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Historically, neonatal intensive care units (NICUs) have been designed as open-bay units with multiple patient beds in a room, a design that was introduced in the 1940s. The trend has shifted toward the inclusion of parents with neonatal care. Thus units consisting of single-patient or single-family rooms (SFRs; many of which include a reserved space for parents inside the patient room) required new construction. This configuration for neonatal care units was introduced as the ideal design in the 1990s. The new design reflected the general trend in healthcare toward patient and family satisfaction by emphasizing privacy and a feeling of individualized care, but by design, it neglects the elements that aid staff in caring for the patients, such as visibility, ease of access to patients, and efficiency of caring for multiple patients.1 The movement represented a change in focus away from the needs of staff and toward families’ needs, which in many cases are contradictory.