<<For example, the nurses are beginning to
get upset when a certain pediatrician will not discharge a 3 day old healthy
baby with a bili of 10. He puts the baby under phototherapy. The next day it
is 9.8 and he lets the baby go home. If it goes to 10.8 for example, he
keeps the baby another nite. 10 being the magic number. Overnite the mother
has to express and be separated from her baby.>>

Laurie, I understand your need to rant, but just for sake of questions ~ why
not a simple bili bed in the mother's room ?
Why are they staying three days?  Why not a follow up with home health?
What are the standards of care relative to treatment for the bilirubin ?  It
is very difficult to be believe that the insurance company is going to let
this term baby with a bili of 10.8 stay in the hospital with no other
mitigating factors.  Can you take these concerns to the Pediatric section?
How are the mosquitoes in your part of  LA ?
Beadie Cambardella RN IBCLC

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