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Download Fall Prevention Interventions - Washington State Hospital Association
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Fall Prevention Interventions It Starts with You… Preventing Falls Improving Lives 2014 Fall Prevention Education Series brought to you by the Washington State Hospital Association Why focus on preventing falls? Preventing falls: • Increases patient trust • Improves care • Improves patient satisfaction • Decreases unnecessary costs for both the patient and the hospital What can I do to prevent falls? Leadership & Frontline Staff Involvement Identify Fall & Injury Risk Patients Monitor Performance Research Proven Interventions What can I do to prevent falls? What can I do to prevent falls? What can I do to prevent falls? What can I do to prevent falls? What can I do to prevent falls? What can I do to prevent falls? Culture of Fall Prevention - involving all disciplines Patient and Family Engagement = Better Outcomes Mr. Walt Demographic Information: 82 year old male Admitted with: Lower GI Bleed, r/o diverticula Social Situation: Lives at Assisted Living Facility, Family supportive Medications: Vitamins, low dose aspirin daily, famotidine, IV Fall History: Last admission was related to Fall w/injury 3 months ago Additional Observations: Mild dementia, uses walker, hard of hearing, Morse Fall Scale risk assessment at 47 (high risk falls) Mr. Walt Which interventions would you implement for all patients, including Mr. Walt? • • • • • • Communicate High Risk at Bedside Shift Report Shift/Safety Huddle Communication Hourly Rounding with P’s Action Patient Communication White Board Bed in Lowest Position/Call Bell in Reach Include Family in Care Plan Mr. Walt What other interventions would you implement for Mr. Walt? • • • • • High Fall Risk Signage Fall Risk Armband Staying Within Arms Reach Bed and Chair Alarm PT/OT Consult What have we learned? • Complete Fall Risk Assessment • Design an Individualized Care Plan • Some interventions discussed include: Bedside Shift Report Shift/Safety Huddles White Board Communication Purposeful Hourly Rounds Stay Within Arms Reach for Toileting Use Alarms, Signage, Armbands as Notification Devices PT/OT Consult Other presentations in this series Fall Risk Assessment Fall Prevention Interventions, Patient and Family Engagement Post-Fall Huddles and Analysis Brought to you by the Washington State Hospital Association Resources The analyses upon which this publication is based were performed under Contract Number HHSM-500-2012-00008C entitled "Hospital Engagement Contractor for Partnership for Patients Initiative.”
