Guidelines on How to Order a Bili-Blanket

Guidelines on How to Order a Bili-Blanket (updated 12/2006)

1. Contact one of the Sierra home health agencies a. Respira Medical (delivers on weekends) 866-373-7747 (fax-948-3349) b. Mid Atlantic (no weekends) 800-946-9943 ext 21089 (fax 410-356-3349) c. Neighbor Care (no weekends) 800-272-4463 (fax 301-362-7658)

2. Give them the following info: a. Name b. Weight c. DOB d. Sponsor's SSN, Name, DOB e. Address for Delivery f. Patient's home phone # g. Attending Physician h. Peds Clinic Office Number (301-295-4941 or 202-782-6101) and fax (301- 295-6173 or 202-782-0740)

3. Enter CON order in CHCS for P-DME a. in comments section enter name of agency, the info above, and expected length of treatment

4. Write a Doctor's Order on Doctor Order sheet or on a Prescription Pad and fax to agency

5. Provide patient with name, phone number, POC and estimated time of delivery