Joy Sweeney of the North Carolina Immunization Branch prepared materials and provided “first draft” of training designed for Newborn Critical Care Centers to pilot using the North Carolina Immunization Registry. Alamance Regional Hospital, NC Children’s Hospital, Duke Children’s Hospital and WakeMed have agreed to help pilot this training and participants gave feedback about the training and about the components of getting this implemented in these settings. The NCIR is established in North Carolina and a patient is currently entered in an ambulatory setting. Since most newborns are receiving immunizations prior to discharge, the advantages of enrolling the newborn and recording immunizations is appreciated by both families and providers. The next steps will involve creating training content and a training mechanism for these pilot hospitals, implementing the program and creating the necessary adjustments before spreading it to other facilities.