tailieunhanh - Ebook Trauma-Informed care in the NICU: Part 2

Part 2 book “Trauma-Informed care in the NICU” has contents: Guidelines for protected sleep, guidelines for activities of daily living, guidelines for activities of daily living, meeting the needs of the neonatal clinician, self-care guidelines for the neonatal clinician. | CHAPTER 7 Guidelines for Protected Sleep The nicest thing for me is sleep, then at least I can dream. —Marilyn Monroe This guideline presents the latest evidence-based research, along with clinical practice recommendations and implementation strategies related to protecting, supporting, and practicing safe sleep in the neonatal intensive care unit (Table ). TABLE Attributes and Criteria of the Protected Sleep Core Measure Attributes Criteria Practices that protect sleep integrity and support circadian/diurnal rhythmicity are integrated into the culture of care 1. Scheduled, nonemergent caregiving is contingent on the infant’s sleep–wake state and adapted accordingly 2. Cycled lighting is provided to support circadian rhythms 3. Staff and family are competent in the assessment of infant sleep–wake states Care strategies that support infant sleep are implemented in partnership with the family 1. Skin-to-skin care is an integral part of the daily care of eligible infants; length of sessions is documented in the medical record 2. An individualized sleep hygiene routine is an integral part of daily care 3. Supportive sleep routines are developed in partnership with family and documented to ensure consistency Staff role -model compliance with recommended back to sleep safety practices for eligible infants 1. All staff are competent in the most current “back to sleep” recommendations from the AAP; competency is documented 2. There is a clear protocol and/or algorithm for the initiation of “back to sleep” practices 3. Parents demonstrate competency in “back to sleep” recommendations before infant discharge to home AAP, American Academy of Pediatrics. 137 138 I I ■ | CLINICAL PRACTICE GUIDELINES GUIDELINE OBJECTIVES • To define the criteria and recommendations for best practice in protecting, supporting, and practicing safe sleep in the neonatal intensive care unit (NICU) • To present the evidence that supports the criteria and best practice .