With the JACHO sentinel event regarding kernicterus, our hospital has
begun routine monitoring of newborn jaundice using trancutaneous
bilirubin meters. We have started including this assessment as part of
the each Lactation Outpatient Clinic visit as well, and I would like to
know what the current practice of other LCs is:

 

1.       Does your outpatient lactation clinic appointment include
assessing jaundice using a transcutaneous bilirubin meter? 

 

2.       If so, do you charge for this and what is the charge? Is it
billed to insurance?

 

3.       How often does an infant need to obtain a serum bilirubin level
during a lactation outpatient visit - either based on visual assessment
or a high transcutaneous meter reading? 

 

Thanks,

Sue Rio, RN, IBCLC

Edward Hospital Lactation Center

Naperville, IL

 


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