Maintenance Care
Bed Entrapment Zone Checklist
DATE
YOUR NAME
ROOM NUMBER
BED NUMBER
LOCATION
For each bed, create a new checklist.
Refer to the below diagram for a visual representation of the entrapment zone
1.
Zone 1 - Within the Rail
- Any open space within the perimeter of the rail presents risk of head entrapment.* Recommended space: less than 4 3/4
PASS
FAIL
Comment:
2.
Zone 2 - Under the Rail, Between the Rail Supports, or Next to a Single Rail Support
- The gap under the rail and above the mattress presents risk of dangerous head entrapment.* Recommended space: less than 4 3/4".
PASS
FAIL
Comment:
3.
Zone 3 - Between the Rail and the Mattress
- The space between the inside surface of the rail and the mattress, if too large, presents risk of head entrapment.* Recommended space: less than 4 3/4".
PASS
FAIL
Comment:
4.
Zone 4 - Under the Rail at the Ends of the Rail
- The gap between the mattress and the lowermost portion of the rail presents risk of neck entrapment.* Recommended space: less than 2 3/8".
PASS
FAIL
Comment:
5.
Zone 5 - Between Split Bed Rails
- When partial-length head and foot side rails (split rails) are used on the same side of the bed, the space between the split rails presents risk of neck or chest entrapment.
PASS
FAIL
Comment:
6.
Zone 6 - Between the End of the Rail and the Side Edge of the Head or Foot Board
- The gap between the end of the bed rail and the side edge of the head or foot board presents risk of entrapment.
PASS
FAIL
Comment:
7.
Zone 7 - Between the Head or Foot Board and the End of the Mattress
- The space between the inside surface of the head or foot board and the end of the mattress presents risk of head entrapment.
PASS
FAIL
Comment:
Overall Comments:
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