|POCT Equipment||Bilimeter 3|
|Clinical Indications||Production of rapid quantitative total bilirubin results may be used in the assessment and monitoring of neonatal jaundice.|
|Sample Type||Whole blood sample obtained using a heel pricking device and collected into a haematocrit capillary tube.|
|Sample Container||Only the approved bilimeter capillary tubes should be used for the test, to ensure optical quality.|
|Sample Volume||4 uL (minimum)|
|Sample Handling||Capillary tubes must be sealed and centrifuged, then analysed immediately.|
If there is any delay in analysing the sample it should be stored away from light (e.g. in a drawer or brown envelope).
|Turnaround Time||A result is produced within 11 minutes (including centrifugation time).|
|Reference Range||Expected Values|
Birth to 1 day 7 – 68 μmol/L
1 Day to 3 Days 17 – 171 μmol/L
3 Days – Adult 0 – 17 μmol/L
Birth to 1 day >100 μmol/L
1 Day to 3 Days >250 μmol/L
3 Days – Adult >80 μmol/L
These ranges relate to Term infants only. Consult NICU for those applicable to premature neonates.
|Limitations||Capillary tubes must be clean and undamaged. Either of these factors could affect the optical reading of the sample once placed into the analyser.|
Results obtained on the bilimeter that infer the need for phototherapy or transfusion, must be confirmed by the laboratory.
Only suitable for use in neonates.
|Time Limit for Additional Tests||Samples can only be used once.|
If the test result is questionable or if clinical signs and symptoms appear inconsistent with the test result, re-test with a fresh sample or confirm the result by sending a sample to the laboratory.
|Training||The test should only be carried out by a trained member of staff.|
|Hospital Procedure (SOP)||Standard Operating Procedure for the Measurement of Paediatric Bilirubin using the Bilimeter 3 (Only accessible within Trust network)|