NeoBLUE Blanket Use of Guidelines
Contents
1. is done by Lanston Kallusky Biomed starting on the 26 March 2012 Should be greater than 30uW cm2 nm Care of the Infant 1 2 Newborn may remain in mothers room Apply eye lubricant to the eyes prior to going under the phototherapy lights and then a minimum every 8 hrs or more frequently if needed Routine eye care consists of removing the eye patches and checking for signs of conjunctivitis or irritation and reapplying lubricant as well as routine eye care Newborn Label to be placed on the eye lubricant Can be kept at the bedside for repeat use Eye patches Ensure that the eyelids are shut and cover with opaque phototherapy eye patches Secure the eye patches ensuring patches do not put pressure on the eyelids This is to prevent the cornea of the eyes from drying Covering the eyes prevents retinal damage from the light The nurse or mother may remove the pads when the baby is not exposed to the lights such as when breast feeding Only the nurse may reapply the patches to ensure that it is correctly applied aN Covenant Y Health Date Approved NeoBLUE Use of Guidelines Page 3 of 3 3 The infants temperature should be taken before the phototherapy begins Monitor temperature hourly x 4hrs then monitor every 4 hours This will be the screen for temperature instability especially as one of the effects of phototherapy on bilirubin is the production of heat All other vitals signs must be taken pr2. FAN Covenant NeoBLUE Blanket Women s Health Health Equipment Compassionate care led U se of by Catholic values Date Approved Misericordia Community G u idel ines eee Hospital Date Effective Approved by March 2012 Next Review Director Women s Health Covenant Health GNH MCH March 2015 Page 1 of 3 Purpose To maximize desired effects of phototherapy while minimizing the complications from that administration Policy To ensure correct use of NeoBLUE by all Covenant Health Users Statement Applicability All Covenant Health Staff on Postpartum Unit Misericordia Responsibility Procedure The neoBLUE blanket LED Phototherapy System is positioned underneath the baby to deliver phototherapy via a blue LED light source amp fiberoptic blanket Most Effective Degradation of Bilirubin The neoBLUE blanket LED Phototherapy System meets AAP Guidelines for intensive efficacious phototherapy2 Intensity Delivers intensive phototherapy gt 30 uW cm2 nm Spectrum Utilizes blue light emitting diode LED technology The LED emits blue light in the 450 475 nm spectrum matching the peak absorption wavelength 458 nm at which bilirubin is broken down Surface Area Coverage Delivers phototherapy over a larger effective treatment area than other fiberoptic devices Safety Features e The neoBLUE LED does not emit light in the ultraviolet UV range reducing the potential risk of skin damage e The n
3. amp crid 583 on the 22 March 2012
4. eoBLUE LED does not emit light in the infrared radiation IR range reducing the potential risk of fluid loss e Device automatically shuts off in the event of light box overheating e Flashing indicator light alerts user to check for blocked air vents la Covenant Y Health Date Approved NeoBLUE Use of Guidelines Page 2 of 3 Designed For Comfort amp Support Streamlined oval design conforms to the shape of the baby Large and small blanket sizes available Mattress provides comfortable cushioning underneath the infant Disposable mattress covers ensure clean soft surface for baby A blanket can be used in conjunction with the neoBLUE blanket for added warmth amp comfort Baby can be held or nursed without interrupting phototherapy encouraging infant parent bonding Nursing Procedure 1 2 3 4 gn ND Check the order for phototherapy Education of the mother on how the equipment works and why it is necessary Place the neoBLUE blanket with mattress in the bassinet Position the blanket light box so the air vents have unobstructed air movement and insert into the fiberoptic coupling Insert power supply into the rear of the light box The power cord should be plugged into the outlet minimizing the possibility of falls Apply disposable mattress covers to blanket mattress Turn ON the neoBLUE using the on switch when the baby is ready Check the light intensity weekly this
5. ior to starting the phototherapy and then every 4 hours 4 Monitor for signs of dehydration by observing the skin turgor and mucus membranes and monitoring the in and output weigh the diapers for an accurate measurement if ordered 5 Follow the orders for supplementation of fluids where necessary Assess the stool characteristics and record and change the diapers frequently and examine the perianal areas Loose stools are often irritating If diarrhea occurs and the baby appears dehydrated inform the physician Documentation Document when the device was initiated and the serum bilirubin level Document the vitals signs on the newborn caremap Document on the Medication Record the eye lubricant and on the Newborn Record who applied the eye patches each time they are placed Document the frequency of feeding and amount if bottle feeding Document Supplements Record the in and output Remark on the eyes skin and buttocks every 4 hrs Document how the family is coping References Brown Y Evans M Evans R Orshan S 2010 Canadian Maternity Newborn and Women s Health The High Risk Infant 2nd Ed pp923 926 Lippincott Williams amp Wilkins Adopted with permission from the Stollery Childrens Hospital http www intranet cha ab ca nicu Documents PoliciesProcedures Integument phototherapy pro p on the 23rd March 2012 Natus Medical neoBLUE blanket User manual Retrieved from http www natus com index cfm page products 1
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