WHAT THE FALL
Definition of a an Anticipated Physiological Fall?
A) Staff member attempts to minimize the impact of the fall by slowing the patient’s descent
B) Fall caused by slips or trips commonly related to environmental factors such as cords, IV lines, spills.
C) Fall in which a patient experiences a physiologic event (e.g., seizure, syncope)
D) Fall can be logically attributed to known fall risk factors (e.g., weakness, impaired mental status, med side effects, etc.)
D
Fall Risk patients should NOT be left unattended while toileting and should be kept within ________ reach (fill in the blank).
ARM'S
Potential consequences of patient falls?
A) Physical injuries, psychosocial distress, decreased quality of life
B) Shorter hospital stays
C) Financial burden experienced by patient and hospital
D) All of the Above
E) A&C
E)
Most common type of fall in the hospital?
A) Unanticipated Physiological Fall
B) Anticipated Physiological Fall
C) Baby Drop
D) Intentional/Behavioral Fall
B)
The 4 Ps that should be addressed with patients when performing Purposeful Hourly Rounding?
Potty
Pain
Positioning
Personal Needs/Belongings
This technique demonstrates patient/family understanding.
Teach Back Method
Examples of a major injuries r/t a patient fall?
A) Laceration requiring suturing and hamstring strain
B) Bruises and abrasions
C) Hip fracture and subdural hematoma
D) All of the Above
C)
Which interventions are specific to HIGH FALL RISK Patients:
A) Fall Mat & Use of a Sitter
B) Fall Mat & Restraints
C) Fall Mat & Fall Risk Armband
D) All of the above
C)
TRUE or FALSE: It is acceptable for family to assist Fall Risk patients with ambulation & toileting?
FALSE
Number of patients that fall in hospitals in the US every year?
A) 25,000-50,000
B) 50,000-100,000
C) 700,000-1,000,000
D) Greater than 5,000,000
C)
Universal Fall Precautions must be implemented for ALL Peri-op patients. Name at least 4 of the universal precautions.
* Fall Risk Armband
* Call light/belongings in reach
* Bed/Gurney locked & low
* Wheelchairs/chairs locked
* Side Rails Up
* Non-slip footwear
* Clutter and spill free environment & adequate lighting
* Leave bay visible for patients with cognitive/behavioral issues
* Educate patient and/or family on level of risk and instruct to call for assistance.
Name 3 times when a patient’s fall risk needs to be assessed & documented during their hospital stay.
* On Admission
* Every Shift
* Change in Patient Condition
* Change in Treatment
* Change in Level of Care
* Post Fall
* At Discharge