Unique Plan Description: Sleep Protocol
Plan Selection Display: Sleep Protocol
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2026-01-20 08:12:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2026-01-20 08:18:36
Available at all facilities: Yes

Sleep Protocol
Vital Signs
	Vital Signs
		T;N, QID, Sleep Protocol Vital Signs
		T;0400, DAILY 0400 ONLY, Sleep Protocol Vital Signs
Activity
	Ambulate
		T;N
			Comment: Frequent mobilization of patient during daytime hours. If unable to ambulate, initiate ROM
	Up in Chair
		T;N, TID
Diet
	Diet Conditional
		T;N, Avoid caffeine after 12PM
			Comment: Avoid caffeinated beverages, colas, regular coffee, caffeinated tea after 12pm
Medications
	melatonin
		3 mg, Tab, By Mouth, QHS
			Comment: Do not administer after midnight
PRN
	melatonin
		3 mg, Tab, By Mouth, QHS, PRN insomnia
			Comment: May repeat x 1 dose after 2 hours if needed.  Do Not administer Melatonin after midnight
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	traZODone
		25 mg, Tab, By Mouth, QHS, PRN insomnia
			Comment: If melatonin also prescribed, try melatonin first. Administer trazadone if melatonin ineffective.
Patient Care

	Create Restful Evironment
		T;N, QHS, PRN, see comment, During sleeping hours - Turn off lights and TV as desired, minimize noise, minimize disruptions
	Essential Oils - Lavender Sandalwood
		T;N, QHS, PRN, see comment, For relaxation. Place on patient pillowcase
Consults/Follow-up
	Pharmacy Consult
		T;N, Adjust medication schedules to minimize sleep disruption. Review all medications/doses that negatively impact sleep. Avoid administration of steroids and diuretics after 1600 if clinically possible, Routine

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