By Eileen K. Woo, RN, BSN
Center for Devices and Radiological Health
Food and Drug Administration Rockville, MD.
The biliblanket, used to treat jaundice, consists of a fiber-optic pad and a portable illuminator from which therapeutic light is delivered to the infant. The pad should be, covered completely with a disposable cover and placed underneath or wrapped around the infant. Any alteration of the cover, such as cutting it in half, may contribute to an adverse event.
What went wrong?
- Inspect the biliblanket phototherapy system to make sure the fiber-optic pad is smooth and free from flaws. Make sure the cable and illuminator work properly.
- Check that the disposable cover completely protects the fiber-optic pad, including the area where the cable is connected to the pad. Don't cut or alter the cover.
- Secure the disposable cover around the pad cable with self-adhesive tabs.
- Expose as much of the infant's skin as possible to the illuminating side of the fiber-optic pad.
- Remove everything except the disposable cover from between the infant's skin and the light pad. The infant may wear a diaper, clothing, or a blanket over the pad.
- Shield the infant's eyes from direct exposure to the light with an opaque eye mask.