Are bed rails a form of restraint?

Bed rails can be used to enhance the mobility of residents by assisting with movement in bed, sitting up or getting out of bed. However, when bed rails prevent a resident from leaving the bed, they are considered to be a form of physical restraint.

What are considered restraints?

There are three types of restraints: physical, chemical and environmental. Physical restraints limit a patient's movement. Chemical restraints are any form of psychoactive medication used not to treat illness, but to intentionally inhibit a particular behaviour or movement.

What kind of restraint is bed rails?

Bedrails are a physical restraint The following steps must take place before bedrails are used.

Are bed rails restrictive practice?

Use of bed rails should be avoided if possible due to climbing/entrapment risk. However, if the risk to safety is immediate and serious, and alternative strategies have failed to maintain safety, bedrails may be the least restrictive way to maintain safety for the consumer and/or others.

What is bed rail entrapment?

Entrapment is defined as an event in which an individual is caught, trapped or entangled in the spaces in or about the bed rail, mattress or bed frame. What risk does it present? Entrapment can result in serious injury or death.

What are the 3 points to consider during a risk assessment for bed rails?

The points to consider during a risk assessment include: Is it likely that the bed user would fall from their bed? If so, are bed rails an appropriate solution or could the risk of falling from bed be reduced by means other than bed rails (see Alternatives to rigid bed rails)?

What are the two forms of documentation required for the use of bed rails?

I. Documentation of Offer, Informed Consent And Physician Order Required by Public Health Code Sec.

What is not considered a restraint?

Restraint: A restraint is considered to be any device, equipment, or method that immobilizes or reduces the ability of the patient to move limbs, body, or head freely. If the patient can freely remove the device, equipment, or method, it is not considered a restraint.

Get Resident Bed Rail Consent Form

MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS BUREAU OF HEALTH CARE SERVICES LONG TERM CARE DIVISION RESIDENT BED RAIL CONSENT FORM Per Michigan PA 437 of 2000 January 9 2001 amending Michigan Public Health Code PA 368 of 1968 Resident Name Date of Request Last First MI PART 1 Please initial one of the following blocks indicating the person requesting the use of bed rails. This request was prepared by the above named resident while being mentally capable of participation in his/her own health care decisions. as the resident has been determined to be incapable of participating in his/her own health care decisions by a team of physicians in a written Medical Determination* The resident s Probate Court appointed guardian prepared this request. Surrogate s Name Attorney-in-Fact Guardian PART 2 I am responsible for the medical treatment decision of the above named resident. I have been advised that I may request that bed rails be installed on the resident s bed* The risk and alternatives to using bed rails as they apply to this resident s particular condition and circumstances have been clearly explained to me. I understand that in addition to this signed consent form authorizing the use of bed rails for this resident a written order from the resident s attending physician specifying the medical rational and circumstances for use must be obtained prior to the installation of this medical treatment device. It is also my understanding that the Facility will periodically review and re-evaluate the resident s need for bed rails and that the resident responsible party and attending physician will be consulted in this matter. With all of the above information in mind I consent to the installation and utilization of bed rails for the care of the above named resident consistent with the written orders of the attending physician* I understand that this authorization is revocable except to the extent of those actions already taken* Signature Date Resident Attorney-in fact or Guardian Witness Signature Date Authority P. A. 368 of 1978 as amended Completion Mandatory BHCS-LTC-104 Rev* 01/09/13 The Michigan Department of Licensing and Regulatory Affairs will not discriminate against any individual or group because of race sex religion age national origin color marital status disability or political beliefs. You may make your needs known to this Agency under the Americans with Disabilities Act if you need assistance with reading writing hearing etc*. This request was prepared by the above named resident while being mentally capable of participation in his/her own health care decisions. as the resident has been determined to be incapable of participating in his/her own health care decisions by a team of physicians in a written Medical Determination* The resident s Probate Court appointed guardian prepared this request. as the resident has been determined to be incapable of participating in his/her own health care decisions by a team of physicians in a written Medical Determination* The resident s Probate Court appointed guardian prepared this request. Surrogate s Name Attorney-in-Fact Guardian PART 2 I am responsible for the medical treatment decision of the above named resident.

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