The Deep Pile Polyester Bumper (183x76cm) provides extended-length air-permeable fleece coverage for seizure-prone patients on profiling beds without mattress overlays. Greater padded coverage than the 134cm version (NCL-CSHP1). Full-length hook and loop fastening; machine washable. High-sided 183x96cm version is NCL-CSHP18H; full-length options are NCL-CSHP3 (200x76cm) and NCL-CSHP3H (200x96cm).
| Specification | Detail |
|---|---|
| Reference | NCL-CSHP18 |
| Dimensions | 183 x 76 cm (72" x 30") |
| Material | Deep-pile polyester fleece |
| Key Property | Air-permeable |
| Fastening | Full-length hook and loop |
| Washing | Machine washable |
| High-Sided Version | NCL-CSHP18H (183 x 96 cm) |
The NICE CG137/NG217 seizure safety rationale, MHRA bed rail safety guidance, CQC Regulation 12 documentation requirements, and Mental Capacity Act 2005 best interest obligations that apply to the 134x76cm version (NCL-CSHP1) apply equally here. The 183cm body length is selected where the clinical assessment indicates a longer padded coverage area is required for the individual patient's seizure movement profile. The 76cm standard height is appropriate where the bed is not fitted with a mattress overlay; the 183x96cm version (NCL-CSHP18H) is specified where overlay height coverage is also required.
When should the 183cm version be specified rather than the 134cm for a seizure-prone patient?
The 183cm version (NCL-CSHP18) should be specified where the clinical assessment of the individual patient's seizure movement pattern indicates that the 134cm bumper coverage area does not extend to the full section of rail the patient may contact during a seizure episode. Tonic-clonic seizures can involve full-body movement, and the head and limbs may travel beyond the 134cm coverage area if seizures involve significant lateral or longitudinal movement. The neurological and seizure risk assessment should inform the required bumper coverage length, and this should be documented in the care plan with clinical rationale.
How does deep-pile polyester fleece compare to wipe-clean bumper materials for seizure care?
Wipe-clean bumper covers use a PU or similar sealed surface that does not allow air to pass through; contact between the face and a wipe-clean surface during a seizure creates a sealed contact point with limited air movement. Deep-pile polyester fleece has an open fibre structure with significant air permeability, allowing air to circulate through the bumper surface even under direct contact pressure. For the specific seizure safety risk of sustained face contact with the bumper during a tonic-clonic episode, the air-permeable fleece specification provides a material advantage that wipe-clean covers cannot replicate. The clinical team should document the material rationale in the care plan.