Warning: Undefined array key "name" in /home/public/blog/blogfiles/pdf/biliblank.php on line 14

Deprecated: htmlentities(): Passing null to parameter #1 ($string) of type string is deprecated in /home/public/blog/blogfiles/pdf/biliblank.php on line 14
Born
Warning: Undefined array key "birth" in /home/public/blog/blogfiles/pdf/biliblank.php on line 14

Deprecated: htmlentities(): Passing null to parameter #1 ($string) of type string is deprecated in /home/public/blog/blogfiles/pdf/biliblank.php on line 14

Warning: Undefined array key "birth-time" in /home/public/blog/blogfiles/pdf/biliblank.php on line 14

Deprecated: htmlentities(): Passing null to parameter #1 ($string) of type string is deprecated in /home/public/blog/blogfiles/pdf/biliblank.php on line 14

Date Time Age (hr) Bilirubin Serum/ Meter Nurse Action




Maternal Blood Type: ______
Baby Blood Type: ______
Coombs: ______

Risk Factors for Severe Jaundice

[  ] Positive Coombs Test
[  ] Jaundice in the first 24 hours
[  ] Sibling with history of jaundice
[  ] 35-38 week gestation
[  ] Exclusive breastfeeding
[  ] Asian ethnicity
[  ] Extensive bruising or
     cephalohematoma