Nurses' Reactions to Enclosure Beds

Nurses' Reactions to Enclosure Beds


Identification: MSNJ1805
Issue: March-April 2018
Volume: Vol. 27/No. 2
Credits (Post Test and/or Evaluation Required)
Available until 04/30/2020
  • 1.10 - CH

Non-member: $20.00

Description

Contact hours available until 4/30/2020.

Requirements for Successful Completion:
Complete the learning activity in its entirety and complete the online CNE evaluation.

Authors Conflict of Interest Disclosure:
The author(s), editor, editorial board, content reviewers, and education director reported no actual or potential conflict of interest in relation to this continuing nursing education article.

Commercial Support and Sponsorship:
No commercial support or sponsorship declared.

Accreditation Statement:
This educational activity is jointly provided by Anthony J. Jannetti, Inc. and the Academy of Medical Surgical Nurses (AMSN).

Anthony J. Jannetti, Inc. is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Anthony J. Jannetti, Inc. is a provider approved by the California Board of Registered Nursing, provider number CEP 5387. Licensees in the state of California must retain this certificate for four years after the CNE activity is completed.

This article was reviewed and formatted for contact hour credit by Rosemarie Marmion, MSN, RN-BC, NE-BC, AMSN Education Director.

Learning Outcome:
After completing this learning activity, the learner will be able to discuss a study of nurses’ and CNAs’ experience with enclosure beds.

Learning Engagement Activity:
Review The Joint Commission Sentinel Event Alert on preventing falls. Access the publication here

Author(s)

Credits Available


Nurses' Reactions to Enclosure Beds

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Brenda Penca
6/26/18 7:44 pm

I agree with the main themes discussed in the article.

Sandra LaPointe
10/7/19 10:56 am

Currently, at the facility in which I work, we use 1:1 sitters for safety as a last resort to alarms, fall mats, etc. I have been a nurse for over a decade, and have never seen such an enclosure device. We have a heavily involved falls committee, and I would like to ask why this has never been considered.

Camille Morgan
1/5/20 4:08 am

Enclosure beds do work, but patients can still get out of them. I have worked in 2 LTAC's and one Rehab Hospital that used them. Most were used for Male patients that suffered from TBI's (Traumatic Brain Injuries). Some of the patients were ambulatory but would wander at night in the units, some had had part of theirs skulls removed due to swelling of the brain, and required a helmet when out of bed. Almost all of the Male patients I have seen in Enclosure (Vail Beds), have managed to get out of them! Care must be taken to align the zippers up and out of the patients reach. Often when the patients breached/escaped from the beds the staff was in shock and failed to figure out how the patient got out. I found a very simple method solved this problem, I would ask the patient to show me how they got out, often they would reply "Sure", and get back in the bed and allowed us to zipper all the flaps up. Whenever this occurred it was because the flaps were either installed wrong side out and the zipper elements/teeth did not fully mesh together, or the zipper's sliders ( the flaps have 2 sliders to close the zipper) met where the occupant reach them, and simply poke their finger into the space between the sliders, thus creating a gap large enough to put their hand through and open the enclosure. Once had a teenage patient demonstrate this technique, that's how he got out of the enclosure bed. Have seen only one Female patient in an Enclosure Bed, she got out because she was left unattended with the flap down. I have not seen them used in a regular Acute care setting, either a 1:1 Sitter or Tele-Sitter monitor.

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