Sometimes hospital staff nurses cannot provide required care due to time constraints. This reality can contribute to potentially dire outcomes for very low birthweight (VLBW) infants, who weigh less than 3.3 lbs. at birth. These newborns depend on the nurse for survival. Missed nursing care is likely clinically relevant to whether VLBW infants develop an infection, develop a brain hemorrhage, or even die. Given post-pandemic staffing shortages and the increased burden placed on nurses, routine measurement of missed care and managerial efforts to prevent it could be vital to improving the health and life course of VLBW infants.