Restraints Bed Rail Safety Check - Primaris 2025

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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.
They are not designed or intended to limit the freedom of people by preventing them from intentionally leaving their beds. In addition, they are not intended to restrain people whose condition disposes them to erratic, repetitive or violent movement. Use of bed rails in these ways can increase the risk of falling.
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).
Which safety measure is observed when using bed rails? Never leave the person alone when the bed is raised.
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 rail is suitable for the bed and mattress. 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.
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.

nursing home bed rail regulations 2022