Seven Zones of Bed Rail Entrapment
WARNING: Bed rail entrapment can result in serious injury or even death. Sizewise
recommends caregivers be mindful of the FDA guidelines relevant to bed rail entrapment.
These guidelines can be found on the FDA website as referenced below. When using a
replacement support surface, the caregiver is responsible for ensuring the mattress properly
fits the bed frame. It is also the caregiver’s decision whether or not to
use bed rails with the patient.
Zone 1:
Within the Rail
Zone 2:
Under the Rail, Between the
Rail Supports, or Next to a
Single Rail Support
Zone 5:
Between Split
Bed Rails
Zone 3:
Between the Rail and the
Mattress
Zone 6:
Between the End of the Rail and
the Side Edge of the Head or
Footboard
Zone 4:
Under the Rail, at the Ends of the
Rail
Zone 7:
Between the Head or Footboard
and the Mattress End
Reference: Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment. (2006, Mar. 10). U.S. Health and Human Services Food and Drug Administration Center for Devices
and Radiological Health. Retrieved from https://www.fda.gov/downloads/medicaldevices/deviceregulationandguidance/guidancedocuments/ucm072729.pdf
ZONE 7
ZONE 6
ZONE 5
ZONE 4
ZONE 3
ZONE 1
ZONE 2
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NPT4 User Manual (8123)