What is the first thing you do when you put a fall-risk pt in the bed? - page 3

As nurse what is the first thing you do when you put a pt in the bed that is a fall risk... Read More

  1. by   FLArn
    All our beds have only half length rails at the head of bed. No rails of any kind at the foot of the bed. 2 half rails at the top is considered a mobility aid not a restraint. Older beds with full rail x2 = restraint.
  2. by   akf100
    Roll belt!! and bed alarm
  3. by   Meg,Rn
    In our facility when a pt is considered a fall risk they get red non slip socks, three side rails and a bed alarm. There is also a magnet on the door jam at eye level that says FALL RISK
  4. by   Catch22Personified
    In reality: Bed alarm and the non skid socks

    In my fantasy realm: Get said patient discharged or put them in a giant bubble.
  5. by   canned_bread
    Lower the bed as low as it will go!
  6. by   Meriwhen
    Quote from Tyris
    As nurse what is the first thing you do when you put a pt in the bed that is a fall risk
    I would follow the first step that is listed in the facility's Fall Risk protocol.
  7. by   Poochiewoochie
    Quote from Dazglue
    This happened to us recently. Lady needed 1 on 1 care and her family abandoned her.
    Isn't the facility being paid to take care of that lady? Why the "her family abandoned her". Sorry, but I don't think the family should be doing what the NH is responsible for. I can see you saying that if the family has never been to visit but if you're just saying that because they weren't there 24/7 doing what the nurses in the nursing home should have been doing that's very rude to say.

    My Mom is in a NH for Alzheimers and she has fallen two times in the last month-the first time was a hip fracture and the second was a femur fracture and both required surgery. She was a high fall risk yet they refused to put an alarm on her. When she fell the first time she was not assessed for over a day-the reason we got is that her nurse thought the DON had assessed her and the DON thought her nurse had assessed her. The two surgeries have taken a toll on her and unfortunately she is dying.

    The passing the buck off to the family doesn't cut it with this family member. I took care of her for 8 years all by myself before I couldn't do it anymore. I almost had 2 nervous breakdowns-I don't think anyone has any idea what it's like to care for someone who is ill 24/7 unless they are a family member who has done it. Your shift only lasts 8 or 12 hours depending on where you work and then someone comes and relieves so you really have no idea what it IS like to take care of someone who is ill 24/7. And I never was paid to do it. So please don't judge family members just because they aren't with their family members at the NH as often as you'd like them to be. You really don't know the whole story and what lead up to them placing their LO in a place like that.
  8. by   RN-Que
    Position the bed in the lowest position, attach bed alarm, make sure call light is within reach, and (if applicable) have nonskid mats on the floor.
  9. by   martymoose
    Maybe the poster hadnt meant to be offensive Re:1 to1 care. I know for my facility ( not ltc, but sometimes pts do stay for weeks/months) basically has a minimal float pool- these are prn techs. They don't hire 1:1's . If there are any floats left that arent filling a tech hole,or a suicide watch then what's leftover may be sent for a 1:1. Which I would say is about 1 out of ten times. So, this means, we pull our techs- so- no aide/tech for the floor, or we even have the nurse sit in- which means either the rest of his/her pts are at risk, or the rest of the floor absorbs the balance- which means unsafe ratios.

    Let's just say i know of an incident somewhere, and duh- it would have been cheaper for them to have hired a sitter . But since that adds to the direct floor budget- they dont hire them.

    Cheapos. And so not fair. You put your loved one in a facility in the hopes they will get taken care of.I'm sorry
  10. by   JDZ344
    Quote from MotherRN
    Just to clarify....I thought side rails up X2 = restraints (or at least I think that's what they taught in nursing school-I'm a recent grad). Not that I don't think it's a good idea, just clarifying that it's kosher
    Removed (somebody already answered)
    Last edit by JDZ344 on May 22, '14 : Reason: spelling
  11. by   morte
    any side rails, in LTC, can be considered a restraint. It has to be documented that the upper rails are for patient mobility. Against the wall, don't know if that is a restraint or some other issue, but it is discouraged as well, though some patients/families do request it, especially in a small room.
  12. by   morte
    The rail needs to swing to the head of the bed, if it doesn't perhaps it is on the wrong side? Had that happen once with split rails, dementia patient managed to get himself up between the rails. Then we found the rails were on wrong! Had to take one off the bed to get the patient out....
    Quote from KatieP86
    In my UK hospital, the beds only have two rails. But they don't extend all the way down the bed, just about 3/4, so the patient can still get out if they need to. We are only allowed to use rails to stop people falling out, not climbing out, otherwise it is a restraint. This is the nearest picture I can find although we don't use these specific beds in my place but the rails are basically the right length:


    Pain in the butt when they move themselves to the end and just sit there in the gap. Can't get the rail down, can't convince them to stand to do it...
  13. by   martymoose
    ^^ wow - I think that would be considered restraint here is US. Not only that, but I know many of our confused would just hang themselves over the rail and prob. fall head first on floor.

    I like the idea of floor mats. If they( the pt) are on the floor, then they most likely wont break anything. Does make the nursing work more difficult though.

    Hmmm, spinning it that way, I guess a facility is liable for even having a pt in a bed.