Humpty Dumpty was Pushed
Upon Admission, upon returning from surgery, upon transfer to a new unit, after a fall, and each shift until EPIC displays a fall risk score are examples of when this should be documented.
What is Morse Fall Risk
Oxygen cylinders that contain 300PSI or less are stored in this rack
What is "Empty" rack
These should be documented once a shift and should correlate to the calculated EPIC fall risk score
What are Fall Risk Interventions
If a cylinder has greater than 300 PSI it is considered to be this and should be stored in the corresponding rack
What is "Full / Partially Full"
This form should be completed after a patient has had a fall that evaluates any issues noted that could have contributed to the fall or the prevention of the fall and must be turned in to management for entry into Verge
What is the Post Fall Huddle Evaluation
All compressed gas cylinders must be secured in
What is a cylinder rack or oxygen caddy
How often should Vital Signs, Level of Consciousness, and new injury be documented with a patient fall that wasn't witnessed or reported hitting their head and where should one document this information
What is Every 1 hour x4, then every 4 hours until reaching 24 hours of the event occurrence; What is the "Patient Found/ Assiste" flowsheet
Any oxygen cylinder that has a red tag is considered this
What is damaged and should not be used.
Entering a Verge report, Initiating and documenting on the "Patient Found / Assisted" flowsheet, adding "Post Fall" Careplan, completing a "Post Fall Huddle Evaluation" and completing a Morse Fall risk are all aspects of
What is REQUIRED Post Fall Documentation
This should be utilized to clean oxygen cylinders post utilization for a patient
What is sani wipes (observe proper wet times)