Toolkit & Resources

Attention New & Returning Hospitals

Annual updates to our Hospital Certification Program are available as of 1/6/23. Review the Certification Navigation menu links regarding our new application and management platform, updated certification manual and guides, and resources to support certification applications and maintenance.

Note: Certified Hospital Portal will be discontinued on 2/28/23

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

To view the toolkit content click the plus sign (+) to expand and the X to collapse each section. 


    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




    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.

    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.

    5. AWHONN

    “Nurses Leading Safe Infant Sleep Initiatives in the Hospital Setting” by Sharon Hitchcock and Catherine Ruhl.
    AWHONN Membership required – 1.5 CNE

    NICU Specific

    Pampers Professional & National Association of Neonatal Nurses

    In partnership with NANN, Pampers offers a library of free nursing CEs. Cribs for Kids Medical Advisor, Michael Goodstein, MD, FAAP, provides one of these courses.

    Does Not Offer CEs

    NCEMCH & NAPPSS Coalition

    A Seven Module Series. “Modules are designed to help you understand the Conversations Approach and gain the knowledge and skills needed to implement it to promote breastfeeding and safe sleep practices.”


    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.

    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*

    Marketing/Communications Team Notification Language

    Below is an example of verbiage you can use to encourage your marketing, communications, social media,  and/or community departments or personnel to support your Safe Sleep Designation.

    Our hospital is working towards earning/is National Infant Safe Sleep Certification from Cribs for Kids ( To secure/maintain this designation, our hospital must commit to using images of babies that comply with AAP Infant Safe Sleep Recommendations.  This includes images of babies sleeping that we use in our on line presence, on our units, or in any marketing or outreach.  To assist with meeting this requirement, Cribs for Kids provides photography guidelines as well as free library of safe sleep compliant photos.  You can link to these here: [Insert Photo Guidelines]

    We appreciate confirmation that your team will join us in this commitment.


    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.


    The Cribs for Kids Hospital-wide Safe Sleep Training module may be implemented as an alternative to hospital use/distribution of wearable blankets to achieve an advanced level of certification. Additionally, hospitals may implement both wearable blankets and the Hospital-wide Safe sleep training module to qualify as 1 community outreach initiative for Gold level designation. Review the Certification Manual for implementation and reporting.


    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.” *

    Audit Tools

    Sample Size Determination

    To assist hospitals in determining how many bassinets/cribs to audit for safe sleep compliance, you may want to visit one of these sample size calculators:

  • GOLD

    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. *

  • GOLD

    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.

    Approved channels include:

      • Community Events/Health Fairs
      • Social Media – an annual minimum of four posts (quarterly throughout the year or weekly during commemorative month).
        • More information provided in the next section titled “Social Media”. 
      • Safe Sleep Education Classes (online/virtual)- for grandparents, siblings, babysitters, or other families not delivering at the hospital.
      • Mass Media – includes public service announcements, outdoor advertising, newspaper/radio/television interview
      • Direct Mail – inclusion of safe sleep education in the hospital/system’s magazine/newsletter
      • System or Hospital Employee Education – providing infant safe sleep education to non-birthing hospital team members within the hospital system or, if not using Hospital-wide module for silver level requirement, may use for outreach across hospital employees.  If hospital produced materials, must be approved by Cribs for Kids.
      • Other – Collaboration with community health agency for safe sleep education; manage safe sleep displays and information in libraries or other community centers, Safe Sleep education to high school or nursing students.

    To promote infant safe sleep, Cribs for Kids recommends all certified hospitals use social media to educate their community on safe sleep recommendations an annual minimum of four posts (quarterly throughout the year or weekly during commemorative month).

    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.

    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 (


    To view our online catalog of
    safe sleep products, log in with:

    P: infantsafesleep

    Note: You will not be able to place an order with this account. If you would like to place an order, you will need to contact us at


    On the first Friday of each month, Cribs for Kids delivers the virtual Hospital Notes Newsletter. The monthly newsletter links the network of certified hospitals and hospitals working to achieve certification and shares innovative practices, up-and-coming events, new products, and applauds the newest members of certified hospitals.

    Read Our Past Newsletters