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Decreasing falls with the confused and weak medicine patient over the age of 50. Holly Loveless NUR 490 CLINICAL PROBLEM Patients are falling too often, causing more injuries than there should be. What would help prevent these unitentional falls from occuring? Why are these falls happening? Method Databases searched ( CINAHL, PubMed, Medline, Google Scholar) Key Terms Searched ( fall prevention, nursing rounds, intentioal rounding, comfort rounding, unintentional falls, fall assessment tools) Articles included (10 Nursing research articles) Why are patients’ falling? Weakness Medications Confusion Stress Hospital acquired delirium Improper footwear What could prevent these falls? Hourly rounding UNCH acronym ROUNDS Balance tests Hendrich II fall risk model assessment tool Working with physical therapy frequently What is Rounds? R- Are you comfortable? O- Other Side (repositioned) U- Use the bathroom? N- Need anything? D- Door/ curtain open or closed? S- Safety, such as the call light being within reach Pico statement P- The population is patients over the age of 50 admitted to an acute medicine unit with generalized weakness and confusion due to the hospital setting/stay I- Preventing falls on these patients by doing hourly rounding C- Not conducting hourly rounds O- Absence/ decreased number of falls compared to multiple falls a month Educating the staff Making sure staff understands what the hourly rounding means and how to implement it Weekly meetings on how falls are being prevented and how it is going Post fall “huddles” (what can be done differently to prevent the fall from occuring again) Implementing ruby red slippers Patients who are at risk for falling are easily detected when pulling up their e-record chart, it shows their fall risk score These patients at risk for falling are placed in RED hospital socks to physically identify them easier, not every time are these socks placed on these patients, implementing this is crucial Red signage above their bed would be helpful or at the foot of the bed as well, this would help easily identify these fall risk patients when patients are under their blankets Conclusion Implementing hourly rounding Using ROUNDS acronym every shift Educating staff Improving communication Improving on ruby red slippers usage