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.
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. –
- Greyish Stools / Diarrhea
- Dark colored urine
- Send blood samples for bilirubin level as ordered by the physician.
- Nurse’s Observation Sheet