Background: COVID 19 is a worldwide epidemic that resulted in public suffering worldwide and ended the life of many; a lot of preventive measures were implemented to combat the spread of this pandemic. Neonatal intensive care units (NICUs) are dedicated units that deliver health care to neonates, so distinct preventive actions must be followed to protect them. Objectives: Assess admission regulations at two NICUs in two tertiary level hospitals during COVID 19 first wave pandemic peak. Determine precautions taken by healthcare providers to protect themselves and neonates. Method: Health system research exploratory study. Results: Hospital regulations regarding patient admission, triage, and visits were changed during the crisis. A robust infection preventive and control measures were followed including physical distancing. Conclusion: Hospital management, regulations and infection prevention measures should be revised and updated to decrease the spread and effect of the infectious virus on the life of neonates, their families, and providers especially during the time of pandemics. Recommendations: Studies are needed to revise and evaluate updated recommendations on how to prevent infectious diseases spread in NICUs during the time of pandemics.