Monday , March 18 2019
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Phototherapy for child care in phototherapy

Care Of A Baby Under Phototherapy


To bring down serum bilirubin level to normal.


Elevated serum bilirubin levels.


Caring for a baby being exposed to ultraviolet light source for prescribed period of time.

Applicable Areas

NICU, Gyneac and Obstetric Department.


Staff Nurse, Auxillary Nurse Midwife, Head Nurse and NICU Registrar.


  • Check physician’s order and blood report for serum bilirubin level.
  • Keep Phototherapy unit ready.
  • Wash hands and apply disinfectant.
  • Remove baby’s clothes and place him / her naked in the center of the cradle.
  • Cover baby’s eyes with pads and cover genital with diaper when under phototherapy.
  • Keep the baby at a distance as per the need of the baby from the phototherapy light.
  • Switch on the phototherapy light.
  • Change the position of the baby every 2 hours and expose whole body to phototherapy.
  • Switch off the lights and remove eye pads when mother feeds the baby. The baby should be out of phototherapy for more than 30 minutes at a time.
  • Monitor vital signs and record every 2 hours.
  • Entire fluids are given to compensate the insensible loss –
  • 10 ml / kg / day for single surface phototherapy.
  • 20 ml / kg / day for double surface phototherapy.
  • Weight the newborn daily.
  • Observe for side effects of phototherapy i.e. –
  • Conjunctivitis
  • Greyish Stools / Diarrhea
  • Dark colored urine
  • Dehydration
  • Hyperthermia
  • Send blood samples for bilirubin level as ordered by the physician.


  • Nurse’s Observation Sheet