Appropriator Restraint

The Indiana University Health Bloomington Car Seat Program provides free car seat inspections and installations to families in Monroe County, Greene County, and Owen County. This program is a result of a funding partnership between IU Health Bloomington and Automotive Safety Program. The car seat technician does around 300 inspections and installations a year. The program sessions take place from 9:00a.m. to 3:00p.m. on Fridays at the Assisted Medical Transport Department garage, which is located at 630 South Patterson Dr. Bloomington, IN 47403. The inspection is completed in the participant’s vehicle. Most participants find out about the IU Health Bloomington Car Seat Program by referral from their pediatrician, family, friends or a community organization. While the program ideally targets low income families who fall under the Women, Infants and Children guidelines, families from all socioeconomic statuses are welcomed.

The study of Children’s Hospital of Philadelphia found that specific groups of teens, including country residents, African-Americans, those with low grades or attending lower-socioeconomic school districts, and drivers of pickup trucks, reported the lowest use of seat belts. However, seat belt use among these groups was higher in states with primary enforcement seat belt safety laws. This is excluding the children who, in all states, are required to be buckled in a child restraint or booster seat by their guardian, the people most at risk are teens. A 2012 online query conducted by the Centers for Disease Control and Prevention (CDC), car crashes is the number one killer of teens in the U.S. Teens have the lowest rate of seat belt use compared to any other age group and they

Heat stroke in children is becoming a bigger problem because of children being placed in backs seats. I want to start out with habits parents or caregivers should practice. It would be a great idea to leave your phone next to your child's car seat, because you aren't very likely to forget your phone for too long. Another good idea would be to put the car seat directly behind you, that way you bump it when unbuckling and to remind you your child is with you. If you forget things easily it is a good idea would be to move something out of its normal place or put the diaper bag next to you to trigger your memory. Another example of what you could do to prevent child heat stroke would be to use technology. A child car seat sensor would

States in 1991, in an effort to inform parents that they should place their infant on their back when sleeping. Many parents, mainly among minority families, are still unaware of this prevention step. Other preventive measures include: breast feeding, not smoking during and after pregnancies, and parents should not to sleep with their infants.

In today’s society, and even generations before us, kids safety is very important. Also, traveling in an automobile is

“Toddlers depend on their parents/caregivers for health management, overall health influenced by their parents” (Edelman & Mandle, 2010).

In spite of a major decline in the incidences of Sudden Infant Death Syndrome since the American Academy of Pediatrics published its recommendation in 1992 that infants should be placed on their back for sleeping this decline has stopped and left us at a plateau. Even though this was released many families are still butting babies on their bellies to sleep. Because of that, it has become increasingly important to address the risk that puts infants at greater risk for SIDS. In this paper of the changeable and non-changeable risk factors of SIDS will be addressed. The recommendations described in this paper include placing infants on a back position to sleep, use of a firm sleep surface and the need for routinely scheduled immunization.

Sudden Infant Death Syndrome (SIDS) is the unexplained death of an infant less than one year of age after having done a complete postmortem examination and investigation of the scene of death. There are no causes that have been found that make it clear as to why SIDS is so common. The rate of SIDS decreased dramatically when the Back to Sleep campaign was started to encourage parents and caregivers that infants were placed on their back while sleeping (Hockenberry & Wilson, 2015, p. 473). The most common ways that these deaths have occurred are the infant’s sleeping environments and their positioning. Research shows that infants that sleep in the prone position are most at risk

Motor vehicle crashes are identified as the leading cause of death in children under 19 years of age across the United States (Sauber-Schatz, West, & Bergen, 2014). Due to the large number of child deaths that occur each year, education regarding the proper use of child passenger safety seats must be provided to families. According to Basco, Hletko, West, and Darden (2009), although death and injury caused by motor vehicle accidents are deemed accidental, they are

Studies show that childhood injuries and deaths occur right in their home (Morrongiello, Corbett, McCourt, & Johnston, 2006). In the United States, it is estimated that 1 in 4 children will experience an injury that will need medical attention (Morrongiello, Corbett, McCourt, & Johnston, 2006). Erikson’s psychosocial theory is an excellent way to better understand why a child will get injured by providing a different perspective (Ginsburg, 1992). This will lead to more extensive research on childhood injuries (Ginsburg, 1992).

As we all strive to encourage the use of verbal de-escalation and reduce the occurrence of physical restraint, I would like to request that all programs ensure they’re entering every student restraint or student disturbance into the Risk Management reporting site. This will allow team members to identify common barriers staff members face as well as identify best practices across programs. I believe that the most programs are entering these incidents and I would like to thank you for doing so! For programs that have not been entering student restraint or student disturbance incidents into the reporting site, please begin doing so immediately. Documenting every incident provides the student, staff, and AMIkids as a whole the ability to revisit any event in detail should any injuries or allegations occur from the incident; I cannot stress how important highly detailed documentation is.

I have been able to find out more about the perception of nurses towards the no restraints policy. As students, it has been drilled into nurses that safety is of utmost importance in order to avoid liability. Most of the nurses

Many parents lack education on, or do not fully know, proper car seat use and the consequences of improper car seat safety implementation. Car seat safety is important for children as they face increase risk of injury at certain ages or physical size.

According to the article “Child Vehicular Stroke Fact Sheet” from KidsAndCars.org, “The average number of U.S. child vehicular heat stroke deaths is 37 per year.” That is one death of a child every nine days. Although, some individuals may or may not have unintentionally left their children in the car. A majority of parents that left their child in the vehicle unknowingly did it. However, there is a small percentage of parents that knowingly left their child unattended in the vehicle. In some cases, the child even entered the vehicle on their own without the parent or caregiver noticing in time. Statistics of child vehicular heat stroke deaths reveal that 54.25% of parents unknowingly left their child in the vehicle, 11.58% knowingly left their child in the vehicle, and 33.58% of the children entered the vehicle by themselves without parents or caregivers noticing in a reasonable amount of time (Child Vehicular Heat Stroke). Some individuals, usually non-parents, believe that it is completely absurd to forget a child is in the vehicle. However, the most dangerous mistake a parent or caregiver can make is to think leaving a child alone in a vehicle could never happen to them or their family (Child Vehicular Heat Stroke). A heat stroke can be extremely lethal to young children if it is not recognized and treated in time.

Infants should ride rear facing until they are the maximum weight allowed by the car seat manufacturer. At a minimum, the child should remain rear facing until they are at least one year of age and at least 20 pounds. Toddlers/Preschoolers should be placed in a face forward car seat with the full five-point harness. School age children should be in a booster seat until they are able to wear a seat belt correctly which is usually when a child reached the height of 4’9” and between eight and twelve years old. Older children who have outgrown the booster seat should ride with a lap belt and shoulder belt in the back seat until they are thirteen years old.(Christophersen,1977)