The Exersides Refraint System allows patients to move while containing and deflecting vital tubes and lines. It negates the need for traditional restraints.
Critical Care Physician Marie Pavini MD designed Exersides to allow earliest mobility while treating patients with dignity and compassion.
Intubated patients are either sedated with bad drugs or awake and restrained with minimal family and staff with them for long periods of time leading to:
- Reaching head to hand for self-extubation
- Immobility complications like poor pulmonary secretion clearance and skin breakdown
- Stress-induced complications from fear & agitation
- Delirium and PICS (Post-Intensive Care Syndrome)
ALTERNATIVES ARE NOT ADEQUATE: Restraints lead to agitation. Untied mitts and elbow sleeves allow self-extubation and encourage chemical restraint!
FALL-OUT: High risk re-intubations and worse outcomes for patients and staff
WHAT WE ARE DOING: Healthy Design is offering FREE Remote Mobility Coaches with all Exersides™ orders!
The Exersides Refraint System allows patients to move while containing and deflecting vital tubes and lines. It negates the need for traditional restraints. Critical Care Physician Marie Pavini MD designed Exersides™ to allow earliest mobility while treating patients with dignity and compassion.
Refraint vs. Restraint
Better for Patients, Better for Staff
The unique patented function and design of Exersides allows staff to easily access, visualize and protect IVs, and A-lines, and check vitals, glucose, capillary refill and pulse oximetry without constricting wrist circulation or causing fear and anxiety.
Exersides can quickly and easily revert to a restraint and has an intermediate exercise setting to always conform to ‘least restraint necessary’ while keeping patients and staff safe.
Exersides does not interfere with ETT, feeding tubes, PICCs, blood pressure cuffs or patient turning. It even LOOSENS with edema to protect circulation and localized hand swelling.
Exersides does not require constant supervision and encourages secretion clearance and gut motility through thoracic movement. The included hand device encourages dexterity, strength and comfort.
With Exersides, patients can move, write, and hold hands. Families enjoy much needed interaction and feel more empowered by participating in patient recovery through in-bed mobility involvement.
Most of all, by fostering effective and humane care, Exersides can help minimize agitation, sedation, immobility and delirium all while saving money and improving satisfaction scores. A great QI project!
Better for Patients
- Less agitation
- Less sedation
- More mobilitiy
- More interaction
- No wrist compression
- Minimal skin contact
- More humane
Better for Staff
- Hand IVs and arterial lines visible
- Easily check glucose, pulse ox, capillary refill
- No head-to-hand or squeezing mitts for self-extubation
- Easily change levels of restraint
- More control over patient progress and safety
Better for Families
- Loved one not tied to the bed
- Better interaction
- Hold hands
- Feel involved with in-bed mobility
Better for Administration
- Complies with CMS mandate of ‘Least Restraint Necessry’
- Less sedation helps reduce complication and readmission costs
- Better satisfaction scores
- Recognition for tackling the problem of patient restraint
How the Exersides Refraint System works:
Nurses Carol and Pam Try Out Exersides at NTI Boston 2018
Exersides has two bed tie options plus a no-tie option. This makes it easy to adjust the level of Refraint and restraint to meet patient needs throughout the course of their hospitalization.
The restraint bed strap is most often used during intubation. It is the most restrictive configuration and can be adjusted depending on the extent of arm movement that is safe for a patient at any given time. It can also be used for procedures to keep the arm in proper position.
The exercise (resistance) bed strap allows slower arm movement. This level is used for in-bed resistance exercise for patients who are not aggressive but may be unpredictable.
The no-strap option can also be used for exercise purposes and allows maximum freedom with continued safety. Hands cannot become tangled in or bump into tubes and lines. It should be the goal with each patient.
With all levels, use sedation wisely to maintain a balance of cognition, mobility, safety, comfort and dignity.
In 2017, we conducted a pilot study of critical care patients, comparing Exersides with traditional wrist restraints.
The results showed that patients who wore Exersides used less propofol, had better agitation scores and both moved and interacted more. Questionnaires revealed better patient, family and staff satisfaction when compared to traditional restraints.
Subsequently a NIH trial was successfully completed demonstrating safety and feasibility
See Exersides in Action
Set up an online demo of Exersides™ so you can see exactly how it works. We are happy to set up a time that is convenient to you so we can answer all your questions.