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  3. C.A.L.M.S

Clinical Resource: C.A.L.M.S

What is C.A.L.M.S.?

C.A.L.M.S. stands for Comfort, Activity, Lighting, Movement, and Sound/Smell. It is a holistic approach to support the preterm infant and their developing neurological system. C.A.L.M.S helps nurses and parents work together to help the preterm or sick baby develop and recover in a positive healing environment.

Why is C.A.L.M.S. important?

Research has shown that a program like C.A.L.M.S. can have a positive effect on the parents and baby, including:

  • Shorter hospital stay
  • Increased parent satisfaction
  • Reduced number of complications for baby
  • Better neuro-developmental outcomes for baby

What does C.A.L.M.S. look like for a parent?

Education will start with parents as soon as the baby is admitted to the NICU. Babies will be classified into one of four C.A.L.M.S. categories.

  • First 72 hours
  • Critical — 4B
  • Stable — 4A
  • Feeder and Grower — 3A and 2A

A colored card will be outside of each infants room to classify what category the infant is in related to C.A.L.M.S.

How can the parent become involved?

Each category has specific ways a parent can be involved in and help participate in your child’s care. Your baby’s nurse will teach you how to participate and check off each skill that is taught. You should keep the sheet and continue to check off new skill as infant progresses through the four categories.

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Related Locations

UAMS Medical Center exterior

Neonatal Intensive Care Unit (Part of UAMS Medical Center)

4301 W. Markham St.
Little Rock, AR 72205

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501-526-1500
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Premature newborn baby girl in the hospital incubator after c-section in 33 week

Newborn and Infant Care (Part of Pediatric Care)

Every birth is different and special. Let our expert team at UAMS Health take some of the worry out of your delivery and put yourself and your baby in our care.

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Make an Appointment

Request an appointment by contacting a clinic directly or by calling the UAMS Health appointment line at (501) 686-8000.

UAMS Health LogoUAMS HealthUniversity of Arkansas for Medical Sciences
Mailing Address: 4301 West Markham Street, Little Rock, AR 72205
Phone: (501) 686-7000
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