Transcript Falls Prevention Accreditation ROP Compliance

Falls Prevention Accreditation ROP Compliance
Medicine Accreditation 2016
To Minimize injury from falls, a
documented and coordinated
approach for falls prevention is
implemented and evaluated
•Falls prevention is a safety priority
•Reducing injuries from falls can increase
quality of life for clients and reduce costs
Major Tests for Compliance
A documented and coordinated approach to
falls prevention is implemented.
Falls @ Covenant
Schmid Fall Risk Assessment Tool
Post – Fall Report
Reference Document
• Universal Falls Precautions (SAFE)
• Ask-3
• Schmid Guideline
Medication List
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list of medications that may increase fall risk
Major Tests of Compliance
The approach identifies the populations at risk
for falls
Major Tests of Compliance
The approach addresses the specific needs of
the populations at risk for falls
•Apply interventions as noted in the Schmid
Tool
Falls @ Covenant
For high risk patients, consider:
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Bed and/or chair alarms
Relocate the patient in nursing unit
Consider level of observation
Frequent rounding for patients with dementia, delirium or
behavioral problems
Pamphlet and patient/family education
If patient has limited or no ability to engage in fall prevention
strategies, consider:
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Increase level of observation
Move patient closer to nursing station
Supervise all mobilization and toileting
Ask-3
Before leaving a patient’s room ask the following
questions, as appropriate:
1. Do you need to go to the toilet?
2. Do you need anything for comfort or pain?
3. Are there any personal items you need within reach before I
go?
Communicate – “I or someone from the team will be back in
about an hour to check on you”
If patient is sleeping, assess for possessions but do not
wake unless clinically indicated or previously arranged.
Universal Falls Precautions (SAFE)
Safe Environment
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Bottom bed rails down unless assessed otherwise
Pathways clear of clutter and tripping hazards
Bed and chair brakes are “ON”
Lights are working and “ON” as required
Assist with mobility
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Safe and regular toileting
Transfer/mobility assist documented
Glasses, hearing and mobility aides within patient reach
Fall risk reduction
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Call bell in patient’s reach
Bed lowered to patient’s knee height
Personal items reachable
Proper footwear available and in use
Engage patient and family
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Discuss risk factors with patient and family
Mutual Falls/Injury Prevention plan developed
Minor Tests for Compliance
•The effectiveness of the approach is evaluated
regularly
•Results from the evaluation are used to make
improvements to the approach when needed.
Falls @ Covenant
Follow the post fall process on reporting and patient care:
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Report fall to person in charge
Document the fall on the Post-Fall Report
Follow the post-fall protocols, as appropriate
Document fall in RLS
Work collaboratively to analyze the fall and reduce the risk
of similar falls reoccurring
Frequently monitor patient’s fall status
Frequently monitor environment of patient (room and unit)
for new risks
SPLATT Tool
Symptoms
Previous Falls History
Location
Activity at time of fall
Time
Trauma
Treatment
Falls Champions in Medicine
Your falls champions provide:
Education
Audits
Quality Improvement Projects using the PDSA
cycle (Plan Do Study Act)
Questions?