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Date: | Sat, 12 Mar 2005 12:22:14 EST |
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Kathy, she may have been using an Icterometer, a simple tool which is kind
of like holding a paint swatch up to the skin to measure bilirubin levels. I
found one in the Cascade Birthing Supplies catalog online.
_http://www.1cascade.com/professional_products/icterometer/_
(http://www.1cascade.com/professional_products/icterometer/)
I've also seen a simple "meter" kind of instrument that is used in the
hospital before ordering a heel stick.
From WebMD (not my favorite website but it does have some good information)
Some hospitals may use a noninvasive device (called a transcutaneous
bilirubin meter) instead of the standard heel stick to evaluate a newborn's
bilirubin level. A transcutaneous bilirubin meter is a small handheld device that
measures bilirubin levels when placed gently against the skin.
I learned how to judge bili levels the "old school way" from an article that
discussed the cephlocaudal progression of jaundice and equated potential
levels by progression on the body. When I was in nursing school, I learned that
many of the nursery nurses who had been practicing since the 70s or 80s,
learned from the same article. I may even have the article here somewhere!
Hope this explains better than the earlier email I sent you!
Best regards,
Mary Kay Smith, RN, IBCLC
Canton MI USA
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