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Protecting Residents Against Bed Rail Entrapment

The use of bed rails creates both a resident liability and regulatory risk for nursing homes. Steps to take to mitigate injury/death or citations include the following:

  • Assess residents for physical or mental conditions that place them at greater risk for entrapment
  • Identify other risk factors predisposing residents to entrapment
  • Obtain a physician order
  • Proof of medical symptoms being treated
  • Proof the device is the least restrictive and/or the rationale as to why it is the least restrictive if no other device was trialed
  • Attempts at reduction and/or rationale why reduction has not been attempted
  • Risk/benefit analysis including the specific risks related to the resident’s condition
  • Informed consent signed by the resident or legal representative
  • A care plan addressing use and risk reduction interventions
  • Survey the major bedside danger areas
  • Check beds whenever they show wear
  • Retro-fit only with compatible pieces
  • Utilize protective barriers
  • Adhere to universal bed-safety principles

Our clinical team, RMS is available to assist in reviewing current practices and offering recommendation to mitigate potential areas of risk. For more information, visit AssuredPartners Senior Living.

Sources: Evolucent and C.N.A.

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