1. From an Enrolled Nurses perspective discuss the use of bed rails in the hospital and nursing home, in relation to restrained patients and safety. Consider the ANMC decision making framework for your response.
The Enrolled Nurse is and has the capacity to utilize under the National Competency Standards for the Enrolled Nurse, decide the use of bed rails for safety of the patient and potential use for restraint and risk to patient, staff or others. However, under these policies, the EN must notify the Registered Nurse (RN) on duty and the RN will make the final decision.
Using the framework, the EN and RN will make the decision based on scopes of practice and the reason required to use bed rails, whether they be for falls risk, patient risk, staff or other risk. (Australian Nursing Midwifery Council, 2012)
2. What is a falls assessment?
This rates falls risk on a number of factors including falls history, medications, medical conditions, sensory loss, foot problems, cognitive status, continence, nutritional status, and function. Falls risk assessment is a recommended component of guideline based falls prevention programs, successfully reduced falls in residential settings, hospitals and nursing homes. This includes the use of bed rails, mobility devices and already listed factors. (Australasian Journal on Ageing, 2011)
3. What is a “No Lift Policy”?
A ‘no lift’ policy is one where staff are not asked to physically support the
weight of those that they are assisting to transfer or move. Mechanical and other
aids, such as slide boards, are used instead. A no lifting policy does not mean
that every resident with mobility problems must have a hoist. However other methods and guidelines are imposed to reduce the risk of a patient, that reduces any risk or hazard for staff when the need to move a patient arises. (Department of Ageing, 2012)
4. Use the ANMC decision making tool to outline how you ( as the enrolled nurse)...