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Using Bed Exit Notifications

Bed Exit Notifications alert staff when a patient leaves their bed, helping reduce unassisted falls — one of the leading causes of injury in long-term care.

Updated over 3 months ago

How It Works

  • Circadia’s contactless sensor detects when a patient transitions from lying down to standing.

  • An alert is sent in real time to the facility’s tablet, med cart laptop, or desktop (via CIP App).

  • Alerts are silent at the bedside — there are no buzzers or alarms that disturb patients.

  • Assisted transfers do not trigger alerts.


When to Use It

Bed Exit Notifications are powerful, but to avoid alarm fatigue, they should be reserved for high-risk patients, such as:

  • Frequent fallers.

  • Patients with impaired mobility.

  • Patients with confusion or wandering risk.

  • Residents recently discharged from the hospital.


Best Practices

To make Bed Exit Notifications effective, facilities should:

  • Assign a Falls Program Champion to regularly review which patients have active alerts, and update as needed.

  • Always have a backup champion to ensure coverage during absences.

  • Integrate into daily workflows – review alerts during shift huddles, and discuss trends monthly in fall-risk or QAPI meetings.

  • Pair with environmental safety checks – make sure walkways are clear, rooms are well-lit, and high-risk patients are near the nurse’s station.

  • Document every response – standardize a quick “check-in and document” step after every alert.


Response Workflow

Every facility should have a clear and consistent workflow:

  1. Who Responds – The nearest CNA or LPN responds immediately to the alert.

  2. Check-In – Staff confirm the patient’s safety and assist with toileting or repositioning as needed.

  3. Document – Note the response and any contributing factors in the chart/EHR.

  4. Reassess – Confirm whether the patient should continue with active Bed Exit Notifications.


Motion & Bed Exit Trends

Beyond real-time alerts, Circadia also tracks patterns to guide preventive care:

  • Bed Exit Graphs – Show frequency and peak times for bed exits. Use these to design toileting schedules, plan CNA rounding, and evaluate whether interventions are effective.

  • Motion Graphs – Track average mobility per hour, highlighting restless or high-activity periods that may signal discomfort or increased fall risk.

📌 These insights help shift care from reactive (“respond after a fall”) to predictive (“intervene before a fall happens”).


Post-Fall Review with Circadia

If a fall occurs, Bed Exit data plays a key role in root cause analysis (RCA) and future prevention:

  • Review whether a Bed Exit Notification was active at the time.

  • Examine motion and bed exit trends for the 24–48 hours before the event.

  • Compare activity patterns with toileting and rounding schedules.

  • Generate an IQ Summary to review recent vitals, chart notes, and contributing factors.

  • Update the care plan with new interventions.

  • Share findings in team meetings to reinforce learning and prevention.


Quick Tips

  • Activate alerts only for patients who truly need them to avoid alarm fatigue.

  • Make sure tablets and laptops are always plugged in and connected.

  • Review notifications weekly with the Falls Champion.

  • Share monthly fall-reduction stats with staff to show the program’s impact.

✨ Bed Exit Notifications are most effective when used thoughtfully, paired with a clear response process, and reinforced through trend review and staff feedback. Together, they empower teams to move from reactive fall response to proactive fall prevention.


FAQs

Is this a restraint?
No. Circadia is completely contactless, silent, and does not restrict patient movement.

Where do alerts appear?
On tablets, med cart laptops, and desktops through the CIP App. (⚠️ Alerts are not sent via SMS or phone calls.)

Are alerts user-specific?
Yes. Enabling an alert applies only to the account that turned it on, keeping usage flexible across staff.

How do these alerts actually prevent falls?
They provide a real-time notice that a patient is attempting to get up, giving staff the chance to intervene before unassisted ambulation occurs.


💬 Need Help?

Our team is here to support you. Use the chat feature in the CIP app, or email [email protected].

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