title: Outcome of clinical nurse specialist-led hyperbilirubinemia screening of late preterm newborns.
abstract: 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.
  
  
  METHODS
  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.
  
  
  RESULTS
  The readmission rate of late preterm newborns with hyperbilirubinemia in the 30 days after birth was reduced to zero, providing evidence of programmatic effectiveness.
  
  
  CONCLUSIONS
  Universal screening of late preterm newborns for hyperbilirubinemia significantly improved outcomes in this vulnerable population.
  
  
  CONCLUSIONS
  Detection of hyperbilirubinemia through universal screening of late preterm newborns is recommended in newborn nurseries.
authors.affiliation: Meriter Hospital Newborn Intensive Care Unit, 202 S Park St, Madison, WI 53715, USA. laura-nelson182@yahoo.com
authors.forename: Laura
authors.initials: L
authors.lastname: Nelson
authors.forename: Jennifer J
authors.initials: JJ
authors.lastname: Doering
authors.forename: Megan
authors.initials: M
authors.lastname: Anderson
authors.forename: Lucy
authors.initials: L
authors.lastname: Kelly
mesh_terms: D006801:Humans; D006932:Hyperbilirubinemia / Q000175:diagnosis*; D007231:Infant, Newborn; D007234:Infant, Premature; D015997:Neonatal Screening; D010865:Pilot Projects; D013041:Specialties, Nursing