Tool 2: Bedrail Risk Assessment
Use algorithm on the reverse of this document when completing this Risk Assessment Date Date Date Date
Section one Y N N/A Y N N/A Y N N/A Y N N/A
Is the resident at risk of climbing out of bed?
Is the resident agitated or confused?
Does using bedrails present a higher risk to the resident than falling out of bed?
See Algorithm on reverse for guidance
Section two
Has an alternative to bedrails been considered, ie see bedrails algorithm box 2
Is the resident likely to roll, slip or slide from the bed?
Has the resident been consulted regarding the use of bedrails?
Does the resident understand the purpose of bedrails? Consider communication difficulties and
physical/cognitive condition.
Has the decision to use or not use bedrails been discussed with relatives/principal carer?
Has the resident/relatives/principal carer been given a copy of the bedrail information leaflet?
If yes, to any of Section two, then bedrails may be appropriate however, consider the following points
Section three
Is the resident small in stature?
Does the resident have an unusually large or small head?
When the bedrail is fitted is there a gap between the lower rail and mattress?
Are there large spaces between the lower rail and mattress?
Does the bedrail move away from the side of the mattress when in use?
Will the bedrail fall off the bed?
Will any of above create an entrapment hazard?
If yes to Section three, bedrails are not appropriate
Section four
The gap between the bedrail and the headboard must be less than 60mm or greater than 250mm
Has the bedrail been fitted correctly?
Is the bedrail secure?
Is the bedrail compatible with the bed frame it will be fitted to?
Are the bedrails being used in good working order?
Does the resident have access to a call buzzer at all times?
If pressure relieving overlay mattress, or air filled mattress in use, are extra height bedrails fitted?
If bariatric bed in use is a compatible extra wide mattress fitted?
Section five - decision making
Has the decision been made to use bedrails?
Date:
Bedrails checked by:
Date:
Assessors signature:
This Risk Assessment Tool is an aide memoire for staff. It should be used in conjunction with
the Bedrails Algorithm (see reverse and local guidance for the safe use of bedrails and falls
prevention). This document does NOT replace the need for clinical judgement.
Resident Name:
DOB:
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