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Bed rails are metal or plastic bars positioned along the side of a bed, also commonly known as side rails. The rails may extend the length of the bed or less, such as a quarter or half length. Some people use bed rails to help pull themselves up, turn in bed, or to get out of bed.
To raise full-length rail, grasp the rail by the top and lift until plunger (A) snaps into place. This must be done at both the head and foot end of the bed rail. To lower full-length rail, grasp the bed rail, pull out plunger (A) and slowly lower the rail.
Partial bedrails or bedrails that can be operated by the consumer and do not restrict movement are unlikely to be considered a restraint. Partial bedrails that restrict movement and prevent the consumer getting out of bed therefore would be a restraint.
These rails are used on beds intended for consumers and are intended to 1) reduce the risk of falling from the bed, 2) assist the consumer in repositioning in the bed, or 3) assist the consumer in transitioning into or out of the bed.
It is debated that side rails can be considered as a form of physical restraint if the individual cannot voluntarily remove/lower the device if he/she wishes to do so. The value of side rails as a protective medium is debated with regard to their association with injuries sustained as a result.
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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.
Bed rails sometimes restrain patients. When used as restraints, bed rails can pose the same risk to patient safety as other types of physical restraints.
In the most serious cases, this has led to asphyxiation and death of bed users if they have trapped their head between rails or been unable to free themselves from a position and suffered postural asphyxiation. Severe limb damage has also been reported in cases where someone has become entangled in bed rails.
0:19 2:45 Baby Bed Rail Installation - YouTube YouTube Start of suggested clip End of suggested clip Step 1 insert the upper support bar into the bottom support bar. Making sure the spring pin fitsMoreStep 1 insert the upper support bar into the bottom support bar. Making sure the spring pin fits securely into the opposing hole as shown here the two pieces should not be able to pull apart.
Use of bed rails should be avoided if possible due to climbing/entrapment risk. However, if the risk to safety is immediate and serious, and alternative strategies have failed to maintain safety, bedrails may be the least restrictive way to maintain safety for the consumer and/or others.

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