Let's take a look at the
skill "Using a restraint bed".
These are a great alternative, if a patient
is at high risk for falls for example.
Now, restraint bed is something that
maybe every agency doesn't have,
so make sure you check yours out.
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.
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.
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.
Alright, so when we talk about restraint
beds, this is a less restrictive alternative.
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.
So this is considered a restraint.
So similar monitoring, such as circulation,
nutrition etc. is definitely needed.
So you still need an order
from the health care provider,
because it is indeed a restraint.
Now before using a restraint bed,
make sure you consult the parameters for its use.
So every bed may have a weight capacity,
it may have a height capacity, so
make sure you take a look at this.
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.
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.
Now, let's take a look at using the restraint bed.
So before we get started,
perform your hand hygiene and make
sure that bed is locked in place.
Now, we can lower the bed to the
lowest position on each side,
this is going to help our
patient get in this later.
Now, we can lower side panels and then
we can transfer our patient into the bed,
position them comfortably on the mattress.
Now, because the bed's in the lowest position,
you may need to elevate it so you can
attach all necessary equipment here.
Such as their IV tubes, their monitor
or their feeding tube for example.
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.
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.
If you remember, this is the type of
bed to keep patients from falling.
Now, as a safety check confirm that
all panels and zippers are secured.
So I want to hang out on this
last point I've actually had
a patient before as a nurse in a restraint bed.
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.
Now make sure before you leave,
you also perform your hand hygiene.