OBA Nursing Academy
Clinical Skills Laboratory — Hospital Bed & Cot Sides
Operate the bed safely, prevent falls, protect your back — and use cot sides lawfully, not by default.
A realistic practice-and-assessment simulator for the safe operation of a hospital bed (adjustable height, backrest/knee break, brakes, controls) and the safe, lawful use of cot sides / bed rails. Set a safe working height for care, return the bed to the lowest safe position for falls prevention, apply the brakes, perform a cot-side risk assessment and entrapment check, and make a defensible bed-rail decision. Every step gives instant feedback — retry as often as you like.
Learning outcomes — you will be developing skills to:
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Cot sides are an aid, not a default. A bed rail used to stop a person leaving the bed is a restrictive practice (physical restraint) — a last resort requiring individual risk assessment, least-restrictive alternatives, consent/authorisation, monitoring and documentation per law and policy. You assess, apply least-restrictive options, follow policy and escalate — you do not apply rails as convenience or default restraint.
Education-only. Australian context and spelling. Mapped to HLTENN043 (EN scope, in consultation with RNs under NMBA supervisory arrangements) and strongly evidencing manual-handling/WHS and falls/restraint (restrictive-practices) content. Aligned with NSQHS Standard 5 (Comprehensive Care — falls), manual-handling/WHS principles, restraint-minimisation requirements and the NMBA Standards for Practice. Generic, original equipment; bed/rail types, entrapment standards and restraint/authorisation processes follow local policy. This simulation supports learning and does not replace supervised clinical practice, facility policy or professional judgement.
Knowledge primer
Tap each card to reveal the principle. Then answer the knowledge check — including a rails-as-restraint item and an entrapment item — to prepare for the scenarios.
Knowledge check
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Review the cards above — aim for 5/6 before the scenarios.
SKILLS-READY SUMMARY
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Hospital Bed & Cot Sides · {{ summaryDate }}
SCENARIOS SATISFACTORY
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AGGREGATE SCORE
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KNOWLEDGE CHECK
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✓ SKILLS-READY — HOSPITAL BED & COT SIDES
Completion code — present to your clinical educator to gate supervised lab practice.
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Not yet Skills-Ready — keep going
Complete all six scenarios at Satisfactory (all critical items correct, no unsafe actions) with an aggregate ≥85%, and pass the knowledge check (≥5/6). Unlimited retries.
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Scenario
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PATIENT
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CLINICAL CONTEXT / CARE PLAN
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ADJUSTABLE HOSPITAL BED — SIDE VIEW
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Bed height ≈ {{ heightCm }} · Backrest {{ backPctText }} · Cot sides: {{ railSummary }} · Mattress: {{ mattressSummary }}
BED CONTROLS
Brakes must be ON for any care, transfer or when the bed is stationary.
Height
Backrest
Knee break
CARE ACTIONS
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EVENT LOG
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DEBRIEF
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Cot-side risk assessment & bed-rail decision
A bed rail is a positioning aid. Using it to stop this person leaving the bed is a restrictive practice (restraint). Assess individually and choose the least-restrictive option.
1 · Is a rail individually indicated & least-restrictive for THIS person?
2 · Least-restrictive alternatives tried / addressed
3 · Governance (required if a rail restricts leaving)
OBANA — Education and simulation only. Not for clinical use. Bed types, rail types, entrapment standards and restraint/authorisation processes follow your facility's policy and applicable law.