NHSGGC&C Bedrails Risk Assessment: Patient Safety and Bedrail Use | Study Guides, Projects, Research Communication

Use algorithm on the reverse of this document when completing this Risk Assessment DATE DATE DATE DATE

SECTION ONE Y N N/A Y N N/A Y N N/A Y N N/A

Is the patient at risk of climbing out of bed or trolley?

Is the patient agitated or confused?

Does using bedrails present a higher risk to the patient than falling out of bed?

SEE ALGORITHM ON REVERSE FOR GUIDANCE

SECTION TWO

Has an alternative to bedrails been considered? i.e. see bedrails algorithm box 2

Is the patient likely to roll, slip or slide from the bed?

Has the patient been consulted regarding the use of bedrails?

Does the patient understand the purpose of bedrails? Consider communication difficulties and

physical/ cognitive condition.

Has the decision to use or not use bedrails been discussed with relatives / carers

Has the patient / relatives been given a copy of the bedrail information leaflet

IF YES, TO ANY OF SECTION 2, THEN BEDRAILS MAY BE APPROPRIATE HOWEVER, CONSIDER THE FOLLOWING POINTS

SECTION THREE

Is the patient small in stature?

Does the patient have an unusually large or small head?

When bedrail fitted is there a gap between the lower rail and mattress?

Are there large spaces between the bars of bedrails

Does the bedrail move away from the side of the mattress when in use?

Will the bedrail fall off the bed?

Will any of above create an entrapment hazard?

IF YES TO SECTION 3 BEDRAILS ARE NOT APPROPRIATE

SECTION FOUR

The gap between the bedrail and the headboard must be less than 60mm or greater than 250mm

Has the bedrail been fitted correctly?

Is the bedrail secure?

Is the bedrail compatible with the bed frame it will be fitted to?

Are the bedrails used in good working order?

Does the patient have access to the call buzzer at all times?

If pressure relieving overlay mattress, or air filled mattress in use, are extra height bedrails fitted?

If Bariatric bed in use is compatible extra wide mattress fitted?

SECTION FIVE - DECISION MAKING

Has the decision been made to use bedrails?

Date

Bedrails checked by

Date

Assessors Signature

NHSGGC&C Bedrail Risk Assessment

This Risk Assessment Tool is an aide memoir for staff. It should be used in conjunction with the

Bedrails Algorithm (see reverse) and Guidelines for the Safe use of Bedrails and Falls Prevention

(Adults). This document does NOT replace the need for clinical judgement.

Patient Name:

Ward:

CHI Number:

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Use algorithm on the reverse of this document when completing this Risk Assessment DATE DATE DATE DATE SECTION ONE Y N N/A Y N N/A Y N N/A Y N N/A Is the patient at risk of climbing out of bed or trolley? Is the patient agitated or confused? Does using bedrails present a higher risk to the patient than falling out of bed? SEE ALGORITHM ON REVERSE FOR GUIDANCE SECTION TWO Has an alternative to bedrails been considered? i.e. see bedrails algorithm box 2 Is the patient likely to roll, slip or slide from the bed? Has the patient been consulted regarding the use of bedrails? Does the patient understand the purpose of bedrails? Consider communication difficulties and physical/ cognitive condition. Has the decision to use or not use bedrails been discussed with relatives / carers Has the patient / relatives been given a copy of the bedrail information leaflet IF YES, TO ANY OF SECTION 2, THEN BEDRAILS MAY BE APPROPRIATE HOWEVER, CONSIDER THE FOLLOWING POINTS SECTION THREE Is the patient small in stature? Does the patient have an unusually large or small head? When bedrail fitted is there a gap between the lower rail and mattress? Are there large spaces between the bars of bedrails Does the bedrail move away from the side of the mattress when in use? Will the bedrail fall off the bed? Will any of above create an entrapment hazard? IF YES TO SECTION 3 BEDRAILS ARE NOT APPROPRIATE SECTION FOUR The gap between the bedrail and the headboard must be less than 60mm or greater than 250mm Has the bedrail been fitted correctly? Is the bedrail secure? Is the bedrail compatible with the bed frame it will be fitted to? Are the bedrails used in good working order? Does the patient have access to the call buzzer at all times? If pressure relieving overlay mattress, or air filled mattress in use, are extra height bedrails fitted? If Bariatric bed in use is compatible extra wide mattress fitted? SECTION FIVE - DECISION MAKING Has the decision been made to use bedrails? Date Bedrails checked by Date Assessors Signature

NHSGGC&C Bedrail Risk Assessment

This Risk Assessment Tool is an aide memoir for staff. It should be used in conjunction with the Bedrails Algorithm (see reverse) and Guidelines for the Safe use of Bedrails and Falls Prevention (Adults). This document does NOT replace the need for clinical judgement.

Patient Name:

Ward:

CHI Number:

Rationale for the completion of the NHS GG & C

Bedrails Risk Assessment

Bedrails Algorithm

Is the patient at risk of falling from bed/trolley? NB: for patients at risk of climbing over bedrails, alternatives must be considered. See boxes 2+3. Yes Patient does not understand purpose of No bedrails due to ... Patient understands purpose of the bedrails Patient consents to bedrail use Patient declines bedrail use Bedrails could be used with caution. See boxes 1 + 3 below.

1. If bedrails are used consider: - Risk of entrapment and harm to limbs - Risk of patient climbing over the top - The psychological effect of bedrails to the patient - Use of air filled mattresses or mattress overlays require extra height bedrails - Bariatric beds must be used with a compatible extra wide mattress. Communication difficulties Physical and/or cognitive condition 3. Remember to document in nursing records: - Date and time assessment made

Patient & NOK given bedrails information leaflet
Rationale for decision made in care plan
Where bedrails are considered appropriate and the patient has declined their use.
Actions taken, including discussion with Next of Kin
Care planning and reviews Assessment should be made:
On admission
If patient’s condition changes
Daily / weekly depending on the situation 2. Alternatives to bedrails
Move patient to observable area to maximise supervision
Bed Monitor (see criteria) accessed via Hospital Falls Prevention coordinator
Ensure bed returned to lowest height after care delivery
Ensuring patient needs anticipated e.g. drinks are accessible, regular toileting, call bell to hand etc
Nursing patient on mattress on the floor should be a last resort and safety checks should be made for hot pipes, trailing wires, electric sockets etc. Moving & handling risk assessment for staff must be completed
Contact Hospital Falls Prevention Coordinator for advise Bedrails inappropriate see boxes 2+ Consider actions in patient’s best interest. See boxes 1, 2 + 3 below. Agree plan of care with Next of Kin (if appropriate) and document outcome in nursing records. Patient requests bedrails Patient not requesting bedrails Bedrails could be used with caution. See boxes 1 + 3 below. Consider:
Referral to appropriate speciality e.g. Audiology
Use of interpreter
Use of written or pictorial information Bedrails inappropriate see boxes 3 MIS 217816 • UPDATED SEPT 2010

NHSGGC&C Bedrails Risk Assessment: Patient Safety and Bedrail Use, Study Guides, Projects, Research of Communication

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Download NHSGGC&C Bedrails Risk Assessment: Patient Safety and Bedrail Use and more Study Guides, Projects, Research Communication in PDF only on Docsity!

NHSGGC&C Bedrail Risk Assessment

Patient Name:

Ward:

CHI Number:

Rationale for the completion of the NHS GG & C

Bedrails Risk Assessment

Bedrails Algorithm