2.50
Hdl Handle:
http://hdl.handle.net/10755/153195
Type:
Presentation
Title:
Identification of Newborns at High Risk for Hyperbilirubinemia
Abstract:
Identification of Newborns at High Risk for Hyperbilirubinemia
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Schaarschmidt, Mary Jo, RN, MSN, CPNP
P.I. Institution Name:ValleyCare Health System
Title:Clinical Nurse Specialist
Co-Authors:Danielle Nabozny, RN, BSN and Denise Bickert, RN, BA, MS
[Research Presentation] The purpose of this study is to answer the question: "Has the implementation of the guidelines, recommended by JCAHO, AAP and Dr. Bhutani, for a universal systematic assessment to identify newborns at risk for hyperbilirubinemia increased the number of babies identified for treatment prior to discharge and decreased the number of babies needing to be re-admitted for phototherapy?" Nurses visually assessed jaundiced infants and waited for pediatricians to initiate treatment. Infants diagnosed with hyperbilirubinemia after discharge needed re-admission. Now, nurses assess for jaundice and risk factors, measure the transcutaneous and serum bilirubin levels, interpret results on a nomogram, and call for admit orders. All newborns born in-house were included. May- August 2005 was the pre-intervention period. September 2005 -January 2006, the study period, included the use of the TcB and the nurse's independent interpretation on the nomogram. Out of the 457 well babies in the pre-intervention months, 11 babies (2.4%), were readmitted. During the study months, 15(3%), of the 508 babies were readmitted. Out of the 457 well babies in the pre-intervention months, 20 babies (4.4%) were diagnosed in-house. During the study months, 31 babies out of 508 (6.1%) were diagnosed in-house. The babies identified for treatment prior to discharge did increase. Although it was not statistically proven that readmits decreased; the fact that there was no increase in re-admits during winter months compared to summer months is a positive impact. Winter months are notoriously busier months for treatment of hyperbilirubinemia as sunlight can be an effective treatment for jaundice. This study provided information to improve education for nurses in identifying risk factors for our patient population and the prevention of hyperbilirubinemia readmissions. This allows more vigilant observation of newborns for early intervention and focused education for parents on interventions available to help decrease high enough bilirubin levels that necessitate treatment.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleIdentification of Newborns at High Risk for Hyperbilirubinemiaen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153195-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Identification of Newborns at High Risk for Hyperbilirubinemia</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Schaarschmidt, Mary Jo, RN, MSN, CPNP</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">ValleyCare Health System</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Nurse Specialist</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mschaars@valleycare.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Danielle Nabozny, RN, BSN and Denise Bickert, RN, BA, MS</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] The purpose of this study is to answer the question: &quot;Has the implementation of the guidelines, recommended by JCAHO, AAP and Dr. Bhutani, for a universal systematic assessment to identify newborns at risk for hyperbilirubinemia increased the number of babies identified for treatment prior to discharge and decreased the number of babies needing to be re-admitted for phototherapy?&quot; Nurses visually assessed jaundiced infants and waited for pediatricians to initiate treatment. Infants diagnosed with hyperbilirubinemia after discharge needed re-admission. Now, nurses assess for jaundice and risk factors, measure the transcutaneous and serum bilirubin levels, interpret results on a nomogram, and call for admit orders. All newborns born in-house were included. May- August 2005 was the pre-intervention period. September 2005 -January 2006, the study period, included the use of the TcB and the nurse's independent interpretation on the nomogram. Out of the 457 well babies in the pre-intervention months, 11 babies (2.4%), were readmitted. During the study months, 15(3%), of the 508 babies were readmitted. Out of the 457 well babies in the pre-intervention months, 20 babies (4.4%) were diagnosed in-house. During the study months, 31 babies out of 508 (6.1%) were diagnosed in-house. The babies identified for treatment prior to discharge did increase. Although it was not statistically proven that readmits decreased; the fact that there was no increase in re-admits during winter months compared to summer months is a positive impact. Winter months are notoriously busier months for treatment of hyperbilirubinemia as sunlight can be an effective treatment for jaundice. This study provided information to improve education for nurses in identifying risk factors for our patient population and the prevention of hyperbilirubinemia readmissions. This allows more vigilant observation of newborns for early intervention and focused education for parents on interventions available to help decrease high enough bilirubin levels that necessitate treatment.</td></tr></table>en_GB
dc.date.available2011-10-26T12:06:29Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:06:29Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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