The purpose of this project was to implement universal screening of all late preterm newborns for hyperbilirubinemia in a level I newborn nursery.
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.
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.
The readmission rate of late preterm newborns with hyperbilirubinemia in the 30 days after birth was reduced to zero, providing evidence of programmatic effectiveness.
Universal screening of late preterm newborns for hyperbilirubinemia significantly improved outcomes in this vulnerable population.
Detection of hyperbilirubinemia through universal screening of late preterm newborns is recommended in newborn nurseries.
Author Affiliations: Neonatal Clinical Nurse Specialist (Ms Nelson), Meriter Hospital Newborn Intensive Care Unit, Madison, Wisconsin; Assistant Professor (Dr Doering), College of Nursing, University of Wisconsin–Milwaukee; Clinical Manager (Ms Anderson), ProHealth Care Women’s Center, Waukesha, Wisconsin; Research Assistant (Ms Kelly), College of Nursing, University of Wisconsin–Milwaukee.
No funding was received for this work.
The authors report no conflicts of interest.
Correspondence: Laura Nelson, MSN, BSN, CNS, Meriter Hospital, 202 S Park St, Madison, WI 53715 (firstname.lastname@example.org).