• The enormous dangers that Bedrails hide

    The handrails of the beds are a source of accidents and a nest of hidden risks. The use of bedrails should be very careful, evaluated and meditated, and Caregivers should know the accidents that bedrails can cause, in order to try to avoid them.

    The picture shows a elder Patient fallen to the ground, who has been able to pass between the bedrail and the bed, in addition to getting rid of the abdominal Restraint belt.

    Confused, disoriented patients, etc. in bed they are capable of unimaginable behaviors, out of all logic, but they do, and any small risk that a component or device used in the bed can cause must alert the caregiver to tries to eliminate and avoid accidents, incidents or deaths .


    Source: Diario Levante (Spain) (06-09-2016)

    http://www.levante-emv.com/comunitat-valenciana/2016/09/06/dimite-director-residencia-carlet-cayo/14...

  • Entrapments with bedrails

    This picture shows the foot trapped, fractured, and almost sectioned, of a patient of 93 years, with the result of amputation, and death within a few days.

    From what is observed in the picture, it can be deduced:
    • the bed is VERY old, that paint type hammered and the design denotes the years it has
    • the railing could have been DOWN, and the Patient, disoriented and confused, got tangled up when she wanted to get out of bed. The weight of his body falling caused her to fracture.
    • the railing could have been UP, also the Patient, disoriented and confused, got entangled when trying to get out of bed, and caused the railing to return to the position DOWN at the time of the fall, as shown in the photo.

    In this unfortunate episode we very possibly have the following scenario:
    • Very old patient, with a probability of suffering some level of dementia
    • how stubborn, wants to get out of bed, yes or yes, and is probably confused, disoriented, etc.
    • a bed that does NOT meet the proper safety conditions according to "Patient Safety in Bed" protocols
    • a railing that does NOT meet the proper safety conditions according to "Patient Safety in Bed" protocols
    • absence of Protocol related to "Patient Safety in Bed"
    • absence of training to the Caregiver related to "Patient Safety in the Bed"
    The sum of the factors detailed above results in a very serious accident.

    Source: newspaper El Español (Spain) 07-18-2017
    https://www.elespanol.com/reportajes/20170717/231977578_0.html

  • Risk zones with the Bedrails


    The drawing shows the areas where the handrails offer enormous risks for the patient:

    • Zone 1 = within the rail
    • Zone 2 = under the rail, between the rail supports, or next to a single rail support
    • Zone 3 = between the rail and the mattress
    • Zone 4 = under the rail at the ends of the rail
    • Zone 5 = between split bed rails
    • Zone 6 = between the end of the rail and the side edge of the head or foot board
    • Zone 7 = between head or foot board and the mattress end
  • Zone 1 = within the rail

    Zone 1 = is any open space within the perimeter of the railings.

    These spaces must measure less than 120 mm (4 ¾ "inches) to prevent the Patient from trapping the head in those spaces.

    The fatal accidents identified as occurring inside the handrails were recorded in bed models where the open spaces within the handrails were greater than 120 mm (4 ¾ inches).

    The records suggest that almost all of these entrapment events could have been avoided if those spaces had measured less than 120 mm (4 ¾ "inches).

    Review of the bed rails:
    Check the spaces inside the bed rails with a 120 mm diameter test piece.
    Adapt bed rails that do not meet this criterion to avoid accidents.
  • Zone 2 = Under the rail, between de rail supports, or next to a single rail support

    Zone 2 = This is the space between the lower edge of the railing and a mattress compressed by the weight of the patient's head in a location between a support or the various rail supports.

    If there is only one rail support, entrapment may occur anywhere along the lower length of the rail beyond the support, to the end of the rail.

    The factors to consider are the compressibility of the mattress that can change over time due to wear, lateral displacement of the mattress or rail, and any degree of play of loose rails or rail supports.

    A restless Patient can enlarge the space by compressing the mattress beyond what is specified. This space can also change with different positions of height of the rail and when the headboard or footboard of the bed is raised or lowered.

    Space can increase, decrease, be less accessible or disappear altogether. In some positions, the potential for entrapment in this area may still exist when the bed frame is articulated.

    Preventing the head from entering below the railing will prevent the neck from being trapped in this space. The measurement of this space must be below 120 mm.

    Review of the bed rails:
    Check the space between the lower edge of the railing and a mattress compressed with a 120 mm diameter test piece.
    Adapt bed rails & mattresses that do not meet this criterion, to avoid accidents.
  • Zona 3 = between the rail and the mattress

    Zone 3 = is the space between the inner surface of the rail and the mattress compressed by the weight of a patient's head.

    The space must be small enough to avoid entrapment of the head, taking the compressibility of the mattress in a ditch, any lateral displacement of the mattress or rail, and the degree of play of the loose rails.


    Review of the bed rails:
    Check the space between the inner surface of the railing and a mattress compressed, with a 120 mm diameter test piece.
    Adapt bed rails & mattresses that do not meet this criterion, to avoid accidents.
  • Zone 4 = under the rail at the ends of the rail

    Zone 4 = this is the space between the mattress compressed by the Patient and the lowest part of the rail, at the end of the railing.

    Factors that can increase the size of that space are: compressibility of the mattress, lateral displacement of the mattress or bedrail, and degree of play of the loose bedrails.

    The space represents a risk of entrapment of a Patient's neck. It can change with different positions of height of the railing and when the headboard or footboard of the bed is raised or lowered.

    This space can increase, decrease, become less accessible or disappear completely.

    Therefore, in some positions, the potential for entrapment in this area may still exist when the bed frame is articulated.

    The measurement of that space should be less than 60 mm.

    Review of the bed rails:
    Check this space with a 60 mm diameter test piece.
    Adapt bed rails & mattresses that do not meet this criterion, to avoid accidents.
  • Zone 5 = between split bed rails

    Zone 5 = This zone is the space located a railing composed of two parts.

    The side rails of the head and foot (split rails) are used on the same side of the bed.

    The space between the divided rails may present a risk of entrapment of the neck or entrapment of the chest between the rails if a Patient attempts, or accidentally, leaves the bed in this place.

    In addition, any V-shaped opening between the rails may present a risk of entrapment due to a wedge effect.

    This area has a high potential for entrapment.


  • Zone 6 = between the end of the rail and the side edge of the head or foot board

    Zone 6 = is the space between the end of the railing and the side edge of the headboard or footboard. This space may present a risk of any neck entrapment or chest entrapment.

    In addition, any V-shaped opening between the end of the railing and the headboard or footboard may present a risk of entrapment due to a wedge effect.

    This space can change when raising or lowering the headboard or footboard.

    This space can increase, decrease, become less accessible or disappear completely.

    Therefore, in some positions, the possibility of entrapment may exist when the bed base is articulate.

    This area has a high potential for entrapment.
  • Zone 7 = between head or foot board and the mattress end

    Zone 7 = is the space between the interior surface of the headboard or footboard of the bed and the end of the mattress.

    This space may present a risk of entrapment of the head if the compressibility of the mattress, any change of the mattress and the degree of play of the loose headboard or footboard are taken into account.

    This area has a high potential for entrapment.
  • The Safety solution for any Bed

    It is recommended the use of "Technical Safety Garments for Bed" to keep the Patient with Alzheimer's or other dementia in bed with absolute safety.

    The SAFEsleep.clothing Safety Vest is the only technical safety garment on the market that provides the necessary safety to the Patient and the Caregiver.

    The SAFEsleep.clothing Safety Vest can be used on ANY type of bed.

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