Cause of Device-Related Incident*Not stated
Clinical Specialty or Hospital DepartmentCCU / ICU / NICU; Nursery
Device Factors*Not stated
External Factors*Not stated
Mechanism of Injury or DeathBurn (electrical, thermal, chemical)
Support System Failures*Not stated
Tampering and/or Sabotage*Not stated
User Errors*Not stated
Phototherapy Bililights for the Jaundiced Infant
Always cover the infant's eyes before activating the phototherapy
Use the lowest level of light necessary for effective
therapy; more irradiance is not always better. Standardize use of one level of irradiance
(at least 4 µW/cm2/nm), and modify only when
Measure the irradiance level daily with a radiometer.
Remember that radiometer readings should be used only as a standard
for comparison (from day to day or when bulbs are changed). The absolute
value given is probably not accurate.
Document bulb type, irradiance levels, changes in the infant's
condition, and serum bilirubin levels to evaluate the effectiveness of
Check the infant often; blue light may mask clinical symptoms (e.g.,
Shut off phototherapy lamps when drawing blood samples for serum
bilirubin. The light can degrade the bilirubin in the sample and cause
Be aware that extra fluid replacement may be required to compensate
for increased insensible water loss during phototherapy.
Always be sure the clear plastic cover is in place on units that use
fluorescent lamps; it filters harmful ultraviolet light.
Remember that frequent bumps and activations shorten bulb life.