Healthcare professionals play an important role in promoting the safety of neonates during motor vehicle travel. Properly securing neonates in age- and size- appropriate car seats reduces the risk of serious injury or death from a motor vehicle crash, yet research and field data show most infants and children are incorrectly secured in their car seats. Additionally, screening fragile infants for positioning and tolerance in their car seat reduces the risk of cardiorespiratory compromise. However, research demonstrates that although the American Academy of Pediatrics continues to recommend that at-risk infants be monitored for tolerance in an appropriate car seat or car bed, knowledge, policies, and practices vary widely between healthcare institutions.
In light of these concerns, this presentation will review the rationale behind the recommendation to complete a Car Seat Tolerance Screening (CSTS) and discuss common misconceptions about the process and results. Additionally, the steps to set up and conduct a CSTS will be discussed, including a focus on proper harnessing and positioning of the neonate. Finally, the scope of practice of the provider, the bedside nurse, and the hospital’s Child Passenger Safety Technician will be explored.
Learning Objectives:
1. Describe the rationale behind the Car Seat Tolerance Screening and common misconceptions about the process and results. 2. Describe the steps to set up and conduct a car seat tolerance screening, based on the standard of care in the United States. 3. Explain the scope of practice of the provider, bedside clinician, and Child Passenger Safety technician as it pertains to the car seat tolerance screening.
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