Page 63 - Norco Patient Orientation Handbook e-book
P. 63
Demonstration
Plug percussor into a properly grounded outlet. Do not use an extension cord.
Explain the percussor, vibration control (minimum to maximum), and percussion adaptors (three different
percussor heads).
Demonstrate effective positioning in relation to the affected lung area (i.e., right lower lobe pneumonia:
patient should lay flat on left side with shoulder back).
Adjust percussor to comfort level and apply percussor to the affected area. Treatments should take 10-15
minutes.
Patient should cough and expectorate secretions as needed.
Cleaning/Maintenance/Troubleshooting
Clean percussor with a damp cloth when dirty. If body fluids or other potentially infectious material (OPIM)
is present on percussor, disinfect with a 1:9 bleach water solution. Allow at least 10 minutes to dry.
If percussor does not power up: 1) Check electrical outlet, 2) Make sure vibration control is ON position.
If percussor fails to operate, contact Norco.
PHOTOTHERAPY
Education
Discuss the purpose of phototherapy: To decrease serum bilirubin levels.
Discuss the theory of operation: Exposure to “blue” light promotes the breakdown of bilirubin and excretion
through the liver.
Explain the dangers of hyperbilirubinemia: Unconjugated or Kernicterus bilirubin cross the blood brain
barrier and deposits in the basal ganglia of the brain stem causing brain damage. In term infants, levels <20
mg/dl place the infant at low risk for Kernicterus.
Review setting and length of need (1-7 days) as prescribed by physician: Minimum and maximum.
Discuss follow up bilirubin check with physician.
Document activities and incidents as required by physician on Daily Record, located near the back of this
book.
Demonstration
Plug bililight (blanket or bed) into properly grounded outlet. Do not use an extension cord.
Discuss biliblanket cord and pad.
Discuss pad covers for biliblanket. Parent should watch for possible skin irritation. Place infant on pad (skin
to pad cover contact).
Discuss the bilibed temperature function (75°F maximum) and High temperature alarm (98°F).
Discuss the importance of eye protection for the bilibed. *Note- The baby should be observed while under
the bilibed light.
Discuss signs and symptoms of dehydration: 1) Check infant’s temperature regularly, 2) Monitor intake
(feedings) and output (stools, urine), 3) If infant is lethargic, disinterested in feeding, etc. contact the
physician, 4) Adjust light intensity from minimum to maximum according to physician’s guidelines.
Cleaning/Maintenance/Troubleshooting
Change biliblanket pad if soiled or wet.
Change bilibed underpad if soiled or wet
Clean the biliblanket fiberoptic pad and the bilibed foam insert with a soapy washcloth if soiled. If body
fluids or other potentially infectious material (OPIM) is present on bililight or bilibed pad, disinfect with a
1:9 bleach/water solution. Allow at least 10 minutes to dry.
Keep bililight free from debris or flammable materials.
Do not use Biliblanket near water.
Contact Norco if light bulb fails.
