Documentation: Inplementation of interim guidelines for bed rail use 2025

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The safety strap must always be used. Do not remove the safety strap from the bed rails or user will be at risk of entrapment. A gap between the mattress and the lowermost portion of the rail poses a risk of neck entrapment. The FDA recommended space is less than two and three eights of an inch (2-38).
Even stable patients in rehabilitation or mental health settings can have rapidly changing needs when physical illness intervenes. Therefore decisions about bed rails should be reviewed whenever a patients condition or wishes change, but as a minimum every 5-7 days.
A nursing home shall provide bed rails to a resident only upon receipt of a signed consent form authorizing bed rail use and a written order from the residents attending physician that contains statements and determinations regarding medical symptoms and that specifies the circumstance under which bed rails are to be
The bed occupants care needs should always be taken into consideration in a decision to use a bed rail as well as the environment it is used in and other equipment that is or may be present.
Potential risks of bed rails may include: Strangling, suffocating, bodily injury or death when patients or part of their body are caught between rails or between the bed rails and mattress. More serious injuries from falls when patients climb over rails. Skin bruising, cuts, and scrapes.
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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 the rails.

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