How to create a safe sleep environment for your baby. We have information and materials for many audiences, including parents, grandparents, and health care providers. 10. What is a Crib Audit? The Baby Sleep Safety Quiz Your baby loves to sleep, so it’s important to establish safe snoozing practices from day one. • Questions You Should Ask About Your Sleeping Habits. Sleep Disorder Questionnaire. 3. If you think you may have a sleep disorder, complete this questionnaire. Contribute to the Baby Safe Sleep … SRN web-education committee members identified commonly used and validated questionnaires that are relevant to research and clinical practice of both adult and pediatric Sleep Medicine. The Newborn Sleep Safety Survey is a reliable tool to identify risk of SIDS in the sleep environment. •Patient safe sleep educational materials provided: yes/no? A brief description of each questionnaire is presented, as well as their original and related references. A sleep study or polysomnogram is a test that records information about you while you sleep. Sleep survey questions can enable the researcher to understand the factors that are affecting the sleep of an individual and analyzing the same can give corrective actions to improve the quality of sleep. ;�}=H�n�D^��J1u���&����;B�ധXP����Dp2`��Q�ڂ���� �P�]c�I�iL̈́5����#�V�q*L���r�2�ڏ;��ur�)���5�'�>��8�i*�1���f��N$S�I�#�%�dþ0w�0�AkOu�5���䤣�'�p� The template for Questionnaire II is available for download on the . ���,}۠��K�uԸ���d8-��{)���n���җi-���!���W��1H!u�6� F: )������D�O�#��+&T�*�'r�x=������ X�a��غ��JoW�Ke�5�q������� ]p% endstream endobj 186 0 obj <>stream Consortium for Children’s website. Yes No If yes, please check the boxes where you learned or heard about the information? See these 10 steps to gain compliance. Safe to Sleep Crib Audit Tool If the baby is awake, please stop and return to complete evaluation when asleep. çך–™3x(jÞJªŽ^Yø…í¶_áF¯KñÊånŒ:—Ðѧx8£¶ÛÍj[÷~îI½W»õþ‚a0&%­þM5EWº®îVí¶êbðR2jғç菮^¯¶Ûíæ0]Ì蓃ˆ8ºIOžctÍ?_÷›Õú€£qXg.x1gÍu]­úŠxÁÍX²;xKæ¡ \¸B,`)ÏaÐtÅ¡À¶nv«ªï …¡ä€„§ÚNF‰ö(aaf®—²ë#MŽóB¾oѱúÚD°z#‡(¿Cc!—² 7277 Smith's Mill Road New Albany, Ohio 43054 Phone: 614.775.6177 Map & Directions Baby Safe Sleep Coalition c/o Jewish Family Service of Rochester 441 East Avenue Rochester, NY 14607 Phone: (585) 473-SAFE (7233) QUICK LINKS How big a problem is unsafe sleep? h�\�]k�0��ʁ]T/4ǘuE�Z�k)ջ���!ZB�������r%��p�3�5C�Hf����y�d�������9{*@E㙭 U��Me��d#�*ƈW���g���PB� Contact us → ��V��%b�2#XI��$n� l=��P6..�f�m��}�m� Learn more about how a sleep study works, what it helps diagnose, and how to prepare. Sleep questionnaires usually combine multiple smaller question sets. Two studies were conducted with the brief infant sleep questionnaire (BISQ). Make sure there is a clear discrepancy in the quality of the end of the routine: high quality routine (e.g., choice y� �!S@v��Z�HQr�@_$a�/��UD%Φ���/0��l�Z��qA�1��*�,�5j��ģ9����sRf�Q(�>����6l�5;h��E[l;Ek�A�Ů{�:,97�����Kq�(N� y���R�� The law further specifies that facilities and locations that must participate in the Safe Sleep Education Program and regularly have infants sleeping at them adopt an internal infant safe sleep policy. Sleep questionnaires take time for the patient to complete. Each question set has been shown to predict certain sleep conditions. Yes No If yes, when the baby sleeps away from your home, where does the baby sleep? L)@��p|3�6�ϣ�Fj�o�Ud+�E q I share a bed with someone. Virginia has partnered with AARP to help grandmothers get the latest information about Safe Sleep and prenatal care issues, and North Carolina has published a Promising Practice paper on Baby’s Easy Safe Sleep Training which focuses on the entire family. True False After traveling, babies can stay sleeping in their car seat when at home. Get Information and Materials. 2. Improving safe sleep practices in child-care and hospital settings by training providers. High risk of potential Sleep Apnea. Why bumpers, blankets and toys are unsafe. The back sleep position is the safest, and every sleep time counts. Also, some States have started their own campaigns. Help get the message out to the community. When sharing the video, use the accompanying handout to help explain the information presented. If you answer YES to three or more of these questions, you may have some degree of sleep apnea or another sleep disorder. h�ܒ�j�@�_e����Z���P Safe Sleep Program Evaluation Questionnaire Author: labuser Last modified by: Wood County Created Date: 1/22/2010 1:55:00 PM Company: Medical College of Wisconsin Other titles: Safe Sleep Program Evaluation Questionnaire hތ�oo�0ƿʽGS��lKh�L�4x����x���E�tj2�}{;ݚv-L��Ǿ;���-�!�䍒�%�r�$B֥H�d�&�@Vo>>�����#1����.m���j�w]�>���~8��W������]���rE���\]�� �\]>���M5��V�嗮E��B ͽ��Yw�7�<0���Ҧ}�B>&��$X���BV�q�/b�ǘ�v����+Ir/b79���G�NJ�B��ҧ�Ǖ����\�D��h�1�����?�� �Y�������i8�G���M��}�8�����'��@ς�! A 19-item investigator-designed questionnaire was adapted using the "Safe Sleep Survey" developed by Indiana Perinatal Network. SIDS is the leading cause of death of infants between 1 month and 1 year of age. Sleep survey questions are survey questions asked by medical professionals such as doctors, psychiatrists or mental health professionals. Be sure to capitalize on sleep pressure by sending the child to bed at the beginning of their sleep phase. Sleep into the Safe to Sleep ® campaign to formally address issues related not only to SIDS, but also to other sleep-related causes of infant death, a safe infant sleep environment, and other infant health issues. Now research confirms what we have known all along: Advice from health care providers makes a difference in parent and h���Mk1�"��A���Fn0� ��&�ķ҃��c�eӏ�Q��|h �̾�b���x+�� ��� ��ފ�� 4975 Bradenton Avenue Dublin, Ohio 43017 Phone: 614.766.0773 Map & Directions. The mission of Cribs for Kids® is to prevent infant sleep-related deaths by educating parents and caregivers on the importance of practicing safe sleep for their babies and by providing portable cribs to families who, otherwise, cannot afford a safe place for their babies to sleep. Why you should always sleep baby on their back The first of the six safe sleeping recommendations is to sleep baby on their back from birth. • Place your baby on a firm sleep surface, such as a safety-approved crib mattress, covered by a fitted sheet. £fÏÑ^EVΡÞÔ«jÓ&ÍqÏtÁ­ÙBBŒ´lJ3ŒÉÎ)Ù4ž•×m³ê&)IÕïs”¦¼a®²`ax‹™£\%26a,£À3JIÃbʹ~æJà9Êu«¯~«½æ2pòAËÐôk4 6$'ŒáU+Haid. Teach your child to be compliant during the day. ��$�Fh�a]��}gmZr($���0����0�Da(!�$` ���s�`������_��m��݈�;Q3�M����u�xI.Rk����Դ�d6�-����:��-u��qp��Վ�_,\I_��X�v��/���%z?����T�Y�-�U"[�DI��p07~0HQ���+��Z_�v?���8�}#���]xS��3v?w^�Q]�cr������Ë?^jz�}/�ڦ�p#/�Sd�|��i�)� BgJ endstream endobj 184 0 obj <>stream The surface should maintain its shape when the infant is placed on the surface and does not conform to the infant’s head. rib Pack-n-Play ed with an adult ed with children Stroller assinet Other _____ Email completed forms to: [email protected] or fax to: (516)227-9501 If you're still tired on a solid night of rest, take a look at how you're snoozing. If your score is 6 points or higher contact us, or click here for your secure proprietary ARES™ Sleep Screener. The SAFE training provides practitioners with resources and information to assist in their interviews. This study compared parent responses on the Newborn Sleep Safety Survey and observational assessments (N=72) of infant sleep environments … sleep measures, and 4) to examine the possibility of using the questionnaire as an Internet resource for parents. Purpose: Sudden Infant Death Syndrome (SIDS) and suffocation account for more than half of all Sudden Unexpected Infant Deaths (SUID). Obstructive Sleep Apnea has been linked to heart disease, COPD, stroke, diabetes and cancer and its effects range from daytime sleepiness, depression, relationship issues and dementia. �6T��$����, �0k=�j�y�����0 ��#� endstream endobj 187 0 obj <>stream �G�r� ��$�G>����^trҞ^�ϕ�/�Y.ۏ�"�zߞ %����TF*�^�����t�M���h�v�b�s�v���B|*�e\�(B���b,�F7��bSz.��f7,ީ�K����U{1��⵫������^>߆}������ޗ( t';� IwN&[�ɱ/h�^M����+X��@�&X ��5���[{�����na,[Q�4�呋O�lW��8�š�ú�=�nw�r9���=(l�C��]��(2��Y�dRlm1�Gږ�\آk������c�/�k&���/�o�����Z�E �RIR+�+l 6���jXu�QT�@j&_� 183 0 obj <>stream The purpose of this study was to evaluate the effectiveness of the curriculum and train-the-trainer model in changing knowledge, attitudes, and behaviors (reported and observed) in child care providers with regards to sleep position and other elements of a safe sleep environment for infants. Community Baby Shower for Safe Sleep Safe Sleep for Babies Survey What are the ABCs of safe sleep? Always place your baby on his or her back to sleep—for naps and at night. Share this video to help explain ways to practice safe infant sleep and breastfeeding. Does your baby sleep away from home? * Never place your baby to sleep on pillows, quilts, sheepskins, and other soft surfaces. Yes No If yes, what have you learned? �q� �X�"*�,T��r��'�ځ�sG I1�P��Dw;r��eo׺n �O�W B��A�@J��`���X7�C��4dȄ?�e V�vM륧ӥ����P{X2��{}1�D�]�*��E��r J *�\���bI;��/"��B�&��xq�3���g�%/�jyږGLv�sFc��|����������������[� �݄x�}i�� _____ _____ _____ 3. •Crib Audit - Preferred baseline of at least 20 audits or 10%, whichever is greater. Any surface that does not stay flat with the infant on it, increases the risk of the baby re-breathing exhaled air or suffocating. Sleep Disorders Risk Questionnaire. During this pregnancy has anyone talked to you about “ack to Sleep”, A ’s of Safe Sleep or SIDS? 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