FALL PREVENTION JEOPARDY

RISKS & HAZARDS

100

Wet floors, poor lighting, incorrect bed heights, and poorly fitted wheelchairs are examples of this type of hazard that puts residents at greater risk for falls.

ENVIRONMENTAL HAZARDS

200

Sedatives, narcotics and anti-psychotics, and their associated side effects, are all examples of this fall risk factor.

MEDICATIONS/POLYPHARMACY

300

This can cause a person to become more tense and hesitant in their movements, which actually increases their fall risk.

FEAR OF FALLING

400

Muscle weakness, stiffness, incoordination are all examples of this fall risk factor that can make it difficult to walk steadily and safely.

BALANCE/MOBILITY IMPAIRMENTS

500

Dementia, confusion or disorientation, memory impairment, and poor safety awareness are all examples of poor _______ that increases someone's fall risk.

COGNITION

FALLFACTS

100

T/F: most falls in nursing homes are preventable. 

TRUE

200

Falls is the leading cause of ______ ______.

FATAL INJURY (injury that results in DEATH)

300

Approximately 25% of older people who fall and fracture a hip die within this timeframe.

6 MONTHS

400

This is the fraction of falls among nursing home residents that results in an injury.

1/3 (one-third or ~33%)

500

This is the monthly goal for NHC GLASGOW's falls. 

35 FALLS OR LESS.

PARTNER EXPECTATIONS

100

These 2 things should be utilized during all transfers or ambulation. 

GAIT BELT AND THE APPROPRIATE AD.

200

This is expected and standard practice that should be provided every 2 hours, at minimum.

ROUNDING, WHEN YOU OFFERING TO TOILET, ADDRESS INCONTINENCE, HELP RESIDENTS CHANGE POSITION

300

Knowing who the _______ ______ are on each station is beneficial for all partners to signify who is a high fall risk so they can be frequently monitored. 

FALLING STARS

400

These are the 4 P's that should be addressed during every 2-hour round.

PAIN, PERSONAL NEEDS, POSSESSIONS, POSITION

500

This is the first thing a partner should do when coming onto shift, prior to providing any patient care.

LOCATE THE MOST UP-TO-DATE ASSIGNMENT SHEETS WITH THE MOST CURRENT FALL PREVENTION TECHNQUES.

DEMENTIA APPROACHES

100

This is the direction from which you should approach a resident with dementia.

THE FRONT

200

Allow extra of this when providing cues and instruction to a resident with dementia, so they can process and understand what is being said.

TIME

300

When providing patient care, focus on their ______, not their ______.

ABILITIES, not LIMITATIONS

400

This type of approach is not recommended when providing care to a person with dementia.

DO NOT BE CONFRONTATIONAL, ARGUMENTATIVE, or DO NOT MAKE THEM FEEL LIKE THEY ARE DOING SOMETHING WRONG.

500

Your actions, your words, and your body language should convey a sense of ____ during patient care.

CALM, REASSURANCE, FRIENDLINESS

FALL INVESTIGATION& INTERVENTIONS

100

This can be more frequently utilized to prevent social isolation and to get residents out of their rooms to reduce falls.

SCHEDULED ACTIVITIES, DAY ROOMS, BINS WITH VARIOUS TABLETOP ACTIVIITES LOCATED ON ROLLING CARTS AT EACH STATION

200

Please provide as much of this as you can after responding to a fall, so it can be later investigated.

CONTEXT CLUES, TIMELINE, DETAILS LEADING UP TO FALL, ETC.

300

When completing a fall report, a nurse should ONLY type this in the "short description" box. Nothing more, nothing less, nothing else!

1 of the 6 TYPES OF FALLS (found, witnessed, self-reported, low bed to mat, lowered, stabilized/interrupted).

400

Immediate interventions after a fall must be documented in both of these 2 places.

IN THE FALL REPORT & IN MATRIX

500

These must be removed from a wheelchair unless you are transporting a resident to a destination.

LEGRESTS (so that a resident does not attempt to stand and trip over them)