Car Seat Testing Fail Parameters Infants 37 weeks

Car Seat Testing Fail Parameters: (Infants: <37 weeks or <2500 g or at Attending Request) 1. 2. 3. 4. Apnea > 20 sec HR < 80 bpm for more than 10 sec O 2 sat < 90% for more than 10 sec Respiratory distress that doesn’t improve with proper positioning PASS FAIL Nurse to give caregivers “Car Safety for Nurse to document oxygen saturations with next set of vitals before infant returns to their room Newborn Infants” education document Caregivers to watch TIGR TV video “Infant CPR” #1119 Caregivers to watch TIGR TV “Car Seat Safety” #1179 Nurse to notify attending of failed test for next steps If concerns ARE noted, patient recommended to undergo additional evaluation and monitoring. Patient on MOMB may be transferred to NICU service for admission and/or formal evaluation. Reference: Marilyn J. Bull, William A. Engle. Safe Transportation of Preterm and Low Birth Weight Infants at Hospital Discharge. The Committee on Injury, Violence, and Poison Prevention and the Committee on Fetus and Newborn. Pediatrics May 2009, 123 (5) 1424 -1429. UPDATED 8. 10. 2020 If NO concerns noted, patient can be approved for discharge with outlined criteria and education Nurse to provide the following patient education: Responsible adult must sit in the back seat to monitor for color changes. Infant must be removed from the car seat at the time the infant failed the test. Caregivers to watch TIGR TV video “Infant CPR” #1119. Caregivers to watch TIGR TV “Car Seat Safety” #1179. Nurse to give patient “Car Safety for Newborns” patient education document. Nurse to provide list of community resources for car seat safety. Instruct caregivers that any device that gives the same semi reclined position should be avoided until advised (i. e. bouncy seats, swings, etc. ) unless directly supervised by caregiver.