2.50
Hdl Handle:
http://hdl.handle.net/10755/182545
Category:
Abstract
Type:
Presentation
Title:
Validation of a Newborn Jaundice Risk Scale
Author(s):
Mendelson, Sherri
Author Details:
Sherri Mendelson, RNC, CNS, PhD, IBCLC, Providence Holy Cross Medical Center, Mission Hills, California, USA, email: Sherri.mendelson@providence.org
Abstract:
Poster Presentation ; Background: Bilirubin is a bile pigment derived from the breakdown of red blood cells. Hyperbilirubinemia occurs in 60-70% of all term newborns and up to 80% of all preterm newborns. A heightened concern about the results of excessive bilirubin levels resulted from the 2004 Kernicterus Sentinel Alert from JCAHO. In response to this alert, validated methods were needed to identify infants at increased risk for hyperbilirubinemia. Utilizing evidence-based risk factors for hyperbilirubinemia from a review of the literature, an instrument was developed to assess infants prior to discharge from the normal newborn nursery. Purpose: 1. Validate an instrument to identify newborns at risk for hyperbilirubinemia at discharge from the normal newborn nursery. 2. Correlate infant risk scores on the instrument with bilirubin levels and the Bhutani bilirubin nomogram prior to newborn discharge from the normal newborn nursery. 3. Determine nursing and physician acceptance of the new assessment form for neonatal hyperbilirubinemia at discharge. Methods: The instrument was completed by mother-baby nursing staff on two-hundred-twenty well newborns in a 250 bed community hospital. Nurses also completed the LATCH Scale for breastfeeding adequacy, infant bilirubin levels compared to the Bhutani bilirubin nomogram, maternal and infant blood type, Coombs status, and days of life prior to infant discharge. Orientation to the form was completed and the form was initiated. Jaundice Risk Scale: The Jaundice Risk Scale is comprised of 11 factors. The factors are gestational age, total bilirubin level, maternal and neonatal blood group, previous sibling history, birth trauma, feeding method and adequacy, birth weight for gestational age and percent weight loss since birth, discharge age, race, gender, and observable jaundice. Each risk factor on the Jaundice Risk Scale is marked independently as low, medium, or high risk for hyperbilirubinemia for the infant. Risk indication...[Please contact the primary investigator for more information about this poster presentation.] REFERENCES: Asad, S., Singh, S., Ahmad, A., Khan, & Hadi, S. (2002). Bilirubin/biliverdinûCu(II) induced DNA breakage; reaction mechanism and biological significance. Toxicology Letters, 31:3, 181-189. Kernicterus Sentinel Alert JCAHO, 2004. A Systems Approach for Neonatal Hyperbilirubinemia in Term and Near-Term Newborns Bhutani, V., Johnson, L., Schwoebel, A., & Gennaro, S. (2006). Journal of Obstetric, Gynecologic, & Neonatal Nursing, 35:4, 444-455. Bhutani, et al., (2000). Noninvasive Measurement of total serum bilirubin in a multiracial predischarge newborn population to assess the risk of severe hyperbilirubinemia. Pediatrics, 102:6, e17.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2008
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Salt Lake City, Utah, USA
Description:
The 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleValidation of a Newborn Jaundice Risk Scaleen_GB
dc.contributor.authorMendelson, Sherrien_US
dc.author.detailsSherri Mendelson, RNC, CNS, PhD, IBCLC, Providence Holy Cross Medical Center, Mission Hills, California, USA, email: Sherri.mendelson@providence.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182545-
dc.description.abstractPoster Presentation ; Background: Bilirubin is a bile pigment derived from the breakdown of red blood cells. Hyperbilirubinemia occurs in 60-70% of all term newborns and up to 80% of all preterm newborns. A heightened concern about the results of excessive bilirubin levels resulted from the 2004 Kernicterus Sentinel Alert from JCAHO. In response to this alert, validated methods were needed to identify infants at increased risk for hyperbilirubinemia. Utilizing evidence-based risk factors for hyperbilirubinemia from a review of the literature, an instrument was developed to assess infants prior to discharge from the normal newborn nursery. Purpose: 1. Validate an instrument to identify newborns at risk for hyperbilirubinemia at discharge from the normal newborn nursery. 2. Correlate infant risk scores on the instrument with bilirubin levels and the Bhutani bilirubin nomogram prior to newborn discharge from the normal newborn nursery. 3. Determine nursing and physician acceptance of the new assessment form for neonatal hyperbilirubinemia at discharge. Methods: The instrument was completed by mother-baby nursing staff on two-hundred-twenty well newborns in a 250 bed community hospital. Nurses also completed the LATCH Scale for breastfeeding adequacy, infant bilirubin levels compared to the Bhutani bilirubin nomogram, maternal and infant blood type, Coombs status, and days of life prior to infant discharge. Orientation to the form was completed and the form was initiated. Jaundice Risk Scale: The Jaundice Risk Scale is comprised of 11 factors. The factors are gestational age, total bilirubin level, maternal and neonatal blood group, previous sibling history, birth trauma, feeding method and adequacy, birth weight for gestational age and percent weight loss since birth, discharge age, race, gender, and observable jaundice. Each risk factor on the Jaundice Risk Scale is marked independently as low, medium, or high risk for hyperbilirubinemia for the infant. Risk indication...[Please contact the primary investigator for more information about this poster presentation.] REFERENCES: Asad, S., Singh, S., Ahmad, A., Khan, & Hadi, S. (2002). Bilirubin/biliverdinûCu(II) induced DNA breakage; reaction mechanism and biological significance. Toxicology Letters, 31:3, 181-189. Kernicterus Sentinel Alert JCAHO, 2004. A Systems Approach for Neonatal Hyperbilirubinemia in Term and Near-Term Newborns Bhutani, V., Johnson, L., Schwoebel, A., & Gennaro, S. (2006). Journal of Obstetric, Gynecologic, & Neonatal Nursing, 35:4, 444-455. Bhutani, et al., (2000). Noninvasive Measurement of total serum bilirubin in a multiracial predischarge newborn population to assess the risk of severe hyperbilirubinemia. Pediatrics, 102:6, e17.en_GB
dc.date.available2011-10-28T15:29:02Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:29:02Z-
dc.conference.date2008en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationSalt Lake City, Utah, USAen_US
dc.descriptionThe 12th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 15-17 October, 2008 in Salt Lake City, Utah, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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