Infant sleep-wake states will be assessed, documented, and guides all infant interactions (Holditch-Davis et al. 2003, Grigg-Damberger et al. 2007) |
1.All non-emergent caregiving is provided during wakeful states |
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2.Sleep-wake states are assessed and documented |
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3.Scheduled caregiving is contingent on the infant’s sleep-wake states and adapted accordingly |
Care strategies that support sleep are individualized for each infant and documented (Feldman et al. 2002, Schmidt 2004, Ludington-Hoe et al. 2006, White 2007) |
1.Caregiving activities that promote sleep (i.e. facilitative tuck, swaddled bathing and skin-to-skin care) are integrated into the patient’s daily care plan |
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2.All caregiving activities are modified according to the infant’s state |
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3.Light and sound levels are maintained within the recommended range; implement cycled lighting to support nocturnal sleep |
Families are educated on the importance of sleep safety in the hospital and the home; this education is documented (Task Force on Sudden Infant Death Syndrome 2005, Ludington-Hoe et al. 2006) |
1.Family education on caregiving activities that promote safe sleep is provided |
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2.Parenting opportunities are provided to promote infant sleep |
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3.Staff role model ‘Back to Sleep’ practices for families once the infant has demonstrated physiologic flexion of the upper body in supine |