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  • 1.  Transcutaneous Bilirubin

    Posted 10-27-2025 23:23

    Hi,

    Does anyone use transcutaneous bilirubin devices in their clinics? If yes, where do you chart the results? If you use Epic, that would be even better. This is a new implementation for us, and there is a lot of back and forth whether we chart it with our other POCT results, in VS section, procedures. Any help would be great.

    Thanks!



    ------------------------------
    Sarah Orr RN MSN
    Ambulatory Education Manager
    Cottage Medical Group/Cottage Health Systems
    Santa Barbara, CA
    s2orr@sbch.org
    ------------------------------


  • 2.  RE: Transcutaneous Bilirubin

    Posted 10-28-2025 08:13

    Hello,

    We document the results using the enter/edit function in Epic, which places the results in the labs section and allows them to easily be compared to other results. 

    We implemented the TCBs over the last year so feel free to reach out if you have additional questions.

    Best,

    Marsha Pike, DNP, APRN, CNS



    ------------------------------
    Marsha Pike DNP, APRN, CNS
    Pediatric Clinical Nurse Specialist
    Mayo Clinic
    Rochester MN
    ------------------------------



  • 3.  RE: Transcutaneous Bilirubin

    Posted 11-03-2025 13:00

    Hi Marsha, 

    Did you have to list this device on a CLIA license? 

    Thanks!



    ------------------------------
    Sarah Orr RN MSN
    Ambulatory Education Manager
    Cottage Medical Group/Cottage Health Systems
    Santa Barbara, CA
    s2orr@sbch.org
    ------------------------------

    Original Message


  • 4.  RE: Transcutaneous Bilirubin

    Posted 11-04-2025 08:39

    Sorry, just seeing this now. No, it is not considered a "lab" and thus does not fall under CLIA regulations.  

    Best, 

    Marsha



    ------------------------------
    Marsha Pike DNP, APRN, CNS
    Pediatric Clinical Nurse Specialist
    Mayo Clinic
    Rochester MN
    ------------------------------

    Original Message


  • 5.  RE: Transcutaneous Bilirubin

    Posted 10-28-2025 08:18

    Hello Sarah,

    Our organization documents the results in the Enter/Edit Results activity in Epic. This has been in place since 2020. I can send you our procedure.

     

    Thank you,

     

    Sharon J.J. Peacock, MSN-Ed., RN, AMB-BC

    Professional Development Generalist, Sentara Ambulatory Services Division

    Chair, AAACN Staff and Patient Education SIG

     

    Office: 434-654-4529    Email: SJPEACOC@sentara.com

    590 Peter Jefferson Parkway, Suite 323, Charlottesville, VA 22911

     

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  • 6.  RE: Transcutaneous Bilirubin

    Posted 10-28-2025 08:41

    Awesome, thanks! That's where I want it documented too. Then, it was feared that if we did it there, we had to build competencies around it bc of it being a POCT. thanks for your input!



    ------------------------------
    Sarah Orr RN MSN
    Ambulatory Education Manager
    Cottage Medical Group/Cottage Health Systems
    Santa Barbara, CA
    s2orr@sbch.org
    ------------------------------

    Original Message


  • 7.  RE: Transcutaneous Bilirubin

    Posted 10-28-2025 08:43

    Thank you so much!



    ------------------------------
    Sarah Orr RN MSN
    Ambulatory Education Manager
    Cottage Medical Group/Cottage Health Systems
    Santa Barbara, CA
    s2orr@sbch.org
    ------------------------------

    Original Message


  • 8.  RE: Transcutaneous Bilirubin

    Posted 11-03-2025 13:01

    Thanks, Sharon!

    Did you have to list this device on a CLIA license?

    Thank you!



    ------------------------------
    Sarah Orr RN MSN
    Ambulatory Education Manager
    Cottage Medical Group/Cottage Health Systems
    Santa Barbara, CA
    s2orr@sbch.org
    ------------------------------

    Original Message


  • 9.  RE: Transcutaneous Bilirubin

    Posted 11-03-2025 13:02

    Hello Sarah,

    No, it's not a device on a CLIA license. It's considered a procedure.

     

    Thank you,

     

    J.J. Peacock, MSN-Ed., RN, AMB-BC

    Professional Development Generalist, Sentara Ambulatory Services Division

    Chair, AAACN Staff and Patient Education SIG

     

    Office: 434-654-4529

    Email: SJPEACOC@sentara.com | SASDClinEduTeam@sentara.com

    590 Peter Jefferson Parkway, Suite 323, Charlottesville, VA 22911

     

    RQI: RQI_SASD@sentara.com | Resuscitation Quality Improvement (RQI) (sharepoint.com)

     

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    Disclaimer:

    This electronic message and its contents and attachments contain information from Sentara Health and is confidential or otherwise protected from disclosure. The information is intended to be for the addressee only.
    If you are not the addressee, any disclosure, copy, distribution or use of the contents of this message is prohibited. If you have received this electronic message in error, please notify us immediately and destroy the original message and all copies.



    Original Message


  • 10.  RE: Transcutaneous Bilirubin

    Posted 10-28-2025 09:28
    Good morning Sarah! 

    Our pediatric clinics are piloting this now, and documentation was an area where there was quite a bit of conversation. We utilize Epic as well. 
    Currently our providers are the sole operators of this technology, and they have access to the organization's flowsheets used in our Labor & Delivery. At this time, they are able to document and trend TcB levels through this means - certainly for newborns birthed at our facility, and I believe (although this I am not 100% certain of) also for those who were not. The flowsheet allows for both tracking and links to the approved interpretation tool. Had this not been an option, or if our pilot finds it suboptimal in some way, we may ask our IT for a build into our Rooming tab. The technology we purchased also supplied a printable tracking curve and protocols for utilization, which could be another option. 

    Hope this helps!
    Heather

    Heather Harker Ryan, PhD., RN (She/Her/Hers)
    Clinical Nurse Educator, Ambulatory Services
    Cambridge Health Alliance 
    (978) 512-9200

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