Side Rails / Patient Restraints; Bed Frame; Bed Height; Brakes - arjo TheraKair Visio Manuel D'utilisation

Side Rails / Patient Restraints

Whether and how to use side rails or restraints is a decision that should be based on each patient's needs
and should be made by the patient and the patient's family, physician and caregivers, with facility protocols
in mind. Caregivers should assess risks and benefits of side rail / restraint use (including entrapment and
patient falls from bed) in conjunction with individual patient needs, and should discuss use or non-use
with patient and / or family. Consider not only the clinical and other needs of the patient but also the risks
of fatal or serious injury from falling out of bed and from patient entrapment in or around the side rails,
restraints or other accessories. In the US, for a description of entrapment hazards, vulnerable patient profile
and guidance to further reduce entrapment risks, refer to FDA's Hospital Bed System Dimensional and
Assessment Guidance To Reduce Entrapment. Outside the US, consult the local Competent Authority or
Government Agency for Medical Device Safety for specific local guidance. Consult a caregiver and carefully
consider the use of bolsters, positioning aids or floor pads, especially with confused, restless or agitated
patients. It is recommended that side rails (if used) be locked in the full upright position when the patient
is unattended. Make sure a capable patient knows how to get out of bed safely (and, if necessary, how to
release the side rails) in case of fire or other emergency. Monitor patients frequently to guard against patient
entrapment.
When selecting a standard mattress, ensure the distance between top of side rails (if used)
and top of mattress (without compression) is at least 8.66 in (220 mm) to help prevent
inadvertent bed exit or falls. Consider individual patient size, position (relative to the top of
the side rail) and patient condition in assessing fall risk.

Bed Frame

Always use a standard healthcare bed frame with safeguards or protocols that may be appropriate. It is
recommended that bed and side rails (if used) comply relative to the mattress to help minimize any gaps
that might entrap a patient's head or body. Inappropriate, incorrect, poorly fitted or poorly maintained bed
rails and mattress replacements can potentially produce gaps that might entrap a patient's head or body.

Bed Height

To minimize the risks of falls or injury the patient surface should always be in the lowest practical position
when the patient is unattended. Make sure area under and around bed frame is clear of objects, persons
and parts of body before adjusting height.

Brakes

Caster brakes should always be locked once the bed is in position. Verify wheels are locked before any
patient transfer to or from the bed.

Head of Bed Elevation

Keep head of bed as low as possible to help prevent patient migration.

Patient Entrance / Exit

Caregiver should always aid patient in exiting the bed. Make sure a capable patient knows how to get out of
bed safely (and, if necessary, how to release the side rails) in case of fire or other emergency.

Skin Care

Monitor skin conditions regularly and consider adjunct or alternative therapies for high acuity patients.
Give extra attention to any possible pressure points and locations where moisture or incontinence may
occur or collect. Early intervention may be essential to preventing skin breakdown.
13