| Area of Concern | Safety Interventions |
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| Security | - Be alert to all visitors; restrict prn
- Monitor/report suspicious visitors
- Assess high-risk children (e.g., custody disputes)
- Identify person to whom child is discharged
- All staff to wear photo ID, especially when transporting child
- Transport one child at a time; never leave child unattended during transport
- Do not allow visitors to borrow scrubs or lab coat
- Infants placed near nurses’ station, in direct line of vision
- Access to pediatrics unit limited; doors alarmed to indicate when someone enters or leaves the unit
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| Electrical equipment (e.g., apnea monitor, ECG monitor, respirator) | - Maintain all equipment in good working order
- Remove leads when not attached to monitor
- Unplug power cord when not connected to equipment
- Keep equipment away from moisture (e.g., puddle of water, tub)
- Do not turn off alarm for any reason
- Always check the child when an alarm sounds; never ignore the alarm
- Teach other children not to touch or play with the equipment
Home care: - CPR guidelines posted near bed
- Emergency numbers posted near phone
- Notify electric company, get on priority service list in case of power outage
- Use intercom or monitoring system
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| Environment | - Keep unused electrical outlets covered with childproof caps
- Secure screens on all windows
- Strap infant securely into infant seat, high chair, stroller
- Discourage use of walkers
- Crib rails up at all times when infant or young child is alone
- When a crib rail is down, keep one hand on the infant or young child at all times
- Keep plants or flowers out of the reach of infants or young children
- No small or sharp objects within reach of infants or young children; no pins on diapers
- No small or removable parts of toys of infants or young children
- Keep all medications out of the reach of infants or young children
- Never leave an infant or young child alone in a bath or near water
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