What are Full Rails?
Full rails, often referred to as bed rails, are devices attached to the sides of hospital beds to prevent patients from falling out. They provide a physical barrier and can be adjusted to different heights based on patient needs. They are commonly used in various healthcare settings, including hospitals, nursing homes, and home care environments.
Fall Prevention: One of the primary reasons for their use is to prevent patients from accidentally falling out of bed, especially during sleep or when trying to get up.
Safety: They help in ensuring the safety of patients who may be disoriented, confused, or have limited mobility.
Assistance: Full rails can also provide support for patients to hold on to when repositioning themselves in bed or when getting in and out of bed.
Entrapment: There is a risk of patients getting trapped between the rails, which can lead to serious injury or even death.
Restraint: Full rails can be perceived as a form of restraint, which can cause distress and agitation in some patients.
Increased Falls: In some cases, patients may attempt to climb over the rails, potentially resulting in more severe falls.
When Should Full Rails Be Used?
The decision to use full rails should be based on a careful assessment of the patient's needs. Factors to consider include:
Patient's Cognitive Status: Patients with cognitive impairments, such as dementia, may benefit from the use of rails to prevent wandering.
Mobility: Patients with limited mobility who are at a high risk of falls may need full rails for added safety.
Behavioral Concerns: Patients who are agitated or have a history of trying to leave the bed unsupervised may require full rails.
Low Beds: Using low beds can reduce the risk of injury in case of a fall.
Fall Mats: Placing mats beside the bed can cushion falls and reduce injury.
Bed Alarms: Bed alarms can alert staff when a patient is attempting to get out of bed.
Supervision: Increased supervision and frequent checks can mitigate the need for full rails.
Informed Consent: Patients or their legal representatives should be informed about the use of full rails and give consent.
Restraint Policies: Institutions must have policies in place regarding the use of physical restraints, including full rails.
Documentation: Proper documentation is essential when full rails are used, including the rationale and regular assessments.
Regular Assessment: Continuously assess the patient's condition and the ongoing need for full rails.
Education: Educate staff and family members about the proper use and potential risks of full rails.
Maintenance: Ensure that bed rails are in good condition and properly installed to prevent malfunction.
