Advanced skills required include: administration of blood and blood products, anti-seizure medications, antibiotics/antivirals, APGAR scoring, arterial line management, assist with lumbar puncture, blood glucose monitoring, breastfeeding support/handling of breast milk, Bubble CPAP, central line blood draw, central line/implanted line care, colostomy/ileostomy management/care, developmental care, feedings (bottle, breast, gavage), gastroschisis/omphalocele, high flow nasal cannula (HFNC), high frequency ventilation, hyperbilirubinemia, ICP monitoring, insulin administration, invasive hemodynamic monitoring, isolation precautions/PPE, IV vasopressors, level 1 nursery, management of chest tubes, meconium aspiration, necrotizing enterocolitis (NEC), neonatal abstinence syndrome, neonatal dosage calculations, neonatal sepsis, neonates, NICU II, NICU III, NICU IV, nitric oxide, oscillators, oxygen delivery systems, patient/family teaching, phlebotomy, phototherapy, placement/management of oral/nasogastric/nasojejunal tubes, post abdominal surgery, respiratory distress syndrome, seizure disorders, sepsis work up, starting and maintaining IVs, steroids, suctioning (ETT, NT), surfactants, telemetry monitoring, therapeutic hypothermia (cooling blanket), thermoregulation, tracheostomy care/management, UAC, UVC, ventilator management (AC/PC/SIMV/CPAP/BIPAP/PEEP), and ventricular peritoneal (VP) shunts. The unit manages a wide range of complex diagnoses including prematurity, respiratory distress, hypoglycemia, sepsis, surgical cases across all subspecialties except cardiac, and hypoxic-ischemic encephalopathy (HIE).