In the past, bladder scanners were thought of as an expensive piece of equipment that only assesses urinary incontinence. They were viewed as difficult to use, undependable and inaccurate. Thus, they were rarely taken out of the closet, only to collect dust. But times have changed.
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Even though no new measurements or zones have been added to the Entrapment Guidelines (set by the FDA and the Hospital Bed Safety Workgroup) since 2007, that doesn’t mean there’s nothing new surrounding bed entrapment. CMS has created F-Tags 700 and 909 pertaining to use of bedrails and regular inspection of the bed system.
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With the implementation of Phase II of the Requirements of Participation in late November 2017, many Long Term Care providers are concerned about what types of products may or may not now be considered a physical restraint, specifically in reference to F604; 483.10 (e)(1).
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A “one size fits all” approach or assuming that all cushions are created equal is a big mistake – each unique resident has specific needs and providing them with an improperly shaped cushion could lead to skin breakdown or hazardous positioning. So while a flat cushion is good for comfort, it’s important to think about the contour when we consider the benefits of positioning.
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