Principles of Health and Social Care

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Bed Safety Rails Policy and Procedures

NHS Swindon is the brand name for the organisation
legally known as Swindon Primary Care Trust

Note: This document is electronically controlled. The master copy is maintained by the Clinical Governance Department. If this document is printed it becomes uncontrolled.

Bed safety rails policy and procedures

Operational

Issue 3

Approved 12/07/2011

Expiry 11/07/2013

Page 1 of 27

Document Control
Purpose

Owner
Author

Applies to
Implementation date
Date of review
Expiry date
Link to Care Quality Commission
(CQC) Essential Standards of
Quality & Safety
Link to NHSLA Risk Standard(s)
Responsibility for implementation

To ensure that bed safety rails are used safely and
appropriately as part of the management and
prevention of falls from bed.
Clinical Governance & Patient Safety Forum
Community Falls Co-ordinator
OT Team Leader, Community Rehabilitation Team
Operational Manager, Swindon Intermediate Care
Centre (SwICC)
Clinical Standards & Policy Co-ordinator
All health and adult social care staff
12/07/2011
01/05/2013
11/07/2013
Outcome 4 – Care & Welfare of people who use
services, Outcome 11 – Safety availability and
suitability of equipment
Standard 3/7 – Maintenance of medical devices and
equipment
Directors/Senior Managers/Clinical Managers/team
Managers

Equality and Diversity

NHS Swindon is committed to promoting equality in all its
responsibilities – as commissioner of services, as a
provider of services, as a partner in the local economy and
as an employer. This policy will contribute to ensuring that all users and potential users of services and employees
are treated fairly and respectfully with regard to the
protected characteristics of age, disability, gender
reassignment, marriage or civil partnership, pregnancy
and maternity, race, religion or belief, sex and sexual
orientation.

Links with other documents

Falls & Bone Health Policy, Consent to examination &
treatment policy, Incident Reporting Policy, Risk
Management Policy

Policy Statement

It is the responsibility of staff at all levels to ensure that they are working to the most up to date and relevant
policies and procedures. By so doing, the quality of
services offered will be maintained and the chances of
staff making erroneous decisions, which may affect
patient, staff or visitor safety, will be reduced.

Bed safety rails policy and procedures

Operational

Issue 3

Approved 12/07/2011

Expiry 11/07/2013

Page 2 of 27

Ratification History

Version

Date

Committee

Outcome

2

22/08/2007 Clinical Effectiveness
Committee

3

12/07/2011 Clinical Governance & Patient Ratified for publication Safety Forum

Ratified for publication

Consultation and Revision History
Version
and
status

Date

Title of reviewer

Outcome

2
current

May 2010

Community Falls Co-ordinator

Reviewed to develop updated version 3

3
draft

September
2010

OT Team Leader
Clinical Standards & Policy
Co-ordinator

Reviewed to incorporate European
Directive and NPSA Alert

3
draft

January
2011

Operational Manager, SwICC
Health Care Assistant SwICC

Reviewed to ensure SwICC
requirements are met

3
draft

May
2011

Swindon Community
Equipment Store SB/RR

Reviewed to ensure SCES
requirements are met.

3
draft

May 2011

BL/RG/ES/LM/SG/SH/CK/LA

Bed safety rails policy and procedures

Operational

Issue 3

Approved by BL and LM

Approved 12/07/2011

Expiry 11/07/2013

Page 3 of 27

Contents

Page

Introduction

5

Purpose

5

Definitions

6

Principles

6

Responsibilities

7

Ratification

8

Training

8

Monitoring framework

8

References

9

Bed safety rails policy and procedures

Operational

Issue 3

Approved 12/07/2011

Expiry 11/07/2013

Page 4 of 27

Introduction
Bed safety rails are...
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