Patient
Safety
Safety
The national coding color for fall prevention.
What is yellow?
The name of the evidenced-based fall risk assessment tool used at VA North Texas Hospital
What is the Morse Fall Scale ?
The patient that justify implementing a safe unit environment when the assessed fall risk score is less than 45 (low).
What is universal precautions
The staff member in charge of the patient, such as an RN, makes an announcement of an immediate huddle when a patient experiences a fall
What is Post FALL Huddle
Fall action lessons learned
When patients and family are educated about the Fall Alert Program and fall prevention measures.
What is on admission and any other appropriate time to reinforce information?
The shape used for the Safety Alert Program.
What are yellow falling parachute
Who is responsible for assigning fall incident reports to Patient Safety staff to conduct case-by-case reviews for all falls, to ensure contributing risk factors are reviewed and prevention measures implemented.
Who is Patient Safety manager
The appropriate nursing diagnosis to add to the plan of care.
What is risk for injury/fall risk
Every 15 - 30 minutes.
What is how often a patient is checked that is a high fall risk?
The proactive process the hospital is using to promote patient safety and improve patient satisfaction. This strategy of checking on patient needs effectively reduces monthly call light use by 38%, patient falls by 50% and skin breakdown by 14%, while simultaneously increasing satisfaction scores.
What is purposeful hourly rounding?
Yellow falling parachutes are placed here to alert staff that a patient is on Fall Alert.
What is outside the patient's room and on the patient locator board?
The Morse fall scale score that relates to high fall risk.
What is greater than or equal to 45
Where to document the in patient falls in the system
What is JPSR
Five interventions for patients at high fall risk.
What are yellow armband, don't leave patient alone during toileting, check patient every 15 - 30 minutes, activate bed alarm, identify room with yellow falling parachute, apply chair alarm as appropriate, move patient to room with visual access to nursing station, reinforce the need to call for assistance to move from bed, chair, wheelchair, toilet, etc., limit combinations of medications when possible?
Any unplanned landing on the floor, including a patient being assisted to the floor by the nursing staff.
What is the definition of a fall?
The sign or intervention used for patients at very high fall risk and that staff have highest concern.
What is the "call don't fall" sign?
When the Morse Fall risk assessment is completed.
What is on admission, transfer, following a significant change in health status and following a fall.
An incident report will be entered for visitor falls by safety service
What is ASSISTS-LIVE
The discharge outcome to be written in the plan of care.
What is "free from injury throughout hospitalization"?
The person are responsible for ensuring that staff members are competent regarding falls and comply with this policy, the Falls Prevention Program and related interventions.
Nurse managers
choosing transfer/ambulation methods and equipment
What is the bedside mobility assessment?
The five criteria assessed by the Morse Fall risk assessment tool.
What are history of falls, secondary diagnosis, ambulatory aid, IV access, gait/ transferring, mental status.
The location where the staff members will be assessed for injury after a fall during business hours
what is occupational health.
Where to document when a fall occurs, or fall Alert is initiated or discontinued.
What is the Nursing fall Note in CPRS?
Where documented actual unit fall data is posted for discussion.
What is the unit's Performance Improvement bulletin board?