Neonatal point-of-care ultrasound—guidelines for training, credentialing and quality assurance

Abstract Point-of-care ultrasound (POCUS) has become essential for diagnosing and managing critically ill newborns. This technology offers rapid, non-invasive assessments and supports bedside clinical decision-making. Although POCUS applications in neonatology continue to expand, there remains a lack of standardized training, certification, and credentialing processes. This paper provides expert-based perspectives and guidelines for implementing neonatal POCUS, focusing on the core components of competency, credentialing, and quality assurance (QA). Recommendations include performing a minimum number of scans for various neonatal applications, integrating competency assessments into training programs, and ensuring a robust image repository and reporting pathway. Neonatal POCUS improves patient care, and establishing clear standards and frameworks will enhance provider performance, and ensure patient safety in neonatal intensive care units (NICUs).