Providing easy access to bed controls and personal care items.Reducing the risk of patients falling out of bed when being transported.Providing a feeling of comfort and security.Providing a hand-hold for getting into or out of bed.Aiding in turning and repositioning within the bed.Regulatory agencies, health care organizations, product manufacturers and advocacy groups encourage hospitals, nursing homes and home care providers to assess patients’ needs and to provide safe care without restraints. Although not indicated for this use, bed rails are sometimes used as restraints. In recent years, the health care community has recognized that physically restraining patients can be dangerous. Historically, physical restraints (such as vests, ankle or wrist restraints) were used to try to keep patients safe in health care facilities. Assessment by the patient’s health care team will help to determine how best to keep the patient safe. Patients who have problems with memory, sleeping, incontinence, pain, uncontrolled body movement, or who get out of bed and walk unsafely without assistance, must be carefully assessed for the best ways to keep them from harm, such as falling. * In this brochure, the term patient refers to a resident of a nursing home, any individual receiving services in a home care setting, or patients in hospitals. Most patients were frail, elderly or confused. Of these reports, 480 people died, 138 had a nonfatal injury, and 185 were not injured because staff intervened. Between 1985 and January 1, 2009, 803 incidents of patients* caught, trapped, entangled, or strangled in beds with rails were reported to the U.S. Today there are about 2.5 million hospital and nursing home beds in use in the United States.
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