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Phototherapy for child care in phototherapy

Care Of A Baby Under Phototherapy

Purpose

To bring down serum bilirubin level to normal.

Scope

Elevated serum bilirubin levels.

Definition

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

Applicable Areas

NICU, Gyneac and Obstetric Department.

Responsibility

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

Procedure

  • 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.

Documentation

  • Nurse’s Observation Sheet