Show:
ASSESSMENT
INCIDENCE RATE OF FALL
FALL RISK FACTORS
BEST PRACTICE
DOCUMENTATION
100
Post fall assessment includes
Accurate head to toe assessment of patient by the nurse and the physician Close monitoring of patient for immediate identification of cognitive and physical changes
100
How often someone is being treated in the emergency room because of fall
What is Every 11 seconds
100
How often patients are assessed for risk factors for fall
What is a.On admission b.Upon transfer to a new unit c.After surgical procedure and if there is a change in patient’s mental status d.All of the above
100
Define constant observation
What is Level of observation for patient who demonstrates high level for fall. To promote safe environment (one to one- 1:1)
100
What are the required post fall documentation
What is Progress note Vital signs Updated patient care plan Fall occurrence report
200
Post fall intervention include
What is Diagnostic tests: X-Rays, CT Scan, MRI, possible transfer to acute care setting Post fall HUDDLE with interdisciplinary team
200
What was the number of fall occurrences in 10 CHC in May 2017?
What is 8
200
Patients admitted to our units post fall at home are at high risk for fall True or False
True
200
Define close observation
What is Close observation is implemented to ensure the safety of the patient who demonstrates a low to moderate risk factor for fall (1:4 patients)
200
Where fall occurrence report is documented?
What is Rl6
300
How often a patient is assessed post fall
What is Every shift and prn
300
What is the goal for 10 CHC, in prevention of fall occurrences, in July 2017
What is Zero! No Fall Zone!
300
Patient teaching for a patient with postural (orthostatic) hypotension includes:
What is Rise slowly from lying to standing position, sit on the edge of the bed, and dangle your legs
300
Name 3 quality improvement measures by 10 CHC Unit to prevent Fall
What is No assigned break time from 8:00 PM to 9:00 PM (Identified Peak time for falls) ALL Personal Care Technicians and Nurses ‘Aides remain on unit to monitor patients – Greater Surveillance Nurses remain at their assigned district (close to patients) to closely monitor patients
300
Documentation of fall occurrence report is written in nurse’s note True or False
What is False (Never write fall occurrence completed in progress note)
400
What are the preventive measures to prevent incidence rate of fall
What is 1.Hourly round 2.Close/constant observation 3. Thorough assessment of patient and the environment 4. Appropriate use of identifiers for fall risk factors
400
Which of the following is a risk factor for fall in the elderly?
What is : a. Visual impairment b. History of fractures c. Anemia d. All of the above
400
Name two to three best practices in prevention of fall
What is Review and improve Hospital Safety Score during meetings and huddles Adherence to fall prevention measures Maintain continuous quality improvement Evaluate safety measures Encourage an interdisciplinary team approach in fall prevention
500
According to AHQR (2013) yearly how many patients fall in the hospital
What is 700,000 – 1,000,000
500
Older adults fall injury result in fractures of:
a. Elbow b. Hip c. Jaw d. Hand
500
What’s the difference between constant observation and close observation?
What Close observation is implemented to ensure the safety of the patient who demonstrates a low to moderate risk factor for fall (1:4 patients). Level of observation for patient who demonstrates high level for fall. To promote safe environment (one to one- 1:1)