Hi all. I had a neonate the other day (thurs) who was slightly jaundiced and 2 days postpartum. I had a total bilirubin drawn and received a call later on telling me it was 13 (elevated). Unfortunately the delivery labs were not in our system and the person who retrieves them was unable to get them. I talked with more seasoned PAs and NPs at the clinic who all said they look at the trends and make a determination of photo therapy off that. Without the trends, I contacted the mother and told her I would contact in the morning to get an idea of how the baby looked. Mother was somewhat unfazed as a previous child went through the same thing.
The next day (friday), instead of getting new labs drawn, the mother chose to go to the ED. They drew labs and found the TB up to 13.4 and direct bili 0.5. They decided not to treat and suggested to follow up with us the next day (today), but we aren't open on weekends. As I am somewhat concerned, I naturally kept an eye on the chart and that's the only way I knew the outcome of the ED visit. I am wondering if I should be proactive and order the mother a biliblanket now, or hold off until Monday and have her redraw the labs when we are open? On the peds side of the house, this is kind of new territory for me. Just getting some experienced ideas. Thanks!
Edit to add...mom is not breastfeeding.