Regional Cot Management Flow Chart
the Regional Neonatal Working Group
- Regional providers of neonatal services are committed to reducing the
need for Auckland mothers & babies to be transferred out of region at peak
times of occupancy.
- The decision to transfer a mother & baby out of region will occur only
after the designated responsible Manager and Clinician at each DHB has
confirmed that there are no level II cots available.
- The decision to transfer will only occur when it is confirmed that the
region’s resourced cots and/or physical cots are full.
- Antenatal transfers should be explored first, before any babies are
- Level 2 babies are considered before level 3 babies.
- Local units are responsible for Level II transfers. However level three
units will assist with CPAP transfers for Waitemata babies
Transferring babies out of the Auckland region
- It is the responsibility of the DHB of domicile for that baby to find
and transfer baby to the nearest available NICU out of the Auckland region.
However, if possible, the unit where the baby is residing will assist with
Post Transfer of Baby
- The referring unit is responsible for ensuring that the unit of domicile
for baby is aware of which unit the baby has been transferred to.
- The unit of domicile is responsible for any costs incurred for
accommodation for partner/support person
- The unit of domicile is responsible for organising a return flight when
cot becomes available.
Referring unit – Unit where baby is being clinically managed
* DHB (Unit) of domicile – This is the address where mother first registered her