BabyOpus

A continuity to the article my Dr friend shared:

Installation tips for forward-facing seats

Make sure the car safety seat is installed tightly in the vehicle and that the harness fits the child snugly.

To switch a convertible seat from rear-facing to forward-facing,

• Move the shoulder straps to the slots that are at or above your child’s shoulders. On some convertible seats, the top harness slots must be used when facing forward. Check the instructions that came with the seat to be sure.
• You may have to adjust the recline angle of the seat. Check the instructions to be sure.
• Make sure the seat belt runs through the forward- facing belt path. When making these changes, always follow the car safety seat instructions.
• If your vehicle was made after 2002, it should come with the LATCH system, which is used to secure car safety seats. See below for information on using LATCH.

A tether is a strap that attaches to the top of a car safety seat and to an anchor point in your vehicle (see your owner’s manual to find where the tether anchors are in your vehicle). Tethers give extra protection by keeping the car safety seat and the child’s head from moving too far forward in a crash or sudden stop. All new cars, minivans, and light trucks have been required to have tether anchors since September 2000. New forward-facing car safety seats come with tethers. For older seats, tether kits are available. Check with the car safety seat manufacturer to find out how you can get a tether if your seat does not have one.

Common questions

Q: What if I drive more children than can be buckled safely in the back seat?
A: It’s best to avoid this, especially if your vehicle has air bags in the front seat. All children younger than 13 years should ride in the back seat. If absolutely necessary, a child in a forward-facing car safety seat with a harness may be the best choice to ride in front. Just be sure the vehicle seat is moved as far back away from the dashboard (and the air bag) as possible.

Q: What do I need to know if my child will be driven by someone else, such as for child care or school?
A: If your child is being driven by someone else, make sure

• The car safety seat your child will be using is appropriate for the vehicle used for transport.
• The car safety seat being used is appropriate for the age and size of your child.
• The person in charge of transporting your child knows how to install and use the car safety seat correctly.

Child care programs and schools should have written guidelines for transporting children. These guidelines should include the following:

• All drivers must have a valid driver’s license. In some states, school bus drivers need to have a special type of license.
• Staff-to-child ratios for transport should meet or exceed those required for the classroom.
• Every child should be supervised during transport, either by school staff or a parent volunteer, so the driver can focus on driving.
• School staff, teachers, and drivers should know what do to in an emergency, know how to properly use car safety seats and seat belts, and be aware of other safety requirements.
• For more information on written transportation guidelines for schools and child care programs, visit www.healthykids.us/chapters/transportation_main.htm and www.healthychildcare.org.

Q: Should my child ride in a car safety seat on an airplane?
A: Most infant, convertible, and forward-facing seats can be used on airplanes, but booster seats and travel vests cannot. The Federal Aviation Administration (FAA) and the AAP recommend that when flying, children should be securely fastened in certified child restraints until 4 years of age, and then should be secured with the airplane seat belts. This will help keep them safe during takeoff and landing or in case of turbulence. Check the label on your car safety seat or call the car safety seat manufacturer before you travel to see if your seat is certified for use on an airplane. You can also consider using a restraint made only for use on airplanes and approved by the FAA.

School-aged children-booster seats

Booster seats are for older children who have outgrown their forward-facing car safety seats. A child has outgrown his forward-facing seat when one of the following is true:

• He reaches the top weight or height allowed for his seat with a harness. (These limits are listed on the seat and are also included in the instruction booklet.)
• His shoulders are above the top harness slots.
  

  Belt-positioning booster seat

• His ears have reached the top of the seat.

Booster seats are designed to raise the child up so that the lap and shoulder seat belts fit properly. High-back and backless booster seats are available. They do not come with harness straps but are used with the lap and shoulder seat belts in your vehicle, the same way an adult rides. Booster seats should be used until your child can correctly fit in lap and shoulder seat belts. Booster seats typically include a plastic clip or guide to help ensure the correct use of the vehicle lap and shoulder belts. See the instruction booklet that came with the booster seat for directions on how to use the guide or clip.

Installation tips for booster seats

Booster seats must be used with a lap and shoulder belt (never a lap-only belt). When using a booster seat, make sure

• The lap belt lies low and snug across your child’s upper thighs.
• The shoulder belt crosses the middle of your child’s chest and shoulder.

Common questions

Q: What if my car only has lap belts in the back seat?
A: Lap belts work fine with infant-only, convertible, and forward-facing seats. They cannot be used with booster seats. If your car only has lap belts, use a forward-facing car safety seat with a harness and higher weight limits. Other options are

• Check to see if shoulder belts can be installed in your vehicle.
• Use a travel vest (some can be used with lap belts).
• Consider buying another car with lap and shoulder belts in the back seat.

Q: Is there a difference between high-back and backless boosters?
A: Both types of boosters are designed to raise your child so the seat belts fit properly. High-back boosters are useful in vehicles that do not have head rests or have low seat backs. Many seats that look like high-back boosters are actually combination seats. They come with harnesses that can be used for smaller children and can then be removed for older children. Backless boosters are usually less expensive and are easier to move from vehicle to vehicle. Backless boosters can safely be used in vehicles with head rests and high seat backs.

Older children-seat belts

Seat belts are made for adults. Your child should stay in a booster seat until adult seat belts fit correctly (usually when the child reaches about 4′ 9″ in height and is between 8 and 12 years of age). This means

• The shoulder belt lies across the middle of the chest and shoulder, not the neck or throat.
• The lap belt is low and snug across the upper thighs, not the belly.
• Your child is tall enough to sit against the vehicle seat back with her knees bent without slouching and can stay in this position comfortably throughout the trip.

Other points to keep in mind when using seat belts include

• Make sure your child does not tuck the shoulder belt under her arm or behind her back. This leaves the upper body unprotected, putting your child at risk of severe injury in a crash or with sudden braking.
• Never allow anyone to “share” seat belts. All passengers must have their own car safety seats or seat belts.

Common Questions

Q: I’ve seen products that say they can help make the seat belt fit better. Should we get one of these?
A: No, these products should not be used. In fact, they may actually interfere with proper seat belt fit by causing the lap belt to ride too high on the stomach and making the shoulder belt too loose. They can even damage the seat belt. This rule applies to car safety seats too; do not use any extra products unless they came with the seat. There are no federal safety standards for these products and until there are, the AAP does not recommend they be used. As long as children are riding in the correct restraint for their size and age, they should not need to use any additional devices.