BED & BEHAVIORAL DECISION TREES
WHAT KIND OF BED IS USED FOR A BRADEN SCORE OF 15-18?
CURRENT HOSPITAL BED- USE WAFFLE MATTRESS
during what event do 50% of falls occur?
bathroom use
Trial releases of SOMA beds should occur at least once during use- True or False
FALSE
Name 2 fall prevention interventions that are used for MODERATE fall risk category under activity?
remain in visual sight for toileting/showering
evaluate the need for gait belt
evaluation for PT/OT/Lift Team
It is rare for an alert and oriented patient to fall so you do not need to do a fall risk on them. True or false
False
When would you consider using a Centrella MAX with air bed?
if Braden score is moderate risk, 13-14 or pressure injury present (or <2 braden mobility score)
what percentage of patients fall when UNASSISTED by staff?
83%
If your bed alarm is not working despite trouble shooting and zeroing the bed, what are at least 2 things you can do?
Red Tag Bed
Alert EVS to collect bed
Notify Plant ops of malfunctioning bed
Name 2 fall interventions for LOW fall risk for environment
keep floor free of clutter
bed in low position with side rails up and locked
adequate lighting
call bed in reach
When a patient is admitted and a fall risk, what do you have them sign?
Fall agreement form
What tool can be used to help guide if you need restraints or a SOMA bed for a patient?
Behavior Management Decision Tree
What shift/time period do approximately 60% of falls occur?
PM shift- 1800-2300
Name a device you can use to alert you if your patient is getting out of bed unassisted
Posey- sitter on cue alarm
What is the point range for high fall risk?
greater than 13 points
Name 2 risk factors that contribute to falls.
Medication side effects
attached to equipment
urgent need to get to bathroom
confusion
surgery
impulsiveness
If the patient is high risk for suicide and restraints or tele safety companion is not helping, what resources can be used?
1:1 sitter for safety
What is the point range for MODERATE fall risks?
6- 13 points
If you are unfamiliar with the features of any bed, where is an easy place to go to look find out more information?
Products page on the HUB
Which fall risk category must you remain within arm's length when ambulating or toileting?
High Fall risk
Your patient just fell. after you assess them, notified the doctor and completed the fall huddle, what would you need to document in EPIC?
Post-Fall note in EPIC
Name one of the 2 beds that can be ordered by SWAT
P500
Envella Air Fluidized bed
Cross campus, how many falls do we have year to date?
130
What is the number one thing you should do if your bed alarm is not setting?
ensure you zeroed the bed first
Which fall risk category would include anticoagulation education and documentation on the ticket to ride for this category?
High Fall Risk
There are 8 steps to take after a patient fall. Name 3 of them
assess patient for injury
notify MD
neuro checks q 2 hours x 12, order CT if on anticoagulants
notify Admin Supervisor/Director/Risk
document post fall note
fill out SPARK
notify family
reassess and answer YES to the patient has fallen to ensure pt is marked as high fall risk