What law is commonly termed "The Right to Fall" in post-op care facilities that don't allow use of bed rails?

Get her a bed that can be lowered to the floor, or placed on the floor. Crash mats on the floor. Her bed pushed against a wall on one side. See if her doctor can order temporary restraints.

State laws restrict the use of restraints in post-op facilities, and bed rails are restraints. It's crazy. The pendulum has swung too far in my opinion.

Wiley,

My Mom was in a nursing Home. Physical restraints or anything that remotely physically restrained the patient were not allowed by State Law.

Bed rails were not allowed either. I don’t remember if that was State Law or the Nursing Home rules. There was a fear the patient would get themselves stuck in the bed rails or try to go over the bed rail. I only remember it was not an option.

As Barb mentioned above, my Mom was placed in a floor level bed. The frame was constructed out of PVC pipe. There were crash mats placed around her bed. Bed alarms were used along with an alarm cushion in her wheelchair. The alarms just sounded Mom was out of place and “on the move”.

There have been serious and tragic accidents with bed rails where the presence of the bedrail was identified as the cause. Death and serious injury have resulted. It has happened. This is undeniable.

But. Although I have not researched the records methodically, I have noticed that in many of the incidents I have seen reported the problem was not the bed rail itself, the problem was *misuse* of the bedrail through lack of training, lack of attention to specifications, lack of time to do it properly. So that staff were not locking the rail in place, and it slipped on being leaned on; or a facility ordered rails which did not match the beds to which they were fitted, leaving a gap just large enough for people's heads to get stuck in; or an aide was called away urgently and didn't notice a trapped arm. That kind of thing. These are "never" events, they should never happen. But, very rarely though still sadly, they do.

Well. One way of making sure that bedrails are never misused is to ban them. The great benefit of this approach is that you cannot be sued for negligence, and at the same time you can claim the moral high ground as a defender of elders' rights to liberty. Neat, isn't it?

But I do not myself know of anyone whose loved one is a falls risk who is not driven to apoplexy by this issue.

My mother experienced more falls out of bed once the rails were removed. The facility had no idea what they were doing - one person told me I could request the rails be put back if I signed a waiver, another said no, I couldn't do that - that they would work with Mom on PT to improve her "bed mobility", but the rails would never be put back. They were solid plastic rails with very small hand openings in them - and mom was a very large woman - no way was she ever going to get her head caught in them.

I agree that the pendulum has swung too far in the other direction - there has to be a middle ground on this situation that allows for safety to be considered.

But...a post op bed should have bedrails,no?
What is a post op facility? If it’s rehab then unfortunately bedrails are not allowed. Silly silly rule.

The no rail rule started when patients started to break their legs or were strangled when their head got caught in the railing. I can see how one could roll out of bed, those beds are so very narrow.

It wasn't easy keep my elderly Mom in bed when she was in long-term-care. She had forgotten how to walk or even stand. Thus the bed was lowered, rubber mats on both sides of her bed, and pillows tucked all around her.... being the bed was so darn narrow, Mom wasn't able to turn herself over :(

Holy cow! I did not know the “right to fall” was real until I googled it. What a BS excuse by the nursing home to not be held responsible for falls in the facility. What’s next - right to slit my wrist because it is too much work for nursing home staff to restraint me?

I work in a LTC as a RN manager. Our facility has adopted the "no bedrail" policy. At first I was skeptical . I have made my share of phone calls to family regarding falls out of bed. But then I found an elderly ( over 90) resident with her fragile arm caught in a bedrail with the rest of her body on the floor and it was terrible to see the damage inflicted on her. As a suggestion as to what to do... we occasionally put a mattress on the floor beside the bed so if the resident rolls out they roll right onto the mattress- no injury. It can be cumbersome and may not work if there is a co-resident sharing the room but it does help in certain cases. Have you tried hi-lo beds, bed alarms, sometimes there are bed foam wedges that keep the residents from rolling...just a few suggestions. It is frustrating for staff... I dread the " someone is on the floor-come quick" phone call.

Just an observation: I am somewhat surprised several people in this thread seem to think you should be apprised of the dangers and then allowed to decide for yourself what risk you want to take. That's a very libertarian point of view.