Falls Assessment
Determining if a patient is alert and oriented.
What is mental status?
Medication that increases urination
What is diuretic?
Risk factor assessment for every patient.
Goes around patient as a reminder to not get up.
What is accessible utility belt?
Patient's prior fall status
What is history of falling?
Medication that can cause dizziness
What is anti-hypertensive?
Includes identification of falls risk and placing yellow socks and armband on patient.
What is falls bundle?
Alarms if patient attempts to get up.
What is mobility monitor?
Event that happens in hospital that can increase fall risk.
What is procedure?
Medication given during procedure to help patient be less aware
What is sedation?
Safe bed position
What is bed in low and locked?
Person who stays at bedside to prevent fall?
What is beside sitter?
What is a falls score?
Diagnosis that can result in paralysis of one side.
What is stroke?
Assessing the 6 P's
What is purposeful rounding?
Restrictive device to prevent movement.
What are restraints?
Review of medications that patient takes.
What is medication assessment?
Patient has been in ICU for several days and has a change in thought processes
What is delirium?
Part of day where staff discuss patients on falls risk
What is staff huddle?
Reviewing when staff member will return to round on patient.
What is plan?