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Guide to Selecting Hospital Intensive Care Unit (ICU) Bed Rails

Views: 0     Author: Site Editor     Publish Time: 2025-12-04      Origin: Site

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The Intensive Care Unit (ICU) is one of the hospital areas with the highest requirements for safety and operational efficiency. As a crucial safety component of hospital beds, transfer trolleys, and observation beds, 'bed rails' not only serve the function of fall prevention but also impact medical staff workflow, patient comfort, and infection control within the hospital. Therefore, selecting a high-standard ICU bed rail is of vital importance to healthcare institutions.

What is a Guardrail?


Side rails are critical safety components of medical equipment such as hospital beds, ICU beds, post-surgical recovery beds, and transfer stretchers. Primarily installed on both sides of the bed frame, they serve to prevent patients from accidentally falling off, assist in turning and moving patients, protect medical tubing from damage, and enhance the efficiency of nursing and medical operations.


Bed Side Rail is a safety protective device installed on the side of home beds, nursing beds, elderly beds, or children's beds. Its primary functions are to prevent falls, assist in getting up, and provide support. Compared with professional railings used in hospital ICUs, it has a more simplified structure but still performs important protective functions.


What are the Railings in a Hospital Intensive Care Unit?


The railings in the Intensive Care Unit (ICU) of a hospital are professional-grade safety protection devices installed on both sides of ICU beds. They are designed to ensure that critically ill patients do not experience falls during treatment, monitoring, and repositioning, while also providing support for healthcare staff, assisting in operational procedures, and protecting various life-support tubing.


Compared to bed rails used in general wards or at home, ICU rails are of a higher grade in terms of safety, strength, operational speed, hygiene control, and intelligence. They are an essential component of the ICU bed system.


The Core Function of ICU Railings


1. Prevention of Patient Falls (Highest Priority)


ICU patients are often in states of altered consciousness, anesthesia/sedation, postoperative recovery, generalized weakness, or inability to move independently. Bedrails can prevent falls caused by rolling off, sliding down, or unconscious turning.


2. Protection of Tubes and Equipment


ICU patients utilize a large number of devices, such as ventilator tubing, intravenous infusion lines, arterial monitoring tubes, urinary catheters, drainage tubes, and electrocardiogram monitoring leads. Bedrails, through their appropriately designed gaps, cable routing structures, and rounded corners, help avoid entanglement, compression, and pulling of these tubes and equipment.


3. Assistance in Healthcare Provider Operations


ICU bedrails also serve as operational support points for clinical nursing care, used for: patient repositioning, lifting the upper body, cleaning care, and positioning (such as semi-recumbent, lateral recumbent positions). Many high-end ICU bedrails feature one-handed quick release mechanisms, ensuring no delay during emergency situations.


4. Infection Control (ICU-Specific Requirements)


ICU railings must meet the stringent disinfection requirements of hospitals: fully enclosed seamless structure, no hidden dirt-prone areas, easy to wipe, capable of withstanding chlorine-based disinfectants, alcohol, quaternary ammonium salt cleaning agents, and high corrosion resistance (aluminum alloy/ABS medical-grade materials). This level of performance is incomparable to that of railings used in home settings or general wards.


5. Intelligent Safety Assistance (Premium ICU)


Some ICU railings integrate intelligent functions, such as: bed exit monitoring sensors, weight/pressure detection, railing status alarms, and bedside screen displays. These features enable nurses to real-time monitor patient conditions and enhance monitoring efficiency.

Comparison Table of Safety Standards and Parameters Between ICU Rails and Ordinary Ward Rails


Project

ICU Rails (Intensive Care Unit Beds)

General Ward Rails (General Care Beds)


Design Purpose

Provide the highest level of protection for unconscious, critically ill, patients with numerous tubes, and high-risk patients

Provide basic fall prevention protection for general inpatients


Structural Strength Requirements

Ultra-high strength, capable of withstanding lateral forces of 250–400N without deformation

Moderate strength, sufficient to meet lateral forces of approximately 150–250N

Guardrail Height Specifications

≥ 350–400 mm, to prevent sliding of critically ill patients

Approximately 300–350 mm, to meet general protective requirements

Coverage Scope

Predominantly full-length or three-segment/four-segment railings, covering the torso and legs

Predominantly semi-length or two-segment railings, covering the torso area

Anti-jamming Standard

The gap must be ≤ 60mm, with enhanced design to prevent hand, limb, and pipeline entrapment. 

The gap is ≤ 60mm, primarily for limb protection, with lower requirements for pipeline protection.

Piping Protection (ICU-specific)

Mandatory requirements include cable support, avoidance of compression of ventilator/IV pipelines, and rounded corner design.

It is non-essential and only provides basic compatibility with general IV tubes. 

Operational Safety

Features single-handed operation, controlled descent, anti-misoperation, and emergency rapid release mechanisms. 

Typically employs conventional manual opening/closing or button release with simplified functions.

Lifting Method

Mostly uses damping-controlled descent or gas spring systems. 

Predominantly ordinary mechanical or simple spring structures. 

Intelligent Safety Functions

Often equipped with guardrail status alarms, bed exit monitoring, and pressure sensors

Generally has no intelligent functions

Electrical Safety Requirements

It is a part of the entire electric ICU bed and must comply with the IEC 60601 medical electrical standards.

Lower requirements, mostly mechanical structures, no electrical components

Infection Control in Hospitals

High Requirements: Seamless, rounded corners, fully enclosed design, capable of withstanding strong corrosive disinfectants

Medium requirement: It can be wiped clean, and the requirement for corrosion resistance level is relatively low.

Material

ABS Medical Grade + Aluminum Alloy Frame (High Corrosion Resistance)

Primarily ABS or steel pipe structure

Compatibility with Bed Frame

Must adapt to complex movements: back panel lifting and lowering, leg panel adjustment, left-right tilting, and reserved X-ray panel channel

Adapt to basic adjustment: Backboard elevation

Durability

≥ 10,000 lift and lower cycle tests

Approximately 3,000–5,000 lift and lower tests

Population Risk Level

High-risk patients (unconscious, intubated, postoperative, on ventilator support)

Patients with moderate to low risk (those requiring general care and able to ambulate independently)

Maintenance Requirements

Standardized maintenance, quick disassembly and assembly, replacement of consumable parts

Basic maintenance is sufficient

Cost Level

High

Medium/Low


Regarding JIECANG's Hospital Intensive Care Unit Rail Products


Model

Product Image

Feature

JCP35H11



Bed Side Rails JCP35H11

It consists of a headboard, left and right head sections, left and right foot sections, and a footboard.


It is made of PP material.


Bedside rail buttons: Up to 12 buttons on the outside. Up to 12 buttons on the inside.


Foot pedal buttons: Up to 19 buttons.


Display: None; two specifications of 3.5 inches are available for selection.


IP protection rating: Maximum IPX6



JCP35H10




Bed Side Rails JCP35H10

Bedside Rail Buttons: Up to 26 buttons on the exterior side. Up to 26 buttons on the interior side


Pedal Buttons: Maximum of 22 buttons.


Display: Three sizes are available, including 3.5 inches and 7 inches. The tilt angle of the pedal display is 32°.


Side Rail Rotation Indicator: Ball/Liquid


Weight: 27.1 kilograms


IP Protection Rating: Up to IPX6




CONCLUSION


ICU railings are not merely accessories to hospital beds but crucial medical devices that ensure patient safety, reduce fall risks, and enhance nursing efficiency. Selecting an appropriate railing requires a comprehensive consideration of safety structure, ease of operation, infection control management, durability, and compatibility with ICU equipment.


By adhering to the key criteria outlined in this guide, hospitals can more clearly identify product differences during the procurement process, ensuring they meet clinical needs while reducing subsequent maintenance costs and safety hazards. A reliable railing system not only protects patients but also enables nursing teams to perform each treatment and care procedure with greater peace of mind and efficiency in high-pressure environments.


Commonly Asked Questions About Hospital ICU Railings


1. What materials should ICU railings be made of? Which is the safest?


Common materials and their advantages:


Medical-grade ABS: Lightweight, corrosion-resistant, and easy to clean


Aluminum Alloy: High strength and durability


ABS with Built-in steel frame: Most commonly used in ICUs, balancing strength, weight, and infection control


2. Why must ICU railings be easy to clean?


ICUs require frequent disinfection, often using disinfectants containing chlorine, alcohol, quaternary ammonium salts, etc.


Therefore, railings must:


No dead corners for hygiene


Have a surface resistant to corrosion


Not easily discolor, crack, or become brittle


This is an important part of infection control.


3. Do ICU railings require regular maintenance? How often?


It is recommended to inspect every 3–6 months:


Whether the lifting mechanism operates smoothly


Whether the locking is secure


Whether there is looseness, cracks, or deformation


Whether the damping is effective


Whether the screws of accessories are worn


For ICU beds with high usage frequency, inspections should be more frequent



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