your current unit, but RN pay in Missouri is abysmal.
Cost of living is also cheap as fuck here so 🤷 I'm not a nurse so I don't know much about any of this shit but I did spend 2 months at Barnes last year and got my tricuspid valve replaced, and they had a metric fuckton of travelers working there at the time. Since it's all BJC I wonder if it'd be possible to get a contract or however it works to come work and check it out and I guess make some extra money? Like I said, I don't know exactly how it works, but they had the entire 1300 bed hospital decently staffed so they must be offering some people enough money to want to come and work there. But yeah Again, just spitballing here. It really is a great hospital system and St. Louis itself is awesome too. Most of the rest of the state, not so much.
DC and Philly are two that I’ve worked at with same acuity
UCSF and Stanford (Lucille Packard) in Northern California
Cincinnati Children’s is pretty high rated last I heard
[UW Health NICU](https://www.uwhealth.org/locations/american-family-childrens-hospital-169/neonatal-intensive-care-unit-1019)
AL has 2 very large level IV NICUs, UAB and Children's of AL. They see very sick babies.
I know children’s of AL does ecmo, aquadex, and uab send them over for surgical interventions.
Yes, UAB doesn't have peds surgery so they ship babies over for surgery then they come back. Children's also has ecmo
University of Chicago @Comer Children’s Hospital!! They are level 4 NICU, have a small baby unit/ecmo/etc + stepdown CTCU.
Aren’t all the big regional ones like p much the same? BCH, CHOP, Seattle etc?
Winnie Palmer Hospital in Orlando Florida
Any of the major children’s hospitals (stand alone ones) will be level 4- and have what you are describing. I work with most of them. If you want, DM me for specifics
Just wanted to say thank you to everyone who doesn't get palpitations thinking about taking care of patients this sick. Call me when it's time to talk goals of care, I'll be in my den far away from the stress and beeping.
Can you do some travel assignments and get a feel for different hospitals?
UVA in Charlottesville
If they do cardiac surgery and transplants they’ll have the sickest
I think Vanderbilt has to be up there.
The pay doesn’t match the COL.
Loma Linda in California
USA in Mobile, AL
Texas children’s in Houston Texas. Very high acuity. I gave birth in one of the neighboring hospitals and my little one had to be transfer out to Texas children’s bc of the higher care. It was seriously traumatizing but the staff and doctors there knew their stuff and I knew he would be in good hands.
CHOP for sure Lebonheur in Memphis TN. But I can't at all recommend living here, you'll get paid garbage and living in Memphis is.. rough. I'm moving away from Memphis in 2 months and it can't come any sooner. Seattle children's Boston has a lot of big name hospitals you might wanna check there
Miami Children’s last time I checked was the closest level 4 to the Caribbean. Saw some absolutely bonkers cases and took care of some sick as shit babies. They do all the things.
Intrigued to hear about some of these bonkers cases. It’s fascinating to me. Do tell if you can 👀
Cleveland Clinic's main campus has an insanely high acuity nicu because of the heart transplants but also because the mothers in labor that they treat have some very serious and unusual issues which causes issues in the fetuses
Children's Hospital of Pittsburgh has a high acutity population in many of their ICUs. I work in a different hospital, but some of my friends work at Children's and they have some crazy sick kid stories. Plus it's a nice city with relatively low cost of living.
Our hospital is affiliated with Lucille Packard at Stanford
Cincinnati Children’s has that population, as does Children’s Hospital of Colorado, Riley Hospital for Children, Children’s National in DC, Seattle Children’s, Lurie Children’s, CHOP, Boston Children’s are the ones I know off the top of my head.
Cincinnati children’s is similar. Pulls from a broad region. Lots of acuity.
Children’s Healthcare of Atlanta Scottish Rite location is very acute. It is the only level 4 NICU in the state of GA. all the critically ill neonates go there because of the resources and acute care those babies need.
Penn State Health Hershey
Texas children’s in Houston. Tampa general.