Philips Respironics BiliChek Benutzerhandbuch Seite 31

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All phototherapy lights should be turned off while a
BiliChek measurement is taken. Ensure that the preferred
measurement site is still covered. Open the BilEclipse
protective patch light blocking material and take the BiliChek
measurement from the preferred site. Close the BilEclipse
flap and continue the phototherapy or remove the BilEclipse
and discontinue the phototherapy as indicated. (You may
choose to leave the BilEclipse in place after phototherapy is
discontinued to identify the correct measurement site for
future measurements.)
Note: Studies on the repeatability of the BiliChek measurement have established
precision specifications. The source of variation in the measurement is the
heterogeneous nature of skin and the bilirubin deposition. Small changes in
successive transcutaneous bilirubin measurement of less than 2.0 mg/dL or
34 µmol/L (increases or decreases) should not be interpreted as definite trends.
BilEclipse
1. Always clean the skin site before
you place the BilEclipse on the
infant. Respironics makes no
recommendations on the type of
cleaning agent that is used. Any
liquids, lotions, or creams will reduce
the adhesiveness of the patch and
increase the likelihood that it will fall
off during phototherapy.
2. When you lift the LID of the patch to take a measurement, it
may be helpful to place your finger on the edge of the BASE in
order to make sure that the entire patch is not pulled off of the
infant's skin.
3. When you close the LID, make sure that it is in good contact
with the BASE around the entire patch. Although it is unlikely
that light will penetrate the sides, any light that does reach the
skin could affect the BiliChek measurement.
BiliChek user manual
BilEclipse
Note: Clinical studies indicate
that as many as 48 hours
may be required before the
skin treated by phototherapy
returns to the bilirubin level of
an unexposed site.
Note: Newborns that are
placed near windows with
high exposure to sunlight
may experience "natural
phototherapy". This may be
particularly true when the
newborn has already been
discharged home and is
returning to a hospital, clinic, or
office facility for testing.