Chapter 1: Introduction
About this course
Up to one-half of all falls in hospitals and long-term care facilities involve falling from bed. To avoid bed falls, the usual fall preventive protocol is to maintain patient (*) beds in the low position. For some patients, the low position may not be the safest position. Some individuals may require assistance either to get out of bed, or into bed, or require the bed to be slightly higher than the low setting. The purpose of this course is to provide acute care hospital and nursing home staff with practical guidance on the utilization of low beds and floor mats in helping to prevent falls and injurious falls from bed.
(*) The term ‘patient’ is used to refer to both acute hospital patients and long-term care residents.
Upon completion of this course participants will be able to:
- Recognize the reasons for bed falls.
- Identify the difference between fixed and adjustable low beds.
- Explain the benefits of using adjustable low beds.
- Discuss the clinical approach to utilizing low beds.
- Describe the steps needed to achieve success with low beds.
- State the benefits of using floor mats.
- Define the appropriate use of floor mats.
Chapter One: Introduction
Chapter Two: Causes of Bed-Related Falls
- Health Conditions
- Environmental Factors
- Situational Factors
Chapter Three: Low Beds
- Fixed Low Beds
- Adjustable Low Beds
Chapter Four: Utilizing Adjustable Low Beds
- Step 1: Assess Fall Risk from Bed
- Step 2: Assess Bed Mobility
- Step 3: Assess Need for Injurious Fall Precautions
- Step 4: Communicate Risk
- Step 5: Monitor Risk
- Step 6: Follow Up
- Step 7: Post-Fall
Chapter Five: Achieving Success with Low Beds
- “Low Bed” Nurse Coordinator
- Administrative Support
Chapter Six: Low Bed Audits
Chapter Seven: Floor Mats
- Selection Criteria Clinical Issues