Table 3.

Inpatient Sleep Protocol Example.

Wake Promoting Strategies (8 am to 8 pm)

Encourage rooms remain brightly lit

Medications scheduled for daytime dosing

Encourage out of bed and ambulation, if possible

Sleep Preparing Strategies (8pm to 10 pm)

Dim lighting encouraged

Encourage reduced noise levels

Encourage reduced stimulation (i.e televisions off, reduce visitation)

Medications administered, if needed

Sedating medications may be selectively administered at this time

Sleep Protective Strategies employed between 10 pm to 4 am

Avoid medication administration during these hours

No phlebotomy during these hours, unless urgent or necessary for obtaining trough

Increase time interval for obtaining vitals, if safe to delay (I.e q2 hr to q4hr)

Maintain hourly visual inspection schedule by nursing

4 am to 8 am sleep is encouraged, but if medical services needed this takes precedence