The Use of Portable Bed Rails in Assisted Living and Care Facilities

Portable bed rails, commonly misunderstood in the healthcare community, are indeed a crucial safety tool in assisted living and care facilities. However, their use has faced numerous challenges due to reported safety concerns. In my experience of nursing home life, they were sometimes forbidden due to potential risks such as strangulation and entrapment. Nevertheless, they remain a vital component in ensuring the safety and well-being of residents and patients.

Common Usage and Safety Concerns

According to the Consumer Hazard Safety Commission (CHSC), bedrails are used in various settings, including assisted living facilities, healthcare centers, and even in home settings. Despite their intended purpose of assisting individuals with dysfunctional mobility—to sit up, turn in bed, or get out of bed—these devices have faced numerous recalls and safety concerns over the past few years. These concerns led to a decrease in their widespread use.

Safety Measures in Place

When used, portable bed rails must adhere to stringent safety standards. However, their deployment in assisted living facilities requires careful consideration and must be balanced with patient safety and comfort. My experience has shown that in some facilities, staff would provide alternatives like wedges made of towels to prop individuals up at night. In one instance, a resident fell from a broken mattress and was promptly attended to by the nursing staff.

It is important to note that the use of bedrails, even when permissible, must be regulated to ensure patient safety. Facility policies and procedures, as well as state practice laws, must be strictly followed. Additionally, doctors' orders play a critical role in defining the specific use of these devices. They should be a last resort, and documented reasons for their use must be clearly outlined.

Alternative Approaches and Support

While portable bed rails can be effective, they are not always the best or most practical solution. Some facilities opt for mattress solutions or positioning the beds against the walls to reduce the risk of falls. In instances where residents exhibit confusion or anxiety, trained caregivers are often utilized to provide comfort and support, particularly at night.

The decision to use portable bed rails is not an easy one. It involves a thorough assessment of the resident's needs and a careful consideration of the potential risks and benefits. Regularly reviewing and updating safety protocols and training staff to handle these situations appropriately can help ensure the best outcomes for residents.

Conclusion

While portable bed rails are not used as frequently as they once were due to safety concerns, they remain an essential tool in the management of care for individuals with mobility issues. The key lies in adopting a balanced and regulatory approach that prioritizes patient safety, comfort, and autonomy. By following guidelines and continuously reviewing safety measures, assisted living and care facilities can provide the best possible care to their residents.