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The use of physical restraints is limited to half-bed rails as prescribed and documented by the residents physician with the consent of the resident or, if applicable, the residents representative, designee or the residents surrogate, guardian, or attorney.
When all four side rails are used to prevent a patient from exiting the bed, this would be a restraint, however, raising fewer than four side rails when the bed has segmented side rails would not necessarily immobilize or reduce the ability of a patient to move freely.
Risk Management of Bed Rails The home appoints a competent senior staff member to be responsible for making regular checks to ensure that any bed rails fitted remain properly adjusted and continue to be suitable for the occupant.
the mattress fits snugly between the rails. the rail is correctly fitted, secure, regularly inspected and maintained. gaps that could cause entrapment of neck, head and chest are eliminated. staff are trained in the risks and safe use of bed rails.
Risk Management of Bed Rails The home appoints a competent senior staff member to be responsible for making regular checks to ensure that any bed rails fitted remain properly adjusted and continue to be suitable for the occupant.
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10.2 The issue of bed rails should be discussed with the patient and their carers/family if appropriate, and their consent sought and documented.
1. Documentation that the resident was offered the option of bedrails upon admission, if newly admitted, or to others on request. 2. Documentation that the resident was informed of the alternatives to, and the risks involved with, using bed rails.
Users, carers and prescribers need to follow the manufacturers instructions for use and any warnings about associated risks. The equipment should only be used and maintained in line with the manufacturers instructions for use.

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