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temper13, yes, that is a State law in all of the States. Reason for that is due to deaths or serious injuries when a person tries to climb over the rails, and they get their head or legs tangled up in the rails.
Yes, in my state it is considered a restraint and restraints are illegal. If your LO is falling out of bed, a solution is to put a mattress next to his bed to soften any fall or to just put the mattress on the floor. This is what my MIL's facility does.
Hi there having rails both sides of the bed in the uk isn’t always prohibited but it’s taken as a removal of liberty rights (or something like that), an alternative is to lower the bed (if hospital bed) and use a crash mat on floor. that’s the advice we were given by a fab OT who helped with dads rehab, if in hospital, I think it’s different, I remember dads rails being up when needed take care
I will tell you how my RN daughter, who worked in NHs for 20 yrs explained why no rails.
First, NHs, MCs and ALs are the person's residence. The people living there are residents not patients its their home. As such you cannot make them do anything they don't want to and they cannot be restrained. (Have you ever noticed that Hospitals do not have to go by these guidelines)
So, someone did a study and found that some residents had got their heads stuck between the rail and mattress causing death. That some residents tried to climb over the rail, fell and caused death. Now the % of these accidents was very small but because it could happen, railings were banned. Lets not figure in that restraints could also save people from having broken bones and hips that could also lead to death. And make the staffs job a little easier.
Temper, the bed should be as far down on the floor as possible. A pad (like they use in Gyms) can be placed on the floor. My Mom had a concaved mattress.
Yes. It is considered 'excessive restraint' which IMO is ridiculous if the patient or their family requests them. https://www.nbc26.com/news/health/grandmother-dies-in-indiana-after-nursing-home-bed-rails-removed
The rails near the top of the bed are designed to allow the patient to have something to hold onto when turning on one side, or trying to sit up more in the bed. The only purpose of the lower rail is restraint, so not allowed. A patient whose bed is a mattress on the floor is harder for caregivers to change, bath, transfer to WC, etc. Alarms can work..bed alarms go off if too much weight is lifted off the mattress. The clip on alarms on clothing - residents can figure out how to undo the clip...and go for a walk, or try to get out of bed. No easy answers.
Actually it was because facilities were trying to prevent residents from getting up out of chairs and falling, or wandering out of the buildings. But it caused many other problems:
Sometimes the railings don't help anyway. Decades ago, my dear grandmother was losing her clarity/reasoning and part of the plan was that all bed rails should be in the up position to keep her safe. Resourceful Grandma crawled to the end of the bed and off the edge - giving herself a black eye in the process. The facility's solution was going to be to tie Grandma to the bed. This was legal at the time. My father allowed this. My mother revoked it. (Yes, bed restraints are still used today, but it needs to be carefully documented. And, restraints need to be removed as soon as the medical need for them has ended.)
Ten years earlier, a different relative in a different facility had a soft strap across his lap to keep him in his wheelchair. We actually did not have a problem with this as the alternative was him getting up and falling. Repeatedly. (To this day, I'd rather see my family member with a strap to remind him to stay in his chair as opposed to needing lift assist to get off the floor many times in a day and dealing with related injuries, but that is a matter of perspective and opinion).
I think bed rails, seatbelts, etc were allegedly overused to account for short staffing and whatever else. Now they can't be used on anyone. I even heard recently that bed alarms are coming under fire in some areas because they are designed to keep people in bed and an argument is being made that even alarms qualify as "restraints." I think safety and dignity need to be balanced.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Does not prevent climbing over or getting wedged in gaps for those with cognitive issues & determined to get out.
Low lying bed & crash mats used instead. These won't prevent all falls - but does minimise damage rolling into crash mat instead of from a height.
You can buy them on Amazon. Is this a possibility for you?
having rails both sides of the bed in the uk isn’t always prohibited but it’s taken as a removal of liberty rights (or something like that), an alternative is to lower the bed (if hospital bed) and use a crash mat on floor.
that’s the advice we were given by a fab OT who helped with dads rehab,
if in hospital, I think it’s different, I remember dads rails being up when needed
take care
First, NHs, MCs and ALs are the person's residence. The people living there are residents not patients its their home. As such you cannot make them do anything they don't want to and they cannot be restrained. (Have you ever noticed that Hospitals do not have to go by these guidelines)
So, someone did a study and found that some residents had got their heads stuck between the rail and mattress causing death. That some residents tried to climb over the rail, fell and caused death. Now the % of these accidents was very small but because it could happen, railings were banned. Lets not figure in that restraints could also save people from having broken bones and hips that could also lead to death. And make the staffs job a little easier.
Temper, the bed should be as far down on the floor as possible. A pad (like they use in Gyms) can be placed on the floor. My Mom had a concaved mattress.
https://www.nbc26.com/news/health/grandmother-dies-in-indiana-after-nursing-home-bed-rails-removed
https://www.nbcnews.com/health/health-news/use-restraints-declines-nursing-homes-flna1c9463695
Ten years earlier, a different relative in a different facility had a soft strap across his lap to keep him in his wheelchair. We actually did not have a problem with this as the alternative was him getting up and falling. Repeatedly. (To this day, I'd rather see my family member with a strap to remind him to stay in his chair as opposed to needing lift assist to get off the floor many times in a day and dealing with related injuries, but that is a matter of perspective and opinion).
I think bed rails, seatbelts, etc were allegedly overused to account for short staffing and whatever else. Now they can't be used on anyone. I even heard recently that bed alarms are coming under fire in some areas because they are designed to keep people in bed and an argument is being made that even alarms qualify as "restraints." I think safety and dignity need to be balanced.