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The document is a 'Restraints: Side Rail Utilization Assessment' form designed to guide healthcare providers in evaluating the appropriateness of side rails for residents. It includes sections on resident preferences, fall/injury risk determination, mobility assessment, evaluation of alternatives to side rails, and recommendations from a prevention/reduction committee. The goal is to ensure safety while considering the resident's needs and preferences.

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When should a risk assessment be done when installing side rails?

Risk assessments should be carried out before the initial use of bed rails. Additionally, risk assessments should be reviewed and recorded after each significant change in the bed occupants condition or needs.

When should bed rails be checked?

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.

What is the most serious risk of bedside rails?

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.

Are side rails allowed in nursing homes?

Nursing homes must obtain informed consent from the resident or their legal representative before installing bed rails. This involves explaining the benefits, risks, and alternatives to bed rails, ensuring that the resident or their representative understands and agrees to their use.

What are the two forms of documentation required for the use of bed rails?

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

What are the FDA guidelines for bed rails?

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 eighths of an inch (2-3/8). Also, the bed rail such that the angle at the end of the bed rail relative to the top of a mattress is greater than 60 degrees.

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