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Indiana Safe Sleep Program Safe Sleep Form MOTHERS DEMOGRAPHIC INFORMATION (Required) CHECK HERE IF MOTHER IS NOT THE PRIMARY CAREGIVER: MOTHERS MEDICAID#: PRIVATE INSURANCE: MOTHERS DATE OF BIRTH:

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How to fill out safe sleep program

01

Step 1: Start by providing a safe sleeping environment for the baby. This includes using a firm mattress with a fitted sheet, ensuring that there are no loose blankets, pillows, or soft toys in the crib.

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Step 2: Place the baby on their back to sleep. This reduces the risk of sudden infant death syndrome (SIDS).

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Step 3: Make sure the crib is free from any hazards such as cords, excessive bedding, or stuffed animals.

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Step 4: Avoid letting the baby sleep in the same bed with adults or other children. It is important to have a separate sleep surface for the baby.

05

Step 5: Keep the baby's sleep area in close proximity to the caregiver's bed for easy monitoring during the night.

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Step 6: Ensure that the room temperature is comfortable and not too hot or cold for the baby's sleep.

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Step 7: Encourage breastfeeding, as it has been shown to reduce the risk of SIDS.

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Step 8: Avoid smoking or exposing the baby to secondhand smoke, as it increases the risk of SIDS.

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Step 9: Regularly check the crib and mattress for any signs of wear or damage.

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Step 10: Follow safe sleep guidelines recommended by reputable organizations like the American Academy of Pediatrics (AAP).

Who needs safe sleep program?

01

Parents or caregivers of infants and young children need the safe sleep program.

02

Anyone responsible for the care of a baby should be aware of safe sleep practices.

03

Healthcare professionals, including doctors, nurses, and midwives, should also be knowledgeable about safe sleep guidelines.

04

Educational institutions and childcare centers should implement safe sleep practices to ensure the well-being of the children in their care.

05

Community organizations or programs focused on child safety and welfare should promote safe sleep practices among parents and caregivers.

06

Ultimately, anyone who wants to prioritize the safety and well-being of infants and young children should consider the importance of a safe sleep program.

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What is safe sleep program?

Safe sleep program is a set of guidelines and practices designed to promote safe sleeping habits for infants to reduce the risk of Sudden Infant Death Syndrome (SIDS) and other sleep-related causes of infant mortality.

Who is required to file safe sleep program?

Childcare providers, hospitals, and other organizations that care for infants are typically required to have and follow a safe sleep program.

How to fill out safe sleep program?

Safe sleep programs can be filled out by documenting the sleep environment, sleep practices, and training provided to staff members on safe sleep guidelines.

What is the purpose of safe sleep program?

The purpose of safe sleep program is to provide a safe sleeping environment for infants to prevent instances of SIDS and promote healthy sleeping habits.

What information must be reported on safe sleep program?

Information such as sleep environment, sleep practices, staff training, and any incidents related to sleep safety must be reported on a safe sleep program.

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