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and Assessment Guidance To Reduce Entrapment. Outside the US, consult the
local Competent Authority or Government Agency for Medical Device Safety for
specific local guidance. Consult a caregiver and carefully consider the use of bol
-
sters, positioning aids or floor pads, especially with confused, restless or agitated
patients. It is recommended that side rails (if used) be locked in the full upright
position when the patient is unattended. Make sure a capable patient knows how
to get out of bed safely (and, if necessary, how to release the side rails) in case
of fire or other emergency. Monitor patients frequently to guard against patient
entrapment.
When selecting a standard mattress, ensure the distance
between top of side rails (if used) and top of mattress (without
compression) is at least 8.66 in (220mm) to help prevent
inadvertent bed exit or falls. Consider individual patient size,
position (relative to the top of the side rail) and patient condition in
assessing fall risk.
Bed Frame
Always use a standard health care bed frame with safeguards or protocols that
may be appropriate. It is recommended that bed and side rails (if used) comply
with all applicable regional and local regulations and protocols. Frame and side
rails must be properly sized relative to the mattress to help minimise any gaps
that might entrap a patient’s head or body. Inappropriate, incorrect, poorly fitted
or poorly maintained bed rails and mattress overlays or replacements can poten-
tially produce gaps that might entrap a patient’s head or body.
Bed Height
To minimize risk of falls or injury, the bed should always be in the lowest practical
position when the patient is unattended.
Brakes
Caster brakes should always be locked once the bed is in position. Verify wheels
are locked before any patient transfer to or from the bed.
Head of Bed Elevation
Keep head of bed as low as possible to help prevent patient migration.
Patient Entrance / Exit
Caregiver should always aid patient in exiting the bed. Make sure a capable
patient knows how to get out of bed safely (and, if necessary, how to release the
side rails) in case of fire or other emergency.
Skin Care
Monitor skin conditions regularly and consider adjunct or alternative therapies
for high acuity patients. Give extra attention to any possible pressure points and
locations where moisture or incontinence may occur or collect. Early intervention
may be essential to preventing skin breakdown.
No Smoking in Bed
Smoking in bed can be dangerous. To avoid the risk of fire, smoking in bed
should never be allowed.
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