Prevention Interventions
ALL patients with a score of Hester Davis _ or more is required to have a bed alarm ON.
15 or more
How many points does a person of 60 years or greater get?
3 points
What must always be within reach for the patient?
Call light
What is an assisted fall?
A fall in which any staff member was with the patient and attempted to minimize the impact of the fall nu slowing the patient's descent.
Which unit has had zero falls this year?
ICU
How often should you educate and communicate with patients?
On admission and Q shift
How many points does the patient get if patient is incontinent?
3 points
What socks must be worn at all times?
No Slip Socks
What does a major injury after a fall look like?
Results in surgery, casting, traction, required consultation for neurological
Fall mat
If the patient refuses the bed alarm what is the next step to take take if confused or forgetful?
Do NOT leave patient alone and get charge nurse
What color is the door signage for low fall risk?
Yellow
You should always do what to your patients beds?
Zero your beds and ensure bed alarm is on
Post Fall Huddle Form
How often should you round on fall risk patients?
hourly
If family leaves the patient with a high fall risk alone make sure to...
How many points will the patient receive if the patient has low blood sugar?
4 points
Where should you velcro the chair alarms?
Side NOT the back
What are some possible contributors to the fall event?
1) Toileting
2) Transfer Technique
3) Alarms
4) Monitoring
5) Needed items
6) Environment
Who will provide assessment and recommendations for assistive devices?
Physical therapy
What are the five key points to implement in bed and room setup?
1) Ensure bed is in the lowest position and locked
2) Ensure all wheelchairs and chairs are locked
3) Ensure side rails up x2
4) Ensure room is well lit
5) Provide a clutter free and spill free enviornment
How often is a Hester Davis assessment done?
On admission, every shift, change of condition, change in level of care, after a patient falls, and prior to discharge
Yellow armband
Which unit had the most falls in 2025?
4W
What HD score is not considered a fall risk?
7 or less