Fall TIPS
How often do you educate the patient about their fall risk and TIPS?
Every shift and with changes
How do you call in?
Call the staffing office and the unit or TLC.
What is our medication scanning goal?
98% or better
What are the 4 P's of hourly rounding?
Pain, Periphery, Potty, Position
Who goes to a code teal?
EVERYONE
During BSSR, who goes over the TIPS sheet with the patient?
The off-going staff member
If a patient brings medications from home, what do you do with them?
Tell them to take the medications home. Put them in a belongings bag and tape it up. Narcs get put in med room.
At what high blood sugar should a physician be notified?
If the patient's blood sugar is 300 or greater
How should a seizure room be set up?
Padded side rails, suction, oxygen
What are the categories of fall risks on TIPS? (hint: there are 6)
History of falls, medication side effects, walking aid, IV therapy, unsteady walk, may forget to use call light
How many call ins are you allowed before you are on a corrective action?
you can call in 5 times in 9 months, the 6th time is a corrective action
Who needs specialty mattresses? How do I order one? Where are the resources?
Anyone with a braden 14 or less, you order in EPIC, there are instructions on Teams, in the flippy books, in the wound binder
What should be done when a CVC needs to be removed?
Verify order, get a safety partner, use the timeout board and safety partner checklist
When should I explain to my patient their fall risk, this is new information for them.
My patient is EMU, and independent at home, they have a history of falls, they have an IV, they will be compliant with the call light, they do not have ambulatory aids. What kind of fall interventions should I place?
Gait belt, ambulate with assistance.
How many tardies are you allowed before you are on a corrective action?
You can have 7, the 8th tardy in 9 months puts you on a corrective action.
DC in 2 hours, increase use of hospitality suite
What special steps do you need to take if an LP is performed on a patient with concern for CJD?
Special hazard labels on the specimen bag. The specimens have to be incinerated.
What size IV does Ictal spect patient need? What should nursing set up each day?
20 gauge or larger, IV fluids each day in the morning before 8am
What should I do after a fall?
Contact physician, SEMS, new fall assessment with ABCs of harm, post fall documentation (huddle), update TIPS sheet, Fall event in EPIC
How long is a corrective action active?
6 months.
What 2 things are we working on to decrease falls?
Purposeful hourly rounding audits, fall tips audits.
What are the 5 moments of hand hygiene?
Before touching a patient, before a procedure, after touching a patient, after bodily fluid exposure risk, after touching patient surroundings
What are the steps of a code teal?
Name, tell me where you are, thumb, raise your hand, color, picture, phrase,
raise hand, color, phrase, picture