Enclosure Bed (Nursing)

by Samantha Rhea, MSN, RN

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    00:04 Welcome to the skill using an enclosure bed.

    00:07 Now, an important point to note is that an enclosure bed is indeed a patient restraint.

    00:14 Now, the great thing about an enclosure bed is it's typically less restrictive than other restraint alternatives.

    00:21 Now, we'll get into those details a little bit later.

    00:25 So let's take a look at the equipment we're going to need.

    00:27 Well, of course, an enclosure bed.

    00:30 Now, know that these vary widely depending on each facility.

    00:34 So you want to ensure before use that you are very familiar with how to work the enclosure bed and all the different components and how to work it properly.

    00:44 So while using an enclosure bed, these are designed to help prevent clients from exiting the bed unassisted because this may result in a fall.

    00:53 Let's talk about four really important points in regards to using an enclosure bed.

    00:59 We've already discussed that enclosure beds offer a less restrictive alternatives than something like limb restraints for example.

    01:09 Also really important is that you have to have an order from a health care provider to use this enclosure bed.

    01:16 Remember, this is considered a restraint.

    01:19 So it is imperative that you obtain a physician or health care provider order Now, before using the particular bed, consult the parameter for its use and limitations.

    01:31 So maybe a tide or a weight restrictions, for example.

    01:35 Also, make sure that you think about your patient's disease process.

    01:39 Is this appropriate for your particular patient? And of course, lastly, each beds are going to slightly differ.

    01:47 So consult the training and user manuals to ensure safe client care.

    01:53 Now, let's talk about the steps of using the enclosure bed.

    01:57 We've got to start with our hand hygiene and make sure the bed is locked in place.

    02:03 While in use, you don't want it rolling around.

    02:06 Also, lower the bed to the lowest position on each side and lower the side panels.

    02:13 Now we're going to transfer the client into the bed and position them comfortably on the mattress.

    02:19 Now we want to make sure that we attach any necessary equipment back to our patient.

    02:24 Maybe that's there IVs or tubes or any sort of cardiac monitors for example.

    02:30 Now, once the patient's in the bed, make sure you zip up the side panels completely.

    02:36 And some beds may have buckles like you see here.

    02:40 Make sure that these are secure and they secure the panels using the buckles.

    02:45 Once you've done this place, the bed in the lowest position.

    02:49 And as a safety check, confirm that all panels, zippers and buckles are secured, then you can perform your hand hygiene.

    About the Lecture

    The lecture Enclosure Bed (Nursing) by Samantha Rhea, MSN, RN is from the course Restraint Management and Application (Nursing).

    Included Quiz Questions

    1. To prevent a client from exiting the bed unassisted
    2. To prevent the client from removing any medical devices that are attached to them
    3. To prevent the client from moving around in bed
    4. To prevent the client from exiting the bed while assisted
    1. “I made sure that there’s an order on the chart for the restraint bed.”
    2. “I double-checked that all the panels and zippers are secure.”
    3. “I made sure that the bed was in the highest position before leaving the room.”
    4. “I don’t need to check on my client as often, as they are no longer at risk for falls.”

    Author of lecture Enclosure Bed (Nursing)

     Samantha Rhea, MSN, RN

    Samantha Rhea, MSN, RN

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