|Maintain bed at appropriate height||Bed height is appropriate when the patient's knees are at 90 degrees and the feet touch the floor. This height supports the patient's mobility to exit a bed safely.
If bed height is raised for nursing care, return the bed to a low position when care is completed.
|Ensure bed brakes are on at all times||Prevents the bed from rolling away during bed transfers.|
|Always leave nurse call bell within reach when patient is in bed.||The patient should be able to operate the call bell and use it appropriately. Demonstrate the use of the call bell to patient and ask patient for a return demonstration.
Consider the use of a fall alarm in any patient who is at fall risk and is unable to use the call bell.
|Ensure that frequently used items are left within reach of the patient.||Reaching for items that are out of reach may cause the patient to lose their balance.|
|Place anti-slip strips on floor where the patient exits the bed.||Protects patient from slipping on any spilled food and water, etc.|
|Position over-bed table on the non exit side of bed.||Discourages patient from using the over bed table, which can easily roll away, as a handhold when trying to exit from bed.|
|If in use, place the bedside commode next to bed, on the exit side.
If in use, position canes/walkers next to bed, on the exit side.
|Placing the commode on the exit side makes access easier for the patient.
Placing the cane/walker on the exit side makes access easier for the resident/patient.
|Keep the bedroom night light illuminated at all times.||Provides greater visibility when natural light is low.|
|Use height adjustable low beds to support safe transfers/prevent injurious falls.||A height adjustable low bed (range from 6 to 32 inches in height) provides proper bed height for safe transfers in small height patients and kept in the low position helps prevent injurious falls (should a fall occur, distance of falling will be less).
Consider the use of a fall alarm (to detect rollouts from bed)/floor mat (to avoid rolling on floor) in conjunction with bed in low position.