Welcome New & Returning Hospitals
Review the resources in this toolkit to assist in the development and maintenance of your Infant Safe Sleep Initiative. In this toolkit you will find:
- Evidence-Based Practice Research
- Infant Safe Sleep Policy Development
- Healthcare Team Member Training
- Family/Caregiver Education Materials
- hospital Website Development
- Safe Sleep Imagery Guidelines
- wearable blanket program
- Optional House-wide Safe Sleep Training
- QI Initiative & Audit Tools
- Safe sleep Space Assessment & Distribution Tools
- Community Outreach opportunities
- Social Media Guidelines
- Cribs for Kids’ Safe Sleep Products
- Hospital Notes Newsletter
Program rigor is developed according to the most current American Academy of Pediatrics evidence-based policies, policy statements, reports, and consultation with medical experts from the AAP Safe Sleep Task Force. To support the implementation of safe sleep policies and practices across your facilities, Cribs for Kids provides access to peer-reviewed articles that ground our Safe Sleep Hospital Certification program in the most recent evidence.
Safe Sleep Policy & Practices
Safe Sleep Quality Initiative
Infant Safe Sleep Policy
The hospital-wide or system-wide Infant Safe Sleep Policy must incorporate current AAP recommendations, elements of the Cribs for Kids’ Safe Sleep Policy Rubric, and the criteria outlined in the Certification Manual. The resources below are provided to assist in the development of an Infant Safe Sleep Policy. The resources include the Infant Safe Sleep Policy Rubric, research articles, and samples of certified hospital policies.
- Applicable to all hospital units providing care for patients less than one year of age.
- Must be in effect for a minimum of 3 months prior to submission.
- Cribs for Kids does not review policies prior to submission.
Healthcare Team Member Training
Onboarding and Annual Safe Sleep training must incorporate current AAP recommendations, elements of the hospital infant safe sleep policy, and the Certification Manual. Below are several resources from National Education agencies that offer online safe sleep training modules that are free and allow healthcare team members to earn continuing education credits for completion.
1. National Institute of Child Health & Development
Risk Reduction for Sudden Infant Death Syndrome (SIDS) and Other Sleep-Related Causes of Infant Death: A Continuing Education (CE) Activity for Nurses
This learner-led program enables nurses to receive 1.5 CE contact hours by learning about ways to reduce the risk of SIDS and other sleep-related causes of infant death.
Note: An accompanying training element that can be downloaded or ordered:
2. Michigan Department of Health & Human Services
MDHHS offers two free nursing CE courses for safe sleep. The first is a more general course while the second is a wonderful unit on supporting families with safe sleep challenges.
- Infant Safe Sleep for Professionals Working with Families – 1 CE
- Helping Families Practice Infant Safe Sleep – 2 CEs
3. West Virginia's Our Babies: Safe and Sound
Nurses, physicians, and social workers can earn 2 contact hours completing this interactive online module. The Say YES Educator Training Module is a two-part module that can be viewed incrementally, and on any mobile device. Part 1 is an Overview of Sleep Related Infant Deaths presented by Dr. Rachel Moon. Part 2 focuses on the Campaign with Conversations Approach and features two brief vignettes surrounding safe sleep and family education.
4. Texas Health Steps
Provided by the Texas Health and Human Services Commission and the Texas Department of State Health Services, “Infant Safe Sleep” training provides 1.5 CEs upon completion.
“Nurses Leading Safe Infant Sleep Initiatives in the Hospital Setting” by Sharon Hitchcock and Catherine Ruhl.
AWHONN Membership required – 1.5 CNE
Provide safe sleep education to family/caregivers that incorporates the current AAP recommendations and elements of the hospital safe sleep policy, and Certification Manual. The following options are approved resources and supportive channels providing web-based and written education materials available at no cost. To support the evaluation of caregiver understanding or noncompliance, examples of Acknowledgment and Noncompliance forms have been provided. Cribs for Kids recommends connecting with your State Department of Health to learn if tools are available for specific language challenges in your region.
Visit the Cribs for Kids Store to explore a variety of educational materials available for purchase. Education items include safe sleep door hangers, posters, badge buddies, and more.
*Purchases from the store support our programs and our mission to reduce SUID and Help Every Baby Sleep Safer*
Safe Sleep Ambassador
One of the primary goals of Cribs for Kids® is to emphasize the importance of Safe Sleep Education and to disseminate it effectively throughout communities. To help us achieve this goal, we developed the Safe Sleep Ambassador – Educational Outreach Program.
Hospitals can use this online, and mobile responsive training to meet the certification requirements for parent/caregiver education.
Other Educational Resources
Supportive Educational Social Media
Cribs for Kids® Educational Tools
Safe Sleep Education Materials
Safe Sleep Certified hospitals are required to provide Safe Sleep education on the hospital website. Many hospital websites already include information regarding car seat safety and breastfeeding information and will now increase awareness by including safe sleep education. Below are a few examples of certified hospitals appropriately including infant safe sleep on their website.
- Infant Safe Sleep information should be easily accessible via “Infant Safe Sleep” in the search bar of the hospital website.
- Ensure safe sleep imagery displayed across all hospital mediums promote safe sleep practices according to AAP recommendations, Safe Sleep Imagery Guidelines below, and Cribs for Kids Certification Manual.
Safe Sleep Imagery
Imagery related to infant sleep displayed across all hospital mediums must promote safe sleep practices according to AAP recommendations and the Certification Manual. To support use of safe sleep images, resources provided below outline guidelines, provide a checklist, and offer pre-approved safe sleep images free for hospital use. Hospitals may also find their state or hospital association, or other regional safe sleep organization also provides images.
- Any image that does not meet AAP recommendations and cannot be removed, once all efforts have been exhausted, must display a disclaimer: “Image used for artistic purposes only and does not promote safe sleep according to AAP recommendation.”
Visit the Cribs for Kids’ Store to purchase Artistic Photo Exception Placards.
*Purchases from the store support our programs and our mission to reduce SUID to Help Every Baby Sleep Safer*
Approved Safe Sleep Images
Wearable Blanket Program
SILVER & GOLD
Hospital-wide wearable blanket distribution is satisfied by either in-house use and/or gifted to caregivers for use after discharge. Review the Certification Manual for comprehensive criteria regarding implementation and reporting. Wearable blanket funding not directly provided by the hospital must submit documentation demonstrating third-party commitment and financial support. Resources provided below offer examples of language for funding documentation.
Cribs for Kids Wearable Blanket Program
Beginning in January 2021, Cribs for Kids is offering deeply discounted pricing on our wearable blanket, the Snoozzzette, exclusive to hospitals participating in our Safe Sleep National Hospital Certification Program. This special hospital pricing is another way we support hospitals and their commitment to SIDS/SUID reduction and modeling infant safe sleep. Wearable blankets are recommended by The American Academy of Pediatrics as they cover baby’s body without any risk of covering baby’s head.
Optional House-wide Safe Sleep Training
SILVER & GOLD
Implement house-wide safe sleep training if the wearable blanket initiative presents a barrier to achieving a higher level of certification. This alternative requires delivering safe sleep training via Cribs for Kids Safe Sleep Ambassador to every hospital employee at the time of certification, onboarding, and recertification.
- Visit ‘Contact Us’ to submit a contact request before submission to further discuss the process to implement and monitor compliance of the Cribs for Kids Safe Sleep Ambassador training.
Safe Sleep Compliance & Assessment
SILVER & GOLD
The Safe Sleep Quality Improvement (QI) Initiative requires performing in-house audits of the infant sleep environment in all units dedicated to the care of infants less than one year of age. Certifications and Annual Report submissions must include the most recently completed audit tool and Annual QI Initiative compliance rates. Audit tools may be physical or virtual tools & must include a breakdown of audit categories. Below are resources available for use and to aid the development of your own hospital-produced audit tool.
Audits to include components of the safe sleep environment listed by the AAP.
“Recommendations for a safe sleep environment include supine positioning, the use of a firm sleep surface, room-sharing without bed-sharing, and the avoidance of soft bedding and overheating.” *
Safe Sleep Space Assessment & Distribution
Perform assessments to identify at risk families/caregivers in need of infant safe sleep spaces and distribute safe sleep spaces before discharge. Review Hospital Certification Manual of comprehensive criteria regarding implementation and reporting. Safe Sleep Space funding not directly provided by the hospital, must submit documentation demonstrating third-party commitment and financial support. Resources provided below offer safe sleep space assessment tools and examples of language for funding documentation.
- Ensure Sleep Space meets ASTM standards, is approved by JPMA, and absent of CPSC recalls.
Visit the Cribs for Kids’ Store to view the Cribette available for purchase.
*Purchases from the store support our programs and our mission to reduce Sudden Unexpected Death Syndrome and Help Every Baby Sleep Safer. *
Annually engage with the local community across a minimum of two channels. Hospitals must connect with community members and stakeholders outside of the hospital to provide infant safe sleep education to those who will not receive the education bedside. Review the Cribs for Kids Hospital Certification Manual for details regarding approved channels for Community Outreach and reporting.
Cribs for Kids’ provides many tools and resources to meet this requirement including participation in sponsored events or programs, use of our free Safe Sleep Ambassador online module, and education items available for purchase in the Cribs for Kids Store. Additional special events may be promoted in the Cribs for Kids Hospital Newsletter.
- New Community Outreach Effort: Certified hospital’s safe sleep champions may collaborate with non-certified hospitals to provide safe sleep training to the non-certified hospital’s healthcare team members. Safe Sleep training materials used must be from an approved resource.
To promote infant safe sleep, Cribs for Kids recommends all certified hospitals use social media to educate their community on safe sleep recommendations. For hospitals seeking or maintaining gold certification use of social media as a channel to promote infant safe sleep meets one of the two minimum outreach requirements.
Note: All social media posts must comply with safe sleep image guidelines
To efficiently and effectively use social media for infant safe sleep hospitals can:
- Share social media posts of Cribs for Kids or other #normalizesafesleep agencies and partners
- Participate in the NICHD’s Safe Sleep Snap
- Use sample posts provided by Cribs for Kids to guide your hospital’s own posts.
- Check with your state or county or other safe sleep agency to learn if any social media content is available.
- The Indiana Hospital Association has developed and approved a guide to be shared and utilized by all certified hospitals and those seeking certification.
Cribs for Kids Safe Sleep Products
To support hospital safe sleep initiatives and the pathway to certification, safe sleep products and education items are available for Cribs for Kids Partners to purchase at the Cribs for Kids’ Store. Purchases support all Cribs for Kids’ programs and allow us to continue our mission to reduce SUID and Help Every Baby Sleep Safer. Items available for purchase include education and teaching materials, wearable blankets, Cribettes, and unit specialty items. Cribs for Kids’ products promote AAP safe sleep recommendations, meet safety requirements set by the CPSC, ASTM, JPMA, and are absent of recalls (https://www.safeproducts.gov).
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