Transcript Culminating seminar Powerpoint

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