Severe Hyperbilirubinemia Prevention (rev. OCTOBER 2005)

I - IV.    Severe Hyperbilirubinemia Prevention Toolkit (1.9 MB PDF document)


V. Quality Improvement Examples/Appendices

a. RPPC (CPN/OCPC)  Contributed by:  D. Lisa Bollman, RN, CPHQ/Lucy VanOtterloo, RN, MSN

i.  Hyperbilirubinemia & Kernicterus Prevention Risk Assessment (918.1 KB PDF document)

ii. Prevention of Excessive Hyperbilirubinemia Chart Audit Tool (56.7 KB PDF document)

iii. Neonatal Hyperbilirubinemia Competency (80.6 KB PDF document)

iv. Self- Assessment and Verification of Competency Newborn Hyperbilirubinemia (84.2 KB PDF document)

v.  Neonatal Hyperbilirubinemia Post-Test (2.2 MB PDF document)

vi. Neonatal Hyperbilirubinemia: Screening, Assessment, Management & Prevention of Kernicterus, Quality Improvement Plan & Tools (126.4 KB PDF document)

vii. Questions and Answers:  Jaundice and Your Newborn (English):  American Academy of Pediatrics (91.7 KB PDF document)

viii. Question and Answers:  Jaundice and Your Newborn (Spanish):  American Academy of Pediatrics (99.4 KB PDF document)

ix. Self-Paced Learning Module, Neonatal Hyperbilirubinemia:  Screening, Assessment, Management & Prevention of Kernicterus Continuing Education Credits (CEU) (58.8 KB PDF document)

x. Neonatal Hyperbilirubinemia Post-Test Answer Sheet and Evaluation (67.2 KB PDF document)

xi. Self-Assessment and Verification of Competency � Newborn Hyperbilirubinemia (84.1 KB PDF document)

xii. (6.5 MB Microsoft Powerpoint Document)Neonatal Hyperbilirubinemia Power Point Presentation (Lecture) (6.5 MB Microsoft Powerpoint Document)


VI.  Annotated Bibliography and Selected Articles

a.      Academy of Breastfeeding Medicine, Protocol #10:  Breastfeeding the near-term infant (35 to 37 weeks gestation). (131.1 KB PDF document)  

b.      International Lactation Consultant Association, Position paper on infant feeding, 2000, revised, originally published in 1991. (132.6 KB PDF document)

c.      RPPC Annotated Bibliography. (121 KB PDF document)

d. Steffensrud, S. (2004). Hyperbilirubinemia in term and near term infants: Kernicterus on the rise? Newborn and Infant Nursing Reviews, 4(4) 191-200.

e.  Subcommittee on Hyperbilirubinemia, American Academy of Pediatrics. Management of Hyperbilirubinemia in the newborn infant 35 or more weeks of gestation. Pediatrics 2004,114:297-316. (758.6 KB PDF document)

f.  Atkinson LR, Escobar GJ, Takayama JI, Newman TB. Phototherapy use in jaundiced newborns in a large managed care organization-Do clinicians adhere to the guideline? Pediatrics 2003; 111:e555-e561. (423.9 KB PDF document)


g. Chou SC, Palmer RH, Ezhuthachan S, Newman C, Pradell-Boyd B, Maisels MJ, Testa MA. Management of hyperbilirubinemia in newborns-Measuring performance by using a benchmarking model. Pediatrics 2003; 112:1264-1273. (765.9 KB PDF document)

h. Academy of Breastfeeding Medicine, Clinical Protocol #2, Guidelines for hospital discharge of the breastfeeding term newborn and mother, "Going home protocol,"  (2001). (88.4 KB PDF document)


VII. Frequently Asked Questions


VIII. Appendices:

a.     Excel file for adapting the example form: �Newborn Screening (> 35 WKS GA) for Bilirubin Assessment and Follow-Up Planning� to your own hospital's needs.  File includes the example form (tab 1), the proposed back of the form for those who want to get feedback from offices seeing discharged infants at risk for severe hyperbilirubinemia (tab 2), the basic components of the form (tab 3), and the bilirubin graph portion of the form (tab 4). (46.5 KB Microsoft Excel Document)

b.     The Word file that contains the risk table that is pasted on the Assessment and Follow-Up Form. (30.5 KB Microsoft Word Document)

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