Meeting Patients' Needs For Safety; Which Ways Of Reducing Risks Are Best; Patient Or Family Concerns About Bed Rail Use - Invacare Carroll CS User Manual

 Preventing patients, who are able to get out of bed, from performing routine activities such as going to
the bathroom or retrieving something from a closet.

Meeting Patients' Needs for Safety

Most patients can be in bed safely without bed rails. Consider the following:
 Use beds that can be raised and lowered close to the floor to accommodate both patient and health care
worker needs.
 Keep the bed in the lowest position with wheels locked.
 When the patient is at risk of falling out of bed, place mats next to the bed, as long as this does not
create a greater risk of accident.
 Use transfer or mobility aids.
 Monitor patients frequently.
 Anticipate the reasons patients get out of bed such as hunger, thirst, going to the bathroom,
restlessness and pain; meet these needs by offering food and fluids, scheduling ample toiletting, and
providing calming interventions and pain relief.
When bed rails are used, perform an on-going assessment of the patient's physical and mental status;
closely monitor high-risk patients. Consider the following:
 Lower one or more sections of the bed rail, such as the foot rail.
 Use a proper size mattress or mattress with raised foam edges to prevent patients from being trapped
between the mattress and rail.
 Reduce the gaps between the mattress and side rails.

Which Ways of Reducing Risks are Best?

A process that requires ongoing patient evaluation and monitoring will result in optimizing bed safety.
Many patients go through a period of adjustment to become comfortable with new options. Patients and
their families should talk to their health care planning team to find out which options are best for them.

Patient or Family Concerns About Bed Rail Use

If patients or family ask about using bed rails, health care providers should:
 Encourage patients or family to talk to their health care planning team to determine whether or not bed
rails are indicated.
 Reassure patients and their families that in many cases the patient can sleep safely without bed rails.
 Reassess the need for using bed rails on a frequent, regular basis.
To report an adverse event or medical device problem, please call FDA's MedWatch Reporting Program
at 1-800-FDA-1088.
For additional copies of the brochure, see the FDA's website at http://www.fda.gov/cdrh/beds/
For more information about this brochure, contact Beryl Goldman at 610-388-5580 or by e-mail at
bgoldman@kcorp.kendal.org. She has volunteered to answer questions. For information regarding a
specific hospital bed, contact the bed manufacturer directly.
1-150-068-A CS Bed Manual.doc © Carroll Healthcare Inc.
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