Justification and application

Justification, application, and evaluation

The use of a CloudCuddle Maxx as a restrictive measure always requires careful consideration, clear justification, and regular evaluation.
Step 1

1. Justification of the restrictive measure

A restrictive measure such as the use of a bed tent must always be weighed carefully and proportionately.

1
 Safety objective
The bed tent is used to prevent serious risk of falls, running away or self-injury. The primary aim is protection, not control.
2
 Proportionality
The measure must not be more restrictive than necessary. First it is examined whether lighter alternatives offer sufficient protection.
3
 Subsidiarity
The bed tent is only used when less invasive measures prove insufficiently effective.
4
 Consent
Parents, representatives and, where possible, the child themselves are involved in the decision-making.
5
 Professional and legal frameworks
The measure must comply with locally applicable legislation and regulations (in the Netherlands: the Wzd), the care plan and the organisation's internal guidelines.
Step 2

2. Application of the measure

1
 Indication
The application is recorded in the care plan with the reason, purpose and expected duration.
2
 Safe use
Healthcare professionals are trained in the correct use of the CloudCuddle.
3
 Comfort and dignity
The child must feel safe and comfortable. The tent provides a space of their own, offering security.
4
 Supervision and accessibility
The child always remains audible and accessible to caregivers.
5
 Duration and frequency
The bed tent is used only during sleep or rest periods and no longer than necessary.
Step 3

3. Evaluation of the measure

1
 Regular evaluation within the care team
Recorded in the care plan, for example every three months.
• Has the safety objective been achieved?
• Are there negative effects on wellbeing, sleep or development?
• Are new alternatives available?
2
 Involving parents and representatives
Experiences, concerns and wishes are actively asked about.
3
 Reporting and monitoring
Every use is recorded for transparency and verifiability.
4
 Stopping criterion
The measure is ended as soon as the risk has been sufficiently reduced or alternatives prove effective.
In summary
The use of a CloudCuddle Maxx bed tent as a restrictive measure can be justified when there is a clear safety need, careful consideration of alternatives, consent of those involved and ongoing evaluation. The measure is always recorded in an individual care plan and regarded as a temporary protective intervention aimed at safety and wellbeing.