Siderails/Restraints/Patient Monitoring
WARNING:
Evaluate patients for entrapment risk according to facility protocol, and monitor
patients appropriately.
WARNING:
Evaluate patients for entrapment risk according to facility protocol, and monitor
patients appropriately. Make sure that all siderails are fully latched when in the
raised position. Failure to do either of these could result in serious injury or death.
NOTE:
Siderails are intended to be a reminder to the patient of the bed's edges, not a patient-
restraining device. When appropriate, Hill-Rom recommends that medical personnel
determine the correct methods necessary to make sure a patient remains safely in bed.
CAUTION:
Do not attempt to raise the vertical height of the siderail while pivoting it to the
stowed position under the bed. Equipment damage could occur.
Siderails may serve several beneficial uses including providing an edge reminder, bed exit
assist, and access to caregiver controls and patient controls. The use of siderails also may
provide a sense of security. The use of siderails in the bed position should be determined
according to patient need after assessing any risk factors according to the facility protocols
for safe positioning.
When raising the siderails, a click means that the siderails are completely raised and
locked in position. Once the click is heard, gently pull on the siderail to make sure it is
latched in position.
WARNING:
Patient restraints are not intended as substitutes for good nursing practices.
Physical restraints, even correctly installed, can result in entanglement, physical
injury, and death, particularly with agitated and disoriented patients. Monitor
patients when using physical restraints in accordance with legal requirements and
facility protocol.
WARNING:
Restraints must be attached to the articulating sections of the system at the
correct attachment points. Failure to do so may result in patient injury.
1. Have guidelines to help caregivers determine these:
•Which patients may need to be restrained and the appropriate restraint to use.
•The correct method to monitor a patient, whether restrained or not, that includes time
interval, visual check of restraint, and such.
2. Develop training programs for all caregivers about the correct use and application of
restraints.
3. Maintain the bed at its lowest position whenever a caregiver is not in the room.
4. Make clear the need for restraint devices to families or guardians.
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