Any modification is intended to be used in conjunction with a clinical patient assessment prior to an intervention. It focuses on modifying bed systems and using add-on or replacement equipment and accessories to reduce the openings in existing bed systems that can cause entrapment. This document is targeted for individuals in hospitals, nursing homes, home health, health care organizations, distributors of medical equipment and others who are responsible for implementing hospital bed safety programs. A bed system is defined as a bed frame, mattress, bed rails, as well as other accessories that are compatible with each other. The purpose of this document is to assist in the reduction of risk for entrapment in existing (or “legacy”) hospital bed systems. Solving the problem of patient chest, head or neck entrapment between bed frames, bed rails and mattresses is complex and should include conformance with the dimensional criteria for bed systems, quality improvement efforts, and patient, staff and family education. Entrapment can result in serious injury or death. Credit to the Hospital Bed Safety Workgroup as the source is appreciated but not required.įor information about the Hospital Bed Safety Workgroup, see the FDA’s Hospital Bed website.Įntrapment is defined as an event in which a patient is caught, trapped or entangled in the spaces in or about the bed rail, mattress or hospital bed frame. The contents of this publication may be reproduced without permission. The Hospital Bed Safety Workgroup, their heirs, executors, administrators, successors, and assigns hereby disclaim any and all liability for damages of whatever kind resulting from the use, negligent or otherwise, of this guide. This Guide for Modifying Bed Systems is provided for discussion and educational purposes only and should not be used or in any way relied upon without consultation with and supervision of a qualified practitioner based on the case history and medical condition of a particular patient. The workgroup developed additional resources including dimensional guidelines, measurement tools, and educational materials to assist manufacturers, caregivers and consumers. The workgroup’s goal is to improve the safety of hospital beds for patients in all health care settings who are most vulnerable to the risk of entrapment. In April 1999, the Food and Drug Administration (FDA) in partnership with representatives from the hospital bed industry, national healthcare organizations, patient advocacy groups and other federal agencies formed the Hospital Bed Safety Workgroup. Attachment F: Selected References on Bed rail Reduction and Falls Prevention.Attachment E: Sample Monitoring Form for a Facility.Attachment D: Accessories to Mitigate Entrapment Areas.Attachment C: Summary of Seven Bed System Entrapment Zones, Recommended Dimensional Criteria, Hazard Score, and Possible Corrective Strategies.Attachment B: Sample Format for Bed System Inventory.Attachment A: Algorithm for Making Decisions about Legacy Hospital Beds.Step 4: Evaluate Bed Systems for Conformance to Bed System Entrapment Dimensional Guidance.Step 2: Determine High Risk Clinical Units, if appropriate.Hospital Bed Safety Workgroup Table of Contents
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