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First Year Cleveland Safe Sleep Heroes ABCDs Training

This training module will teach you: *Why so many of our babies are dying of preventable sleep-related deaths *How knowing the ABCDs of Safe Sleep can help you save a baby’s life *How to make a Safe Sleep space for any baby *What you can do to share the life-saving message Created by the Safe Sleep Heroes Action Team 10, led by The MetroHealth System, University Hospitals, and Cleveland Clinic, part of the First Year Cleveland community movement to decrease infant mortality in the Greater Cleveland area and Cuyahoga County, Ohio.

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Safe Sleep Heroes
Training
This training will help more babies reach their first birthdays.
This training module includes potentially triggering content, including
infant loss. The MetroHealth System and First Year Cleveland believe in
the importance of this training but acknowledge that it may be difficult
for some audience members. Please, if you feel you are unable to view
this content, contact your human resources department or manager
about alternatives available to you.
Together We Can Help More
Babies Celebrate Their First
Birthday
• In Cuyahoga County alone, 61 babies died
before their first birthday of sleep-related
deaths between 2015 and 2017.
• This is the like of three classrooms full of
kindergarteners.
• These deaths are preventable.
• We can show you how.
Safe Sleep Saves Lives
This training module will teach you:
• Why so many of our babies are
dying of preventable sleep-related
deaths
• How knowing the ABCDs of Safe
Sleep can help you save a baby’s
life
• How to make a Safe Sleep space
for any baby
• What you can do to share the life-
saving message
First Year Cleveland: Creating Solutions Together
Founded in early 2016, First Year Cleveland (FYC) draws on the
experience of our community, including families, health systems and city
and county leaders to fight the high rate of infant mortality in our area.
Ranking of Sleep-Related Deaths 2008-2017
Data: Protecting Our Future, Cuyahoga County Child Fatality Report

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First Year Cleveland Safe Sleep Heroes ABCDs Training

  • 1. Safe Sleep Heroes Training This training will help more babies reach their first birthdays.
  • 2. This training module includes potentially triggering content, including infant loss. The MetroHealth System and First Year Cleveland believe in the importance of this training but acknowledge that it may be difficult for some audience members. Please, if you feel you are unable to view this content, contact your human resources department or manager about alternatives available to you.
  • 3. Together We Can Help More Babies Celebrate Their First Birthday • In Cuyahoga County alone, 61 babies died before their first birthday of sleep-related deaths between 2015 and 2017. • This is the like of three classrooms full of kindergarteners. • These deaths are preventable. • We can show you how.
  • 4. Safe Sleep Saves Lives This training module will teach you: • Why so many of our babies are dying of preventable sleep-related deaths • How knowing the ABCDs of Safe Sleep can help you save a baby’s life • How to make a Safe Sleep space for any baby • What you can do to share the life- saving message
  • 5. First Year Cleveland: Creating Solutions Together Founded in early 2016, First Year Cleveland (FYC) draws on the experience of our community, including families, health systems and city and county leaders to fight the high rate of infant mortality in our area.
  • 6. Ranking of Sleep-Related Deaths 2008-2017 Data: Protecting Our Future, Cuyahoga County Child Fatality Report
  • 7. Cuyahoga County Data • There have been 61 sleep-related deaths (2015-2017) • Over one-third were suffocations • Over two-thirds of babies were sleeping with someone • 75% of these babies were exposed to second-hand smoke • Cuyahoga county has averaged 21 sleep-related deaths per year
  • 8. 2007-2016 Sleep-Related Deaths by Age of Infant Data: Protecting Our Future, Cuyahoga County Child Fatality Report Number of Infant Deaths Age of Infant, in Months
  • 9. Safe Sleep By the Numbers • We have been averaging 21 sleep-related deaths per year for the past five years • Sleep-related deaths in Cuyahoga County: • 2015: 27 • 2016: 21 • 2017: 13 • The numbers are moving in the right direction, but not EVERYONE is getting the message. We need your help.
  • 10. It’s as easy as knowing the ABCDs: • A: Alone • B: on their Back • C: in a Crib • D: Don’t smoke Safe Sleep Heroes
  • 11. A Mother’s Story • Ramia Goodwyn, A Mother’s Story: Watch Video • Linda Boseman, APRN-CNP, A Nurse’s Story: Watch Video
  • 12. A: Alone Bed-sharing is NOT recommended for ANY baby. Your baby should be alone in bed, without parents, siblings, or other kids. Remove all blankets, pillows, crib bumpers, bedding and stuffed animals from the crib. These items could suffocate your baby.
  • 13. B: On Their BACKS Healthy babies naturally swallow or cough up their spit up, so your baby will not choke if he’s on his back. Sandi, Choking Clip Watch Video
  • 14. C: In a CRIB • It is important to sleep in an empty crib and use a firm crib mattress covered only by a fitted sheet. Many parents feel that a soft mattress will make their baby more comfortable, but research shows that soft surfaces can increase the risk of sleep-related death. • Car seats, swings, strollers, and other baby gear are not intended for routine sleep.
  • 15. D: Don’t Smoke • Secondhand smoke puts every baby at risk • We know cigarettes affect and build up in a part of the baby’s brain that helps them wake up (the arousal center) • Even nicotine or cigarette smoke on hair or clothes can impact your baby
  • 16. A Lesson Learned: James’ Story Watch Video
  • 17. Be an Advocate for the Baby in YOUR Life • Ask to see where your baby will sleep • Make certain the crib is free of pillows, stuffed animals, bumper pads and blankets • Ask your caregiver or babysitter if he or she knows and practices the ABCDs of Safe Sleep. When you know better, you can do better. • Be sure the home is smoke-free • Ask other parents and grandparents if they know where their baby sleeps • Be willing to be uncomfortable. Asking people not to smoke can be hard. Your baby’s safety is worth it.
  • 19. What Can I Do? Be a champion in your community. • Engage folks you know in the conversation about Safe Sleep • Reach in! Talk with people where you live, play, work, worship and shop • Talk to grandparents, too • Check on and support pregnant neighbors • Share what you have learned today! Watch Video
  • 20. Other Factors You Should Know A few do’s to round out the don’ts
  • 21. • Babies who breastfeed or are fed breast milk are at lower risk for sleep-related deaths than babies who were never fed breast milk. • The risk of a sleep-related death is reduced by 45% with any breastfeeding and 73% with exclusive breastfeeding (AAP 2012 breastfeeding and the use of human milk) Source: Safe to Sleep, National Institutes of Health, U.S. Department of Health and Human Services Breastfeeding Saves Babies
  • 22. • Consider offering pacifiers at nap or bedtime • Only AFTER breastfeeding is well established • Formula-fed babies may introduce pacifiers as soon as family wishes • New evidence from the American Academy of Pediatrics shows pacifiers reduce risk of sleep-related death even in breastfeeding infants Pacifiers Decrease Risk of Sleep-Related Death
  • 24. [Montage of ”When you know better, you do better.”] Watch Video
  • 25. Review: Which of the Following Are Safe Sleep Practices? • Put the baby in an empty crib or pack ‘n play for every nap and sleep time • Place the baby on its back for sleep • Don’t share a bed, couch or chair with the baby • Don’t smoke • All of the above
  • 26. Review: Who Can Be a Safe Sleep Hero? • Parent • Grandparent • Babysitter or caregiver • Neighbor • Doctor or nurse • Everyone in the community • All of the above
  • 27. Review: Safe Sleep is as Simple as ABCD! • A: Alone • B: On their Back • C: In a Crib • D: Don’t smoke Take the pledge: Know it. Share it. Do it!
  • 29. Adapted from training developed by Sandra Hoch, RN, BSN, CCE and The MetroHealth System. The Safe Sleep module and its content information is the intellectual property of The MetroHealth System and is protected by copyright and other protective laws of the United States of America and the State of Ohio. Unless prior written permission is given by The MetroHealth System, you may not download, copy, reproduce, redistribute, republish, display, post, or transmit the Safe Sleep module or its content information in any means or manner.
  • 30. The Safe Sleep module is provided for education and informational purposes only and does not constitute providing medical advice or professional services. The information is provided on an “as-is” basis and should not be used for diagnosing or treating a health condition. Individuals seeking medical advice should establish a patient-provider relationship with a licensed health care provider and follow up with that particular provider. While every effort has been made to ensure the accuracy of the information at the time of original publication, The MetroHealth System does not accept any liability, with respect to loss, damage, injury or expense arising from any such errors or omissions in the contents of the Safe Sleep module, or from any individual or entity’s use, viewing or reliance upon the Safe Sleep module or its content information in any manner.