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Quality Improvement

• QI Toolkits
  • Hospital Acquired Infection Prevention
  • Improving Initial Lung Function: Surfactant and Other Means
  • Antenatal Corticosteroid Therapy
  • Postnatal Steroid Administration
  • Nutritional Support of the VLBW Infant: Part I
  • Nutritional Support of the Very Low Birth Weight Infant Part II
  • Care and Management of the Late Preterm Infant Toolkit
  • Delivery Room Management of the Very Low Birth Weight (VLBW) Infant Toolkit
  • Severe Hyperbilirubinemia Prevention
  • Prevention of Perinatal Group B Streptococcus Disease Toolkit
  • Prevention of Perinatal HIV Toolkit
• CPQCC/CCS Healthcare Associated Infection (HAI) Collaborative
• Webcast Recordings
• PQIP Meetings

Severe Hyperbilirubinemia Prevention

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

 

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 )

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

iii. Neonatal Hyperbilirubinemia Competency (80.6 KB )

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

v.  Neonatal Hyperbilirubinemia Post-Test (2.2 MB )

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

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

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

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

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

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

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

 

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 )  

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

c.      RPPC Annotated Bibliography. (121 KB )

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 )

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 )

 

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 )

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 )

 

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 )

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

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