1. Sleep Baby Safe Introducing the Newborn Nest

2. Objectives Upon completion of training, you will confidently: Understand the “why” behind alternative sleep environments Engage in conversations with caregivers about baby’s sleep environment

3. Your knowledge & confidence What do you know about alternative sleep environments? Are you confident in your conversations with families about the sleep environment? What are your personal feelings about how and where an infant should sleep?

4. Infant sleep-related deaths

5. Alternative sleep surfaces Image courtesy of the Safe to Sleep ® campaign, for educational purposes only; Eunice Kennedy Shriver National Institute of Child Health and Human Development, http://safetosleep.nichd.nih.gov; Safe to Sleep ® is a registered trademark of the U.S. Department of Health and Human Services.

6. Why a Newborn Nest pilot Promising evidence from other countries Children’s Hospital of Wisconsin Foundation funded a pilot Innovative approach to addressing infant mortality Integrates many Children’s Hospital of Wisconsin activities

7. Newborn Nest Complies with AAP recommendations Promotes room- sharing and breastfeeding Portable Space saving

8. Newborn Nest contains Newborn Nest Mattress Extra sheet Sleep baby safe and snug book Liability waiver Pacifier Label

9. Sleep sack Each office will receive a variety of sleep sacks Select the appropriate fabric and size for your client

10. Introducing the Newborn Nest 1.Ask client, “where will baby sleep?” 2.Show safe sleep video 3.Discuss video

11. Introducing the Newborn Nest 4.Ask client, “what have you heard about baby boxes?” 5.Show Newborn Nest video 6.Discuss video

12. Using the Newborn Nest Place on the ground/floor Only use provided mattress Keep at least two feet away from heaters Keep pets out of the sleep environment Never put the lid on with baby inside Do not carry with baby inside Keep dry

13. Is this safe?

14. Demonstrating Ask the client, “where do you think you will use this? Can we try the Nest out with your baby” –Ask the to put the Newborn Nest in the identified location Place the Newborn Nest on floor near bed Put the baby in the Newborn Nest –Give positive reinforcement such as how happy baby looks

15. Conversation tips “Never believe that a few caring people can't change the world. For, indeed, that's all who ever have.” Margaret Mead

16. Questions to ask families Tell me everywhere you took baby yesterday? Tell me all the places baby has slept in the last 24 hours? Tell me about a time you found one of your children in an unsafe sleep environment? Where is baby going to sleep while at grandma’s house?

17. Questions that come up 1.I am not putting my baby in a box….. 2.What about my cat/dog… 3.My mom said …. 4.My friend said....

18. What if mom says… “My baby sleeps in a Pack ‘n Play.” (It’s evident that it is used as a storage bin). “I know they say to not sleep with your baby, but I really want to because he just sleeps better with me.” “I don’t want my baby sleeping alone in a bed that has nothing in it.”

19. What if mom says… “We don’t have room for another bed in our bedroom/sleeping area.” “I am careful and don’t move around when I sleep.” “Nothing happened to me as a baby, so why would something happen to my baby.” “It doesn’t matter what you say, I am going to sleep with my baby.”

20. Helpful response “As your [home visitor] I cannot tell you how to sleep with your baby safely because there truly is no safe way. But let’s talk about how you can reduce the risk of anything happening. Remember what we talked about…”

21. Distribution and follow-up Client must sign liability waiver. Keep original in the client’s file Document providing the Newborn Nest in progress note Document when safe sleep is discussed in all progress notes Report all safe sleep incidents

22. Evaluation Pre and post test for today’s training 2 week follow-up 2 month follow-up

23. Thank you for all you do!