IFCDC-Recommended Standards 2020 Checklists by Sections

Infant Family Centered Developmental Care (IFCDC)

Considerations for Implementation

 

Authors:  Consensus Committee on Recommended Standards, Competencies and Best Practices for Infant and Family Centered Developmental Care in the Intensive Care Unit

January 2020

 

Please consider where you are in implementing competency based IFCDC standards of practice in your intensive care unit (Committee) by an interprofessional collaborative team:

 

Please indicate “NOT YET”:  If you have not implemented the competency in your unit or you need to improve the application of this competency.

Please indicate “SOME” if you do address this competency sometimes but are not consistent in application of this competency.

Please indicate “YES” if you and your unit always or almost always meet the competency criteria.

Please include comments and/or indicators of what you are currently doing.

 

Standards:  Systems’ Thinking in complex adaptive systems

 

Competency

 

NOT YET

SOME

YES

Comments/ Indicators

 

Are the baby and the family central to the mission, values, environment, practice, and care delivery?

 

 

 

 

 

Do you work as an interdisciplinary team with representatives from all disciplines?

 

 

 

 

 

Does your team welcome the integration and interaction of the family?

 

 

 

 

 

Does your team, including parents and family, educate and train together?

 

 

 

 

 

Is the team competence regularly evaluated, as well as the competence of the individual professional? 

 

 

 

 

 

Is performance competence evaluated at least annually?

 

 

 

 

 

Is the team, and the professional, held accountable for performance improvement?

 

 

 

 

 

Does your ICU culture encourage open communication, relationship-building, respect and value for all individuals, and creative thinking? 

 

 

 

 

 

Do you have strategies and evaluative metrics that you use to accomplish open communication, relationship building, respect, value and creative thinking for all individuals?

 

 

 

 

 

Does the unit have the infrastructure to practice IFCDC?  What are your strategies and metrics used to improve or sustain the infrastructure?

 

 

 

 

 

Do you support families to feel confident as a nurturing caregiver of their baby, and competent decision-maker in managing current and anticipatory health requirements?

 

 

 

 

 

Is there consistency in information and care delivery along the continuum from inpatient to home, and follow-up?  How is this demonstrated and evaluated?

 

 

 

 

 

Are you aware of the information and data that can tell you about the operation, infrastructure, outcome, education and training, practice performance, and improvement implementation of the unit(s) of your institution? 

 

 

 

 

 

Is improvement continuous and Is there a designated person assigned to the unit who is qualified to extract, program, manage, and report data? 

 

 

 

 

 

Do you collect articulated metrics monitor, evaluate, and compare with standardized outcomes?

 

 

 

 

 

Is there transparency in the dissemination of information and data? 

 

 

 

 

 

Can you articulate a cost-to-benefit ratio to justify, or identify opportunities, for developmental care?  How is this accomplished?

 

 

 

 

 

Strategies are used to provide a continuum of care from admission to transition to home, and follow-up care in the community. 

 

 

 

 

 

The information and data are shared between in-patient and primary care teams to improve the continuum of education and care management from in-patient through primary care.          

 

 

 

 

 

   

 

 

What are your ICU’s strengths in the Systems’ Thinking in complex adaptive systems?

 

 

 

What are your ICU’s challenges with Systems’ Thinking in complex adaptive systems?

 

 

 

What might be your next steps toward meeting the standards/competencies in Systems’ Thinking in complex adaptive systems?

 

 

Infant Family Centered Developmental Care (IFCDC)

Considerations for Implementation

 

Authors:  Consensus Committee on Recommended Standards, Competencies and Best Practices for Infant and Family Centered Developmental Care in the Intensive Care Unit

January 2020

 

Please consider where you are in implementing competency based IFCDC standards of practice in your intensive care unit (Committee) by an interprofessional collaborative team:

 

Please indicate “NOT YET”:  If you have not implemented the competency in your unit yet or you need to improve the application of this competency.

Please indicate “SOME” if you do address this competency sometimes but are not consistent in application of this competency.

Please indicate “YES” if you and your unit always or almost always meet the competency criteria.

Please include comments and/or indicators of what you are currently doing.

 

Standards of Practice:  Positioning and touch for the newborn

 

Competency

NOT YET

SOME

YES

Comments/Indicators

Is there standardized education to guide the performance of team members, including families, to support the musculoskeletal, physiologic, and behavioral stability of the baby?

 

 

 

 

Does the unit have a written evidence based guideline to support the value and implementation of individualized developmentally appropriate position and touch management?

 

 

 

 

Is positioning therapeutic and individualized to the baby given the care situation, and support (equipment) modalities?

 

 

 

 

Is body positioning used as an appropriate intervention for cranial shaping, prevention of torticollis and skull deformity, gastrointestinal symptoms, and safe sleep?

 

 

 

 

Is the assessment and intervention of positioning consistently documented?

 

 

 

 

Can you confidently describe the “voice”, or behavioral communication, of the baby and is this documented?

 

 

 

 

Is the assessment and plan for touch individualized to the baby—frequency, duration, for comfort, physiologic regulation, and quiet sleep?  

 

 

 

 

Is the documentation of positioning and touch evaluated by the team, and changed consistent with the needs of the baby?

 

 

 

 

Does the family demonstrate confidence in managing the baby’s positioning during daily life activity?

 

 

 

 

   

 

 

What are your ICU’s strengths in positioning and touch for the newborn?

 

 

 

 

 

What are your ICU’s challenges with positioning and touch for the newborn?

 

 

 

 

 

What might be your next steps toward meeting the standards/competencies in positioning and touch for the newborn?

 

 

 

 

 

 

Infant Family Centered Developmental Care (IFCDC)

Considerations for Implementation

 

Authors:  Consensus Committee on Recommended Standards, Competencies and Best Practices for Infant and Family Centered Developmental Care in the Intensive Care Unit

January 2020

 

Please consider where you are in implementing competency based IFCDC standards of practice in your intensive care unit (Committee) by an interprofessional collaborative team:

 

Please indicate “NOT YET”:  If you have not implemented the competency in your unit yet or you need to improve the application of this competency.

Please indicate “SOME” if you do address this competency sometimes but are not consistent in application of this competency.

Please indicate “YES” if you and your unit always or almost always meet the competency criteria.

Please include comments and/or indicators of what you are currently doing.

 

Standards for Practice:  Sleep and arousal intervention for the newborn

 

Competency

NOT YET

SOME

YES

Comments/Indicators

Are the environment and the furnishings conducive to optimizing developmentally appropriate sleep for the baby?

 

 

 

 

Does the unit have a written guideline to support the value and implementation of individualized developmentally appropriate sleep and arousal management?

 

 

 

 

Is there standardized evidence based education to guide the performance of team members, including families, to assess, support, and evaluate individualized age-appropriate quality and quantity of sleep?

 

 

 

 

Can you, and the family, confidently describe the “voice”, or behavioral communication, of the baby?

 

 

 

 

Is the assessment of the baby’s cyclical rest and activity pattern, and response, documented?

 

 

 

 

Does the individualized plan of care reflect modifications to optimize sleep and arousal?

 

 

 

 

Are the rest and sleep periods of the baby protected in the plan of care?

 

 

 

 

Do the team professionals encourage family presence, engage individualized interaction with their baby, strengthen their confidence to evaluate response, and foster developmentally appropriate behavior modification?

 

 

 

 

Is the documentation, individually and population, regularly evaluated for improvement opportunities in education, interaction, and performance?

 

 

 

 

 

 

 

What are your ICU’s strengths in supporting sleep and arousal interventions for the newborn?

 

 

 

 

 

What are your ICU’s challenges with supporting sleep and arousal interventions for the newborn?

 

 

 

 

 

What might be your next steps toward meeting the standards/competencies in sleep and arousal interventions for the newborn?

 

 

 

 

 

Infant Family Centered Developmental Care (IFCDC)

Considerations for Implementation

 

Authors:  Consensus Committee on Recommended Standards, Competencies and Best Practices for Infant and Family Centered Developmental Care in the Intensive Care Unit

January 2020

 

Please consider where you are in implementing competency based IFCDC standards of practice in your intensive care unit (Committee) by an interprofessional collaborative team:

 

Please indicate “NOT YET”:  If you have not implemented the competency in your unit yet or you need to improve the application of this competency.

Please indicate “SOME” if you do address this competency sometimes but are not consistent in application of this competency.

Please indicate “YES” if you and your unit always or almost always meet the competency criteria.

Please include comments and/or indicators of what you are currently doing.

 

Standards of Practice:  Skin-to-skin contact with intimate family members

 

Competencies

NOT YET

SOME

YES

Comments/Indicators

Is there an evidence based policy, guideline, education and training, and competencies to standardize the performance of skin-to-skin contact for the team, parents, and family members? 

 

 

 

 

Are the parents and families included in the learning process and practice? 

 

 

 

 

Is the education and performance demonstration mandatory?

 

 

 

 

Is the practice of skin-to-skin contact individualized to the baby and family?

 

 

 

 

Are the parents, and family members, physically and psychologically comfortable during skin-to-skin contact?  How do you know?

 

 

 

 

Can you, and the family, confidently describe the “voice”, or behavioral communication, of the baby’s readiness, stability, engagement, response; and monitoring data, through the process of skin-to-skin contact?

 

 

 

 

Do the parents, and family members, interact with the baby to calm, soothe, and connect?

 

 

 

 

Are improvements continuously implemented based on credible evidence, data, and evaluation?

 

 

 

 

Does the team provide anticipatory guidance, safety measures, and support, for continuing contact with the baby transitioning to home, and home care?    

 

 

 

 

 

 

 

 

 

 

What are your ICU’s strengths in supporting skin-to-skin contact with intimate family members?

 

 

 

 

 

 

What are your ICU’s challenges with supporting skin-to-skin contact with intimate family members?

 

 

 

 

 

 

What might be your next steps toward meeting the standards/competencies in supporting skin-to-skin contact with intimate family members?

 

 

 

Infant Family Centered Developmental Care (IFCDC)

Considerations for Implementation

 

Authors:  Consensus Committee on Recommended Standards, Competencies and Best Practices for Infant and Family Centered Developmental Care in the Intensive Care Unit

January 2020

 

Please consider where you are in implementing competency based IFCDC standards of practice in your intensive care unit (Committee) by an interprofessional collaborative team:

 

Please indicate “NOT YET”:  If you have not implemented the competency in your unit yet or you need to improve the application of this competency.

Please indicate “SOME” if you do address this competency sometimes but are not consistent in application of this competency

Please indicate “YES” if you and your unit always or almost always meet the competency criteria

Please include comments and/or indicators of what you are currently doing.

 

Standards of practice: Reducing and managing pain and stress in FAMILIES

 

 

Competency

NOT YET

SOME

YES

Comments/Indicators

Are there sufficient specialty professionals to support the psychiatric, psychological, social, cultural, and spiritual needs of parents, families, and staff?

 

 

 

 

Do parents and families have access to peer-to-peer and psychoeducational group support while in the hospital, and following the transition to home?

 

 

 

 

Are there routine educational sessions for staff, including: (a) recognizing symptoms of emotional distress in parents and family members, (b) communication skills emphasizing reflective listening and non-judgmental feedback, (c) available resources for family members in distress, and (d) self-care and avoiding burnout?          

 

 

 

 

Does your team assess and document wellbeing, and the emotional distress of staff, parents, and families?

 

 

 

 

Do the ICU mental health professionals have dedicated time to informally communicate with all parents at the bedside on a routine basis?

 

 

 

 

What strategies are implemented to assist staff, parents, and families who experience a lack of wellbeing or emotional distress, to cope in a healthy manner?

 

 

 

 

 Is information about parental well-being and distress communicated with follow-up providers?

 

 

 

 

Do you have sufficient resources to support the psychosocial needs of staff, parents, and families through hospitalization, and following the transition to home?

 

 

 

 

 

 

 

What are your ICU’s strengths in reducing and managing pain and stress in families?

 

 

 

 

 

What are your ICU’s challenges with reducing and managing pain and stress in families?

 

 

 

 

 

What might be your next steps toward meeting the standards/competencies in reducing and managing pain and stress in families?

 

 

 

Infant Family Centered Developmental Care (IFCDC)

Considerations for Implementation

 

Authors:  Consensus Committee on Recommended Standards, Competencies and Best Practices for Infant and Family Centered Developmental Care in the Intensive Care Unit

January 2020

 

Please consider where you are in implementing competency based IFCDC standards of practice in your intensive care unit (Committee) by an interprofessional collaborative team:

 

Please indicate “NOT YET”:  If you have not implemented the competency in your unit yet or you need to improve the application of this competency.

Please indicate “SOME” if you do address this competency sometimes but are not consistent in application of this competency.

Please indicate “YES” if you and your unit always or almost always meet the competency criteria.

Please include comments and/or indicators of what you are currently doing.

 

 

Standards of Practice: Reducing and managing pain and stress in BABIES

 

Competency

NOT YET

SOME

YES

Comments/Indicators

Are parents encouraged and supported to engage and interact as members of the interprofessional collaborative team?

 

 

 

 

Do parents have unlimited opportunities to be with their baby?

 

 

 

 

Can you confidently describe the “voice”, or behavioral communication, of the baby? 

 

 

 

 

Do you support parents and family members to understand the communication of the baby? 

 

 

 

 

Do you have written evidence based policies, guidelines, education and training programs, and performance measures to guide the use of pharmacologic and non-pharmacologic measures to manage the baby’s stress, discomfort, and pain?

 

 

 

 

Does the team regularly assess, monitor, and evaluate the baby’s stress, discomfort, and pain?

 

 

 

 

Are parents supported to be present during stressful procedures to provide non-pharmacologic support for the baby?

 

 

 

 

Are pharmacologic interventions used routinely for babies who are being mechanically ventilated?

 

 

 

 

Are non-pharmacologic interventions routinely utilized to supplement the use of pharmacologic therapies?

 

 

 

 

 

 

 

 

 

 

 

What are your ICU’s strengths in reducing and managing pain and stress in babies?

 

 

 

 

 

What are your ICU’s challenges with reducing and managing pain and stress in babies?

 

 

 

 

 

What might be your next steps toward meeting the standards/competencies in reducing and managing pain and stress in babies?

 

 

 

 

Infant Family Centered Developmental Care (IFCDC)

Considerations for Implementation

 

Authors:  Consensus Committee on Recommended Standards, Competencies and Best Practices for Infant and Family Centered Developmental Care in the Intensive Care Unit

January 2020

 

Please consider where you are in implementing competency based IFCDC standards of practice in your intensive care unit (Committee) by an interprofessional collaborative team:

 

Please indicate “NOT YET”:  If you have not implemented the competency in your unit yet or you need to improve the application of this competency.

Please indicate “SOME” if you do address this competency sometimes but are not consistent in application of this competency

Please indicate “YES” if you and your unit always or almost always meet the competency criteria

Please include comments and/or indicators of what you are currently doing.

 

Standards of Practice:  Management of feeding, eating, and nutrition delivery

 

Competency

NOT YET

SOME

YES

Comments/Indicators

Do you provide education on behaviors and physiologic parameters of the baby that indicates age-appropriate feeding readiness, engagement, and the need to stop? 

 

 

 

 

Are staff, parents and families included in the educational offering?

 

 

 

 

Is the desire of the m/other central to the feeding plan designed by the team?  Is this consistently reflected in the documentation?

 

 

 

 

Do you provide continuing education and evidence based interventions that are safe and individualized to the baby and the feeding technique used—enteral, breast, or bottle?

 

 

 

 

Are team members/staff regularly evaluated on performance competencies of individualized feeding?

 

 

 

 

Is variability in the skill of feeding the baby minimized? 

 

 

 

 

Is discomfort or distress recognized and managed?  Does the baby exhibit a comfortable and enjoyable response?

 

 

 

 

Is nutritional/growth outcome monitored?

 

 

 

 

Is suctioning and oral care performed so that stress to the baby is minimized?  Is human milk considered for oral care?  

 

 

 

 

Are there sufficient team/staff professionals to guide and support caregivers, parents, and family members as needed during feeding?

 

 

 

 

 Is breastfeeding by the mother encouraged and supported? 

 

 

 

 

Is early breastfeeding, or feeding with breastmilk, promoted?  Do you have a way of monitoring how the information disseminated?

 

 

 

 

Does the feeding management plan demonstrate a feeding and nutrition continuum from in-hospital care through the transition to home, and home care?  Are parents and family members informed of feeding and nutrition resources available to them when at home

 

 

 

 

 

 

What are your ICU’s strengths in the management of feeding, eating, and nutrition delivery?

 

 

 

 

 

What are your ICU’s challenges with management of feeding, eating, and nutrition delivery?

 

 

 

 

 

What might be your next steps toward meeting the standards/competencies in management of feeding, eating, and nutrition delivery?