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Safety Profile of Children in an Enclosure Bed

In the January 2017 issue of Clinical Nurse Specialist, Eileen Sherburne  MSN, APNP, ACNS-BC, FNP-BC, CRRN, CNRN, CPN, WCC  has been published her research on the use of enclosure beds with children. 

Eileen research was an exploratory retrospective chart review for all children who had an order for a specialty bed (enclosure bed) entered into the computer order-entry system between the years of 2010 and 2012 at Children’s Hospital of Wisconsin.  Below are some of the key findings:

  • “The findings suggest that during use of the enclosure bed the children experienced limited falls, injuries, or skin breakdown. The interventions of restraints, bedside sitters, and medications with children demonstrating challenging behavior still occur, but may be at a reduced level in certain populations of children.”
  • “The children with congenital developmental impairment identified in this chart review used fewer sedative medications for agitation during their time in the enclosure bed when compared with children with new-onset developmental impairment.”
  • “No falls occurred from the enclosure bed, which was somewhat surprising, given that children with new-onset development impairment frequently have weakness or hemiparesis in addition to agitation and impulsivity that can result in falls.”
  • “Reduced environmental stimulation is an important intervention in the care of all of the children in this study.3,5,6 The findings from this study suggest that children respond positively to the enclosure bed, as environmental stimulation is reduced. The bed allows the children to be monitored by caregivers while allowing the children to have contained freedom of movement.”

You can access this paper at: https://www.ncbi.nlm.nih.gov/pubmed/27906732