Enclosure Bed (Nursing)

by Samantha Rhea, MSN, RN

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    00:04 Let's take a look at the skill "Using a restraint bed".

    00:07 These are a great alternative, if a patient is at high risk for falls for example.

    00:12 Now, restraint bed is something that maybe every agency doesn't have, so make sure you check yours out.

    00:18 So restraint bed is great, it's going to look something like this, so notice this really is just if a patient is in this bed, the patients in here can have free movement.

    00:28 So they can have their IV's hooked up, they can have their feeding hooked up, it really just allows the patient from not being able to flip out of the bed and injure themselves for example.

    00:39 So again, we had talked about this before, but restraint beds are really just to help patients from exiting that bed unassisted that may result in a fall.

    00:48 Alright, so when we talk about restraint beds, this is a less restrictive alternative.

    00:53 Now however, is it a restraint? Absolutely, it's a restraint, I know you may think, well, they can move around freely, but however, the patient can't freely get up and down out of the bed.

    01:04 So this is considered a restraint.

    01:06 So similar monitoring, such as circulation, nutrition etc. is definitely needed.

    01:14 So you still need an order from the health care provider, because it is indeed a restraint.

    01:19 Now before using a restraint bed, make sure you consult the parameters for its use.

    01:24 So every bed may have a weight capacity, it may have a height capacity, so make sure you take a look at this.

    01:31 Also you need to consider, is enclosing that patient in the bed, is that going to be safe? Some visibility is going to be an issue, so you need to consider that as well as a nurse.

    01:42 And again each bed's slightly different, so make sure you know really the ins and outs of that bed, before you use it safely on a patient.

    01:51 Now, let's take a look at using the restraint bed.

    01:53 So before we get started, perform your hand hygiene and make sure that bed is locked in place.

    01:59 Now, we can lower the bed to the lowest position on each side, this is going to help our patient get in this later.

    02:06 Now, we can lower side panels and then we can transfer our patient into the bed, position them comfortably on the mattress.

    02:14 Now, because the bed's in the lowest position, you may need to elevate it so you can attach all necessary equipment here.

    02:20 Such as their IV tubes, their monitor or their feeding tube for example.

    02:24 Now, once we've done this, make sure you zip up the side panels completely and then if there's buckles on the outside of the bed, make sure these are secure.

    02:34 Now, before exiting, if we've been working with the patient make sure you place the bed in the lowest position, this is really important.

    02:41 If you remember, this is the type of bed to keep patients from falling.

    02:46 Now, as a safety check confirm that all panels and zippers are secured.

    02:50 So I want to hang out on this last point I've actually had a patient before as a nurse in a restraint bed.

    02:56 The patient was able to undo the zipper and undo the panel and they were able to fall out of the bed and that's the whole point of this.

    03:02 Now make sure before you leave, you also 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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