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 or has fallen in the hospital select “ Yes”

Universal Interventions Environment Physical Status � Place bed/chair at appropriate height � Encourage patients to wear shoes/non-skid � Easy access to call bell, telephone, etc. socks at all times � Encourage use of appropriate footwear � PT/OT to assess gait aids for appropriate height � Verify brakes on equipment are & use when need identified operational & in use � Return gait aid to original user � Place IV pole at head of bed if being � Ensure glasses/hearing aids are in use or close used by � Provide proper lighting to minimize � Place urinal and/or commode & gait aids within glare reach � Provide night lights & verify if operational Cognition � Maintain straight path to bathroom � Remove equipment not in use � Simplify tasks � Keep floors clean & dry � Use clear, concise communication � Keep bathroom garbage under sink, no � Provide consistency in staff & routine basins on floor � Increase light at twilight if patient agreeable � Follow Policy of Least Restraints II-137 Medications � Review medication list for drugs that may predispose patient to falls (in unit binder)

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 open 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 on 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

Interventions for High Risk for Falls 1. Place logo on patient whiteboard 2. Place sticker on spine of chart 3. Place logo on front of chart

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 our actual was 10 falls which is a 23% decrease from the year prior! An overall improvement of 69%

QUESTIONS????