Navigating Daylight Savings with Children
Courtney Carter
/ Categories: WELLNESS, 2024

Navigating Daylight Savings with Children

Transitioning to daylight savings can be tricky for babies and children whose sleep schedule thrives on routine. But, with a little advance preparation, you can make “falling back” easier for all.

There’s nothing like sudden darkness at 4:30 p.m. to make your whole world feel off. The transition to daylight savings, both in the spring and fall, is especially hard on young children who live by routines. The impact can be particularly challenging as it relates to bedtime.

The good news is that it is possible to begin managing the transition before it happens so that, when the day comes, you and your child are ready.

For maximum success, you want to begin at least four days before daylight savings kicks in. This year, with Daylight Savings Time starting Sunday, November 3, you want to begin adjusting bedtimes no later than Wednesday, October 30.

Begin by pushing bedtime forward 15 minutes. If the normal tuck-in time is 8 p.m., move it to 8:15 p.m. The next night, move it another 15 minutes later to 8:30 p.m. and repeat so that on the evening of daylight-saving time (Saturday night), bedtime will be at 9:00 pm. Once you adjust the clocks on Sunday, your child will be back to their usual 8 p.m. bedtime.

And, because you don’t want to disrupt bedtime routines (think getting into jammies, brushing teeth, reading books, etc.), you must adjust the timing of ALL your routines for the four nights preceding daylight savings.

Yes, that means you’ll be eating dinner a bit later for a few nights, but the reward of not having a groggy baby or a tyrannical toddler will be worth it.

A few other tips to keep in mind as you ready to fall back as a family:

Avoid screens: Powering down screens of all type at least 30-60 minutes before bedtime to provide the best sleep quality and help you fall asleep faster.

Don’t skip naps: As tempting as it might be to try playing the sleep-swap games with children’s naps, it can lead to sleep deprivation that can affect a child’s mental and physical health.

Keep kids awake for bedtime: While your child may get sleepy as you push back bedtime, it’s important to try to keep them awake so they’re truly ready for the transition.

Also, if possible, put a pause on any big transitions, such as changing bedrooms or beds, or even potty training, until your child is comfortably settled into the new sleep cycle—typically one week. You don’t want to overwhelm them or have a lack of sleep negatively impact their progress toward important milestones.

Again, most children and adults can adjust to daylight savings within a week. Mustering an extra bit of effort, patience and consistency in the days leading up to it will have you all sleeping soundly soon.

Lynn Mann, DO, is a pediatrician at SVMC Northshire Campus.

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Emergency Department: Open, Ready, Safe. 

The last 3 months have been a uniquely challenging experience in the SVMC Emergency Department (ED) and emergency departments and hospitals all over the country and the world. I am very proud of all our staff has done and continues to do to ensure safe care for patients during this era of COVID-19. We are grateful that cases of COVID-19 in our area have been the lowest in the U.S. and have decreased even further over the past several weeks. We are also heartened to see that patients who had been avoiding the ED are now confident to return to get the care they need.

It may be surprising to hear that over the past few months, the sickest patients we have seen in the ER have not had COVID-19. Many people have refrained from seeking care for serious medical problems due to the fear of being exposed to the virus, assuming that the hospital was not a safe place to be and not recognizing the seriousness of their symptoms. The most challenging moments of the past several months have involved critically ill patients who tried to stay away for far too long due to fear of being exposed to COVID-19. We have had many sad moments trying to care for those who waited until it was too late for us to help with conditions that could have been easily treated if presented sooner.

One might expect that the greatest challenges related to the pandemic were those needed to adapt our facilities and procedures and the work of caring for sick COVID-19 patients. SVMC is fortunate to have built a strong foundation of safety and infection-prevention methods over many years, which made this transition much easier. Still, when it became apparent that we were going to see COVID-19 cases coming through our doors, we implemented many COVID-specific changes very quickly.

From day one our staff have all been fully trained to use protective equipment effectively, to focus on cleaning and disinfecting, and to move patients safely through the new areas created to keep them safe. We also spaced the waiting room chairs to allow for plenty of distance and initiated drive-by testing to keep potentially contagious people outside and away from other patients.

We immediately increased our standard of protective equipment we use. For example, all staff who relate with patients now wear both a mask and protective shield, which is a proven and effective strategy to prevent transmission. Those staff who work with patients with respiratory or other contagious symptoms also wear a gown and advanced respirators developed in cooperation with Mack Molding in Arlington. They look strange, but they help us deliver care safely.

We also quickly built special spaces and units in the hospital to treat and segregate patients with respiratory symptoms who might be contagious from those with other routine medical problems. Outpatients with symptoms that could be related to COVID-19 are directed to a spacious area called the Respiratory Evaluation Center. There they can be taken to a safe treatment space called a negative-pressure room without encountering any patients who are using the ED for other reasons or any staff who are not fully equipped with protective gear. There are similar, safe, negative-pressure units for those who require treatment in the ED or hospital.

Our hard work paid off. We have treated a number of COVID-19 patients in our ED and, as far as we know, not a single staff member was sickened in relation to their work here, and no patients have contracted COVID-19 while under our care. With our current procedures and drastically declining COVID numbers, we are confident that we can continue that trend. Furthermore, SVMC recently received a perfect score on a rigorous survey specifically designed to judge our ability to prevent transmission of COVID-19. At this time our ED is safer than just about any other public place you could go.

My goal in writing today is to communicate that SVMC’s Emergency Department is open, ready, and safe. If you need emergency care, we are here and we can care for you safely. Please do not defer emergency care until it is too late for us to help. While many symptoms can represent a serious medical problem, the most concerning are chest pain, difficulty breathing, fast heart rate, confusion, high fever, intense headache, drooping face, dehydration, or weakness. Of course, with any other symptom you feel indicates a serious problem, come in right away or call 9-1-1.

For us, spending time with patients and connecting on a personal level is the best part of our jobs. We take pride in our life-saving role in our communities and the work we have been able to do during the pandemic, but we cannot help if you do not come in. Please don’t hesitate to get the care you need when you need it.

Adam Cohen, MD, is a board-certified emergency medicine physician at Southwestern Vermont Medical Center. He also serves as the chair of the Department of Emergency Medicine and the medical director of SVMC’s Emergency Department.

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