IJ citations related to SRs

Lisa Volk

Over the past few months there has been an increase in the number of IJ citations as it relates to side rails. All providers should be using the 2006 FDA guidance located at http://www.fda.gov/RegulatoryInformation/Guidances/ucm072662.htm as part of their ongoing bed safety program to help identify entrapment risks that may exist in any of the 7 zones addressed by the guidance.  We strongly encourage all providers to download a copy of this guidance and review it with appropriate staff to ensure proper ongoing monitoring. NYSHFA strongly encourages all providers to review the following areas:

  • Assess healthcare bed systems and components—bed frames, mattresses, and side rails/enablers.  Those whose open spaces are larger than the dimensions advised by the FDA safety guidance are a potential safety hazard for patient and resident entrapment.
  • Review facility policies and procedures for assessing the function and safety of bed systems and their components for both new and used bed systems.
  • Review the FDA's Hospital Bed System Dimensional and Assessment Guidance to Reduce Entrapment and use it as a resource for assessing bed systems safety.


Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15