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Kootenai Health
Bone & Joint
Orthopedic care for injuries, joint pain and movement concerns, including advanced joint replacement, sports medicine, trauma care and recovery.

Brain & Spine
Neurologists, neurosurgeons and rehabilitation specialists with leading technology and treatment options for a wide range of brain, spine and nerve conditions.

Cancer Care
Nationally accredited cancer care with specialists working together on advanced treatment options, clinical trials and support through every step.
Digestive Health
Digestive specialists who diagnose and treat everything from routine screenings and ongoing symptoms to advanced procedures, IBD and liver disease.

Heart, Vascular & Lung
Nationally recognized specialists for heart, blood vessel and lung conditions, from testing and ongoing treatment to advanced procedures and surgery.

Women & Children
Connected care for women, babies and children, from everyday health needs and pregnancy to specialized hospital care when more support is needed.
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Kootenai Health in the Community
Rooted in community. Driven by care for all.
From sponsoring local events like Ironman to ensuring every neighbor has access to care, we're here for our community—because caring for our neighbors is who we are.
Community Involvement
Newborn intensive care that keeps families together.
Newborn intensive care that keeps families together.

Neonatal Intensive Care Unit (NICU)

Newborn intensive care that keeps families together.

Neonatal Intensive Care Unit (NICU)

Level III NICU care with neonatologists in the hospital 24/7.

When a baby arrives early or needs extra support adjusting to life outside the womb, it’s not the start any family expects. Kootenai Health’s Level III NICU cares for babies born as early as 26 weeks, as well as newborns who need specialized monitoring or support with breathing, feeding, blood sugar, temperature, or other medical needs, allowing many families to stay close to home for their baby’s care.

Board-certified neonatologists rotate in the hospital 24/7, working with NICU nurses, respiratory therapists, developmental therapists, nutritionists, pharmacists and other newborn experts. Each day the team reviews your baby’s breathing, feeding, growth, and medications together and adjusts the care plan as needed. They also help prepare your family for the transition home when the time is right.

As a parent, you are part of the care team. You’ll get updates during family centered rounds and opportunities to hold, touch, and feed your baby whenever possible. We also know how important it is for you to stay close by. Our NICU includes private rooms where a parent can stay overnight, along with Angel Eye cameras that securely stream video to your phone or computer so you can see your baby when you can’t be at the bedside.

Advanced newborn treatment—including breathing support, advanced imaging such as ultrasound or MRI, and cooling therapy for babies who experienced complications around the time of birth—is available right here in Coeur d’Alene so families can stay close together.

Select equipment in the NICU made possible by generous donors' support of the Kootenai Health Foundation.

95.6% Stay Local

Helping families avoid transfers
Since becoming a Level III NICU, we’ve kept more than 95% of babies here for treatment, helping families avoid transfers to larger cities during a critical time.

Stabilization Procedures

Breathing and medication access
When newborns need urgent care, our NICU team performs procedures such as intubation to support breathing and places PICC or umbilical lines for medications and nutrition.

24/7 Neonatologists

A newborn doctor in the hospital day and night
Board-certified neonatologists are in the NICU 24/7—not on call—so if your baby needs breathing support, medication changes, or urgent care, a specialist responds immediately.
“Our strength is our connection- to each other, to our families, and to the work we do. These unique connections allow us to create a space that feels comforting, supportive, and personal- providing a sense of home during an uncertain time.”
— Alisha Dickey, CC RN

What to Expect

Our experienced NICU team is here to help you understand and navigate this complex and uncertain time. You’re an important participant in your baby’s care, and they’ll help you stay involved in ways that keep you close to your baby and informed about their progress.

Our private NICU rooms: 

  • Are designed so at least one parent can stay with baby.
  • Encourage personal items like blankets, clothes, and pictures for a cozier, home-like feel.
Need Help?
Questions About Your Visit?

Call the NICU team 
at (208) 625-5088

View test results and medical history anytime.

Need Portal Setup Help?

Check out MyChart Getting Started Guide or ask our nurses or front office to get started.

Milk Room

As part of Kootenai Health’s 100,000-square-foot expansion, the neonatal intensive care unit (NICU) added a dedicated milk room to support babies receiving breast milk. Specially trained staff carefully store, track, and prepare the milk you express for your baby.

When it’s time to feed, you or your baby’s nurse can provide your milk using the method that is developmentally appropriate and/or medically necessary for your baby, including bottle, breast, or feeding tube.

AngelEye Camera

We understand that families can’t always be at their baby’s bedside, which is why each NICU room is equipped with an AngelEye camera. Made possible through the generous support of Kootenai Health Foundation donors, AngelEye provides a secure video stream so you can see your baby when you’re unable to be there in person.

You can log in from your phone, computer or smart TV to check in on your baby anytime, day or night. Through the system’s one-way messaging feature, the care team can also send you messages and updates about your baby.

Supporting Development in the NICU

NICU therapists help support your baby’s development from the very beginning. Physical therapists, occupational therapists, and speech-language pathologists work with the care team to support positioning, feeding and swallowing, early movement, and family education. They also help families prepare for the transition home and connect to follow-up care when needed.

 Learn more about Pediatric Rehabilitation Therapy →

HERE FOR THE EARLY DAYS - AND THE DAYS AFTER

Our Family Birth Center supports families with postpartum care, lactation help, and guidance while your baby is in the NICU and after you go home.

Where Care Meets Expertise

Conditions
  • Preterm infants born as early as 26 weeks gestation 
  • Infants born requiring advanced respiratory support 
  • Infants requiring comprehensive care for severe or complex illnesses
Diagnostics & Testing

On-site radiology (24/7)

  • Ultrasound and MRI (early detection and monitoring of injuries; guides treatment therapy decisions)
  • Fluoroscopy (evaluates needs like feeding and GI issues)

Specialty diagnostics

  • Cardiology: Echocardiogram and electrocardiogram/EKG (assesses heart function)
  • Neurology: Electroencephalography/EEG (assesses brain function)
Treatments & Procedures

Standard Level III NICU procedures

  • PICC line (catheter) placement
  • Umbilical line placement (alternative access to catheter)
  • Intubation (respiratory support)
  • Needle thoracentesis (addresses lung/respiration issues)
  • Chest tube placement (air/fluid drainage)

Specialized therapies

  • Total body cooling for HIE (treatment following oxygen deprivation)
  • Eat, Sleep, Console (ESC) pathway (non-drug-focused treatment for babies affected by drugs during pregnancy)
  • Small Baby Unit pathway for infants under 1500 grams (mimics the womb)

Continuing Care for NICU Babies

Developmental Follow-Up for NICU Graduates
Ongoing developmental screening and support for babies who spent time in the NICU.
Learn more
Infant Feeding and Swallowing Support
Physical, occupational, and speech therapy to support development, feeding, and early milestones.
Learn more
Pediatric Therapy After NICU Discharge
Physical, occupational, and speech therapy to support development, feeding, and early milestones.
Learn more
Lactation Services
You’ll get one-on-one guidance from our on-site board-certified lactation consultants during your NICU stay, and after you go home, they’re available any day of the year to help with additional questions or concerns.
Learn more

Summer's Story

When complications during pregnancy led to a diagnosis of severe preeclampsia, Summer and her husband suddenly faced decisions they never expected to make. With guidance from their care team at Kootenai Health, they prepared to deliver their daughter early at 29 weeks.

Their baby spent the next 60 days in the NICU, where a team of neonatologists, nurses, and specialists cared for her while she grew stronger. Being able to receive that level of newborn care close to home helped Summer focus on what mattered most—being present for her daughter each day.

“It’s truly a blessing to have that care very close to home in a time of life that’s very overwhelming.”
— Summer
Level III NICU

A team built around your baby—and you.

Board-certified neonatologists lead your baby’s care, working alongside NICU nurses and specialists who focus entirely on premature and medically fragile newborns. While some babies need breathing support, others might need help learning to feed or gaining weight. Depending on what your baby needs, your baby’s care team may also include respiratory therapists, developmental specialists, neonatal nutrition experts, lactation consultants, and pharmacists who work together to monitor progress, adjust treatments, and support healthy growth in the early days.

Neonatologists

Our board-certified neonatologists are pediatric doctors who specialize in caring for newborns who are premature, critically ill, or need extra medical support after birth. In the NICU, they monitor your baby’s condition, guide treatment decisions, and work with the care team to adjust care as your baby grows stronger.

Physicians

Pediatricians and family medicine physicians work alongside neonatologists to support your baby’s care in the NICU and often continue caring for your child after discharge.

Explore Family Medicine
Nurses

Your bedside nurses will be there for you and your baby providing continual expert care, assistance, and support. 

Lactation Consultants

Help you collect breast milk during your stay, prepare you for direct feeding, and troubleshoot concerns.

Explore Lactation Services
Respiratory Therapists

Any newborn, but especially those born prematurely, can need help breathing. The nursery’s respiratory therapists have been trained in the unique needs of newborns, providing oxygen or continuous positive airway pressure (CPAP) as needed.

Explore Respiratory Therapy
Dieticians

Registered dieticians are available to help meet all the nutritional needs of your baby.

Developmental Therapists

Developmental therapists in the NICU support early movement, feeding, and sensory development while helping families prepare for a safe transition home.

Explore Pediatric Rehabilitation Therapy
Social workers

Licensed social workers will help identify any additional needs for support and assist in accessing resources for your family. 

Pharmacists

These professionals play an important role in management of medications for your baby. 

Find a Specialist

Take the next step.

Need to transfer a newborn?

Our Level III NICU team works with referring hospitals to arrange transfers and prepare for babies who need intensive medical care.