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Outcome of clinical nurse specialist-led hyperbilirubinemia screening of late preterm newborns. Clin Nurse Spec 2012;26(3):164-8



Pubmed ID




Scopus ID

2-s2.0-84859895278 (requires institutional sign-in at Scopus site)   1 Citation


PURPOSE/OBJECTIVE: The purpose of this project was to implement universal screening of all late preterm newborns for hyperbilirubinemia in a level I newborn nursery. RATIONALE/BACKGROUND: Late preterm newborns have traditionally received the same level of care and monitoring as term newborns despite being at increased risk for morbidity and mortality.

DESCRIPTION OF THE PROJECT: An interdisciplinary clinical nurse specialist-led team guided by the Iowa Model of Evidence-Based Practice developed, piloted, and evaluated a standardized, coordinated approach to universal screening, assessment, and management of hyperbilirubinemia for late preterm newborns.

OUTCOMES: The readmission rate of late preterm newborns with hyperbilirubinemia in the 30 days after birth was reduced to zero, providing evidence of programmatic effectiveness.

INTERPRETATION/CONCLUSION: Universal screening of late preterm newborns for hyperbilirubinemia significantly improved outcomes in this vulnerable population.

IMPLICATIONS: Detection of hyperbilirubinemia through universal screening of late preterm newborns is recommended in newborn nurseries.

Author List

Nelson L, Doering JJ, Anderson M, Kelly L


Jennifer Doering PhD Associate Professor in the Nursing department at University of Wisconsin - Milwaukee

MESH terms used to index this publication - Major topics in bold

Infant, Newborn
Infant, Premature
Neonatal Screening
Pilot Projects
Specialties, Nursing