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  2. Regulations regarding side rails in nursing homes include1234:
    • The use of side rails as restraints is prohibited unless necessary for medical treatment or physical functioning.
    • Residents attempting to exit a bed through, between, over, or around side rails are at risk of injury or death.
    • Nursing homes must obtain signed consent and a physician's order before providing bed rails.
    • Appropriate alternatives should be attempted before installing side rails.
    • Correct installation, use, and maintenance of bed rails are essential.
    Learn more:
    The use of side rails as restraints is prohibited unless they are necessary to treat a resident’s medical symptoms or assist with physical functioning. Residents who attempt to exit a bed through, between, over or around side rails are at risk of injury or death.
    www.cms.gov/Regulations-and-Guidance/Guidanc…
    A nursing home shall provide bed rails to a resident only upon receipt of a signed consent form authorizing bed rail use and a written order from the resident’s attending physician that contains statements and determinations regarding medical symptoms and that specifies the circumstance under which bed rails are to be used...”
    cdn.ymaws.com/www.leadingagemi.org/resource/r…
    The facility must attempt to use appropriate alternatives prior to installing a side or bed rail. If a bed or side rail is used, the facility must ensure correct installation, use, and maintenance of bed rails, including but not limited to the following elements. Assess the resident for risk of entrapment from bed rails prior to installation.
    nursinghome411.org/wp-content/uploads/2018/04/L…
    If raising the side rails prevents a patient from voluntarily getting out of bed or attempting to exit the bed, this would be restricting the patient's freedom of movement and the side rails would be considered a restraint. Use of an enclosure bed or net bed that prevents a patient from freely exiting the bed is considered a restraint.
    www.jointcommission.org/standards/standard-faqs/…
     
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