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Hospital Bed Safety, Gap Protection, Seizure Pads, Bed Bumpers

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Hospital Bed Safety / Gap Protection

Bed entrapment is a serious safety issue, causing numerous injuries and deaths every year. The Hospital Bed Safety Workgroup (HBSW), a division of the FDA, has issued guidelines to help prevent these problems from occurring in long term care facilities and home care settings. Hospital bed safety and gap protection refer to the use of padded bed rails and bed rail protectors to help reduce the risk of patients becoming entrapped in the tight spaces around a typical bed rail. Vulnerable patients can get caught by the neck, head, or chest when trying to move within or get out of a hospital bed without assistance. Bed rail protectors and pads are specially designed to eliminate this risk for every patient, while they are also used for patients who are prone to seizures, providing added cushioning to help reduce inadvertent injuries.

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1
Top Seller #1
Posey Deluxe Guard Rail Pads

Starting at: $133.28

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  • Reduce the risk of injury and entrapment.
  • Deter patients from leaving the bed unassisted.
Posey

4 of 5 star customer rating

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2
Top Seller #2
Posey Side Rail Wedges

Starting at: $223.34

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  • Can be used in a variety of ways to prevent injury.
  • Help prevent injury and entrapment due to bed rails.
Posey

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3
Top Seller #3
Posey Elastic Mesh Side Rail Covers

Starting at: $168.95

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  • Provides easy protection from entrapment and bed rail injury.
  • Designed to fill the gap between the rails and mattress.
Posey

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Skil-Care Bed Rail Wedge Pad

Starting at: $159.05

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  • Wedge design effectively fills the empty space between mattress and side rail.
  • Offers total gap protection for prevention of injury and entrapment.
Skil-Care

4.5 of 5 star customer rating

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5
Posey Soft Rail Wedges for Patient Bed Safety

Starting at: $193.95

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  • Designed to protect patients from falls or unassisted exit.
  • Attaches easily with hook and loop fasteners.
Posey

5 of 5 star customer rating

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6
Posey Headboard or Footboard Pads

Starting at: $263.50

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  • Helps reduce entrapment and accidental injury.
  • Padded bumpers improve user safety while in a bed.
Posey

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7
Skil-Care Cushion Top Vinyl Bed Rail Pads

Starting at: $115.01

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  • Designed to improve patient safety.
  • Eliminates entrapment and accidental bed rail injuries.
Skil-Care

4.8 of 5 star customer rating

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8
Posey Perimeter Foam Mattress Cover

Starting at: $293.57

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  • Designed to help prevent unassisted bed exits.
  • Also helps keep patients from falling out of bed without the need for rails.
Posey

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9
Posey Zippable Bed Gap Fillers

Starting at: $93.56

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  • Can be easily fit around a hospital mattress perimeter.
  • Prevents head or limb entanglement or other gap injuries.
Posey

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10
Posey Patient Safety Roll Guard for Hospital Beds

Starting at: $172.64

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  • Serves as a convenient and protective alternative to side rails.
  • Allows easy entry and exit from the bed while preventing falls.
Posey

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11
DeRoyal Disposable Foam Bed Rail Protectors

Starting at: $66.68

  • Designed to help improve user safety and comfort.
  • Protect users from injury and entrapment due to rails.
DeRoyal

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12
Seizure Side Rail Pads for Stryker S3 Beds

Starting at: $259.42

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  • Form-fitted for a snug fit on bed side rails.
  • Help prevent injuries caused by striking bed rails during a seizure.
Posey

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13
Skil-Care Vinyl Bed Rail Pads

Starting at: $92.50

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  • Durable, reinforced vinyl ensures longevity.
  • Designed to protect patients from side rail entrapment.
Skil-Care

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14
Posey Bed Safety Horseshoe Wedge

Starting at: $258.93

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  • Set up is quick and easy
  • Keeps patients safe from falls throughout the night
Posey

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15
Skil-Care Half-Size Bed Rail Pads, Pair

Starting at: $81.91

  • Designed to offer gap protection and prevent side rail entrapment.
  • Thick foam padding provides comfortable protection.
Skil-Care

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16
Posey Seizure Side Rail Pads for Hill-Rom Low Beds

Starting at: $472.75

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  • Designed to help improve hospital bed safety and comfort.
  • Reduce the risk of injury and entrapment due to bed rails.
Posey

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17
Skil-Care Synthetic Sheepskin Bed Rail Pads

Starting at: $67.63

  • Provides full protection from entrapment and rail injury.
  • Plush, soft, high-pile pad will not irritate sensitive skin.
Skil-Care

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18 VIDEO DEMO
DeRoyal Bed Rail Protectors

Starting at: $101.10

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  • Designed to improve user safety while in bed.
  • Helps reduce entrapment and prevent rail injuries.
DeRoyal

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19
Skil-Care Roll Control Bolsters

Starting at: $116.83

  • Removes the entrapment hazards of using metal rails, and is nonrestrictive.
  • Enables secure positioning of side-lying patients.
Skil-Care

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20
Posey Seizure Side Rail Pads for Stryker GO Beds with Rectangular Side Rails

Starting at: $1,219.88

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  • Easy to clean and maintain
  • Navy blue sheer nylon cover
Posey

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21
Posey Seizure Side Rail Pads for Hill-Rom CareAssist Beds

Starting at: $1,143.65

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  • Wipe clean, waterproof covers
  • Helps to reduce the risk of patient injury
Posey

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22
Posey Deluxe Half Side Rail Protector

Starting at: $225.06

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  • Designed to improve hospital bed safety.
  • Can be used with a wide variety of half side rails.
Posey

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23
Skil-Care Cushioned Bed/Wall Protector, Headboard, and Footboard

Starting at: $78.72

  • Features non-slip backing
  • Covered in easy-to-clean nylon
Skil-Care

5 of 5 star customer rating

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24
Posey Split Side Rail Protectors

Starting at: $136.40

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  • Form a barrier between half side rails.
  • Soft padding is comfortable and supportive.
Posey

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25
Drive Medical Defined Perimeter Universal Mattress Cover

Starting at: $155.13

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  • Easy-to-install and secure
  • Compatible with both foam and powered air surfaces
Drive Medical

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26
Posey Seizure Side Rail Pads for Hill-Rom Resident LTC Beds

Starting at: $375.04

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  • Helps improve hospital bed safety.
  • Reduces injuries due to striking rails during seizures.
Posey

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27
Posey Seizure Side Rail Pads for Stryker Secure I and II Beds

Starting at: $388.89

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  • Designed to minimize the risk of patient injury.
  • Reduce risk of injury due to striking bed rails during seizures.
Posey

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28
Seizure Side Rail Pads for Hill-Rom Advanta and Century Plus Beds

Starting at: $727.86

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  • Designed to help prevent user injuries from bed rails.
  • Fits Hill-Rom Advanta and Century Plus beds.
Posey

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29
Skil-Care Gap Guard Pads

Starting at: $88.31

  • Offers total gap protection to prevent entrapment.
  • Designed to fill the space between mattress and bed rail.
Skil-Care

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30
Skil-Care Thin-Line Bed Rail Pads

Starting at: $105.06

  • Designed with patient safety in mind.
  • Offers full gap protection to prevent injury or entrapment.
Skil-Care

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Page: 1 of 2 

What Causes Bed Entrapment?

While rails on a hospital bed can often be utilized to help prevent a patient from trying to exit the bed
without assistance, sometimes rails can also be the cause of a patient becoming entrapped by getting body
parts caught in these rails. Unless they are specifically designed to reduce entrapment, bed rails should be
enhanced with pads or protectors to eliminate the risks involved with a patient potentially getting stuck in
them.

While any patient poses a risk for entrapment, this most often happens with the elderly or with individuals
who are experiencing physical weakness, delerium, confusion, agitation or pain. Gap protection is
medically necessary for both children and adults who have a medical condition or disease that places them
at higher risk of injury, or who are more susceptible to harm from exiting the bed without assistance. These
conditions may include cognitive impairment, the inability to communicate, dementia, seizure disorders,
traumatic brain injury, neurological disorders that cause vertigo or disorientation, cerebral palsy and
uncontrolled perpetual movement.

The 7 Zones of Bed Entrapment and Suggested Solutions

These are the 7 zones of bed entrapment provided by the FDA, along with their dimensional
recommendations for zones 1 through 4 as 80% of reported entrapment cases have occurred in these four
zones. We have also provided some suggestions for each zone to help reduce the risk for entrapment in
each of these areas of the bed.

Zone 1, Within the Rail
Any open space more than 4 3/4" between the perimeters of the rail can present a risk of head entrapment.
Vinyl bed rail pads and/or mesh side rail protectors can be employed to lessen the risk of potential
entrapment in this zone.

Zone 2, Under the Rail, Between the Rail Supports or Next to a Single Rail Support
If the gap under the rail between the mattress is more than 4 3/4" this can cause dangerous head
entrapment.
Bed rail pads and safety systems that include wedges and positioning devices to close gaps and provide
extra cushioning can be utilized to diminish entrapment risks in this zone.

Zone 3, Between the Rail and the Mattress
If the space between the inside surface of the bed rail and the mattress is larger than 4 3/4", this can pose a
risk of head entrapment.
Gap guards can help fill the gaps between the mattress and side rails, while roll control bolsters can be
positioned comfortably around patients to keep them from rolling near the sides of the bed.

Zone 4, Under the Rail at the Ends of the Rail
If the gap between the mattress and the lowermost portion of the rail is more than 2 3/8", this can pose a
risk of neck entrapment.
Side bolsters can be placed around patients to stop them from rolling near the bed sides, while bed rail
pads could be utilized to fit snugly over the rails to cover gaps.

Zone 5, Between Split Bed Rails
The space between the rails may present a risk of neck or chest entrapment when partial length head and
split rails are used on the same side of the bed.
Bed rail wedge pads and full-length bed rail bumpers add a padded layer between patients and the sides of
the bed, with both choices covering the bed rails.

Zone 6, Between the End of the Rail and the Side Edge of the Head or Foot Board
A gap between the end of the bed rail and the side edge of the headboard or footboard can present the risk
of resident entrapment.
Adding a padded layer between the patient and the sides of the bed with horseshoe wedges and bed rail
wedge pads will help reduce the risk of entrapment in this zone.

Zone 7, Between the Head or Foot Board and the End of the Mattress
When the space is too large between the inside surface of the headboard or footboard and the end of the
mattress, there is an increased risk of entrapment.
Mattress safety straps and mattress extenders can help fill the gaps with additional material and help to
keep the mattress firmly in place.

Rehabmart is pleased to offer a vast array of superior quality gap protection for hospital bed safety from 
such renowned manufacturers as Posey, DeRoyal, Independence Medical, Skil-Care, Drive Medical, 
McKesson Medical Surgical and many more.


Hulet Smith, OT
Rehabmart Team Leader & CEO

ck

 



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