Environmental temperature should be maintained at 72-78 degrees Fahrenheit. The following guidelines should be used to transition NICU patients to the Home Sleep Environment (HSE): Babies with a gestational age of 33 weeks and beyond AND greater than 1500 grams without respiratory distress should be placed in HSE. Babies with gestational age 34 weeks and beyond with respiratory distress may be positioned prone until respiratory symptoms are resolving. Babies with gestational age under 34 weeks should be assessed when reaching a post-conceptional age of 33 weeks and weight greater than 1500 grams: If the baby has respiratory distress, staff may continue with prone positioning until respiratory symptoms are resolving. Safe sleep modeling can be performed with an infant on Low flow nasal cannula or High Flow Nasal Cannula <2. LPM. If the baby has no respiratory symptoms, then the primary nursing team should discuss the with Occupational Therapy. Once the infant’s neuromuscular status baby no longer requires positioning devices, begin HSE protocol. Once it is determined that an infant is ready for home sleep environment, the following actions should be completed: Apply the HSE card/safe sleep ticket to the bedside. baby’s Fill out the graduation certificate with the name. baby’s At the visit, have them watch the safe sleep DVD and then provide parent’s next modeling and review of the appropriate home sleep environment. After completion of the training, present the family with the graduation certificate. Also educate the mother/caregiver on the following: No burp cloth under infant. No sleeping in swing or car seats. It is acceptable to place a fussy baby in a swing to calm down, then transfer to the bassinet for sleeping. Prior to discharge the MD/NNP to give the Safe and to “Sleep Baby Snug” book family and review education. C. Infants in the Pediatric Unit (Infants less than 1 year of age): Follow the guidelines for the Newborn Nursery If an infant is found in bed with a sleeping mother/parent, the infant should be placed in their bassinet or crib. The mother/parent should then be re- educated on safe sleep practices as soon as practical. If this continues to be a reoccurring problem an Safe Sleep “Infant should be signed by the parent that he or she has been educated release form and understands that sleeping with an infant is dangerous, with the most serious consequence being death. VI. Documentation
Environmental temperature should be maintained at 72-78 degrees Fahrenheit. The following guidelines should be used to transition NICU patients to the Home Sleep Environment (HSE): Babies with a gestational age of 33 weeks and beyond AND greater than 1500 grams without respiratory distress should be placed in HSE. Babies with gestational age 34 weeks and beyond with respiratory distress may be positioned prone until respiratory symptoms are resolving. Babies with gestational age under 34 weeks should be assessed when reaching a post-conceptional age of 33 weeks and weight greater than 1500 grams: If the baby has respiratory distress, staff may continue with prone positioning until respiratory symptoms are resolving. Safe sleep modeling can be performed with an infant on Low flow nasal cannula or High Flow Nasal Cannula <2. LPM. If the baby has no respiratory symptoms, then the primary nursing team should discuss the infant’s neuromuscular status with Occupational Therapy. Once the baby no longer requires positioning devices, begin HSE protocol. Once it is determined that an infant is ready for home sleep environment, the following actions should be completed: Apply the HSE card/safe sleep ticket to the baby’s bedside. Fill out the graduation certificate with the baby’s name. At the parent’s next visit, have them watch the safe sleep DVD and then provide modeling and review of the appropriate home sleep environment. After completion of the training, present the family with the graduation certificate. Also educate the mother/caregiver on the following: No burp cloth under infant. No sleeping in swing or car seats. It is acceptable to place a fussy baby in a swing to calm down, then transfer to the bassinet for sleeping. Prior to discharge the MD/NNP to give the “Sleep Baby Safe and Snug” book to family and review education. C. Infants in the Pediatric Unit (Infants less than 1 year of age): Follow the guidelines for the Newborn Nursery If an infant is found in bed with a sleeping mother/parent, the infant should be placed in their bassinet or crib. The mother/parent should then be re- educated on safe sleep practices as soon as practical. If this continues to be a reoccurring problem an “Infant Safe Sleep release form should be signed by the parent that he or she has been educated and understands that sleeping with an infant is dangerous, with the most serious consequence being death. VI. Documentation