Corporate Falls Prevention 2014 Falls Prevention Program Goals: - - PowerPoint PPT Presentation

Corporate Falls Prevention

2014

Falls Prevention Program

Goals: Decrease incidence of falls Decrease severity of falls Improve patient safety Modules can be found on My Learning Edge to complete

Target State

Ensure all patients (inpatients & outpatients) are Assessed / Screened for Risk of falling Ensure all High Risk patients have Interventions in place

In-Patient Falls Assessment

Nurses are required to perform and document the MORSE falls assessment for a patient: 1) On admission 2) On transfer to the ward 3) If their status changes

For example: a) new signs of delirium or confusion or b) changes to strength and mobility

4) Every Wednesday

MORSE Score

If a patient has been admitted with a fall, has fallen in the last 3 months

• r has fallen in the hospital

select “Yes”

Universal Interventions

Environment Place bed/chair at appropriate height Easy access to call bell, telephone, etc. Encourage use of appropriate footwear Verify brakes on equipment are

• perational & in use

Place IV pole at head of bed if being used Provide proper lighting to minimize glare Provide night lights & verify if

• perational

Maintain straight path to bathroom Remove equipment not in use Keep floors clean & dry Keep bathroom garbage under sink, no basins on floor Medications Review medication list for drugs that may predispose patient to falls (in unit binder) Physical Status Encourage patients to wear shoes/non-skid socks at all times PT/OT to assess gait aids for appropriate height & use when need identified Return gait aid to original user Ensure glasses/hearing aids are in use or close by Place urinal and/or commode & gait aids within reach Cognition Simplify tasks Use clear, concise communication Provide consistency in staff & routine Increase light at twilight if patient agreeable Follow Policy of Least Restraints II-137

Safety Alert/ Falls Documentation

Automatic Referrals in Cerner

• If you have assessed your patient and they are at

high risk for falls, a score of >45 will generate an automatic referral to the Physiotherapist (PT) and Occupational Therapist (OT) in Cerner

• Units who are not documenting online, please

self refer your patients to the PT/OT

PAEDIATRICS FALLS ASSESSMENT

MOTHER-BABY FALLS ASSESSMENT

Critical Care Unit

• Critically ill patients have are at greater risk for

DELIRIUM as well

• Patient’s who are delirious or confused are at a

higher risk to experience a fall

• Assessing and Treating delirium is a modifiable

risk factor for falls. Consistently assessing for delirium will help in identifying patients at risk for falls

Falls Assessment Documentation & iNET (CrCU only)

• Falls Assessment is

found under the NEURO-SAFETY band

• It is highlighted in

Blue which means that should always show up when you

• pen a patient’s

chart

Summary Checklist and Reminders

All staff must complete the FALLS PREVENTION MODULES (1,2, and 3) on My Learning Edge Complete and document a “Falls Assessment” for patients

• n admission, transfer and every Wednesday. Complete an

assessment if patient’s status changes If patient is not high risk for falls, ensure the Universal precautions side of the Laminated Falls Intervention Card is in the patient’s room

Summary Checklist and Reminders

If the patient is High risk for falls, ensure the following: Turn Falls Intervention Card to yellow side and indicate which falls prevention strategies are relevant to your patient’s safety Apply yellow “Falls Risk” band to patient’s wrist Put a falls alert sticker on the side of the chart and on the front Put a falls alert sticker/magnet on patient white board Ensure Safety Alert for falls is entered into the computer

OUTPATIENT FALLS ASSESSMENT

• 1. Place logo on patient whiteboard
• 2. Place sticker on spine of chart
• 3. Place logo on front of chart

Interventions for High Risk for Falls

High Risk Form in Patient Room

High Risk Intervention Tools

In 2011/2012 NYGH had 32 falls causing harm to patients. In 2012/2013 the target was to decrease by 50% (16 falls) but actual number was 13 which is a 60% decrease! In 2013/2014 the target was 13 or less falls and

• ur actual was 10 falls which is a 23% decrease

from the year prior! An overall improvement of 69%

QUESTIONS????