We have instituted a "no bedrails" policy. While I understand the concept, in reality, it is a nightmare. On my shift (1900-0700), I am routinely dealing with residents ( usually the same ones) who are falling out of bed - I average 1-2 falls per shift. We have all the usual things in place, safety mats, alarms etc. But that doesn't take away from the HIR we must follow as per home policy, or the amount of paper work that follows. The PSW's are nervous wrecks on the night shift as there is only 1 for 30 residents. I have been on the floor when 5 or 6 alarms are sounding and we know that some will be on the floor. It is impossible for me to complete the proper HIR as sometimes I am running between areas every 15 min. to do follow up VS. I would like to know how others are coping. Maybe there is something else our home can try. Increasing staffing will not be an option.