Alarms
Use this as the alarm on bariatric beds
What is the chair alarm
Universal Fall Risk (purple), Elevated Risk (yellow), and Highest Risk (red)
What are the three levels of fall risk
The first step in handling a complaint/refusal
What is to listen. The patient wants to be heard first. A lot of control is taken away from patients in the hospital, so just listening to them can make a big difference.
The required question upon admission that helps build the ROI model
What is the history of falls question
Used for elopement risk
What is safety view
How often do the chair alarm pads need to be changed out
What is 42 days
Fall risk level everyone is assigned for the first 12 hours
What is universal
Remember, the nurse can add interventions, if they determine they are appropriate
These are the three risk levels of declining care
What is Low risk (oral care, bathing, linen changes)
High risk (labs, imaging, repositioning, CAUTI or CLABSI bundles, fall risk)
Highest risk (tele, VS, O2, stat orders)
Two areas that must be documented after any patient fall
What is post fall documentation in EPIC and an RL
Activation of STAT alert alarm more than 3 times in 30 minutes
What is exclusion criteria for safety view. Patient would most likely need to be a 1:1
Used for Highest risk patients who can demonstrate removal
What is a seat belt alarm/roll belt/lap belt
How often we chart ROI
What is Q12hr and as needed for changes in condition (increased confusion, procedures, etc)
Educate, Explain, Empathize, Elevate
What are the 4 E's for patient refusal
This is an option to generate when you chart a declination of care
What is a significant event note
Hospital, patient name, MRN, camera number, room number, and reason for monitoring
What is safety view setup
Verify green light is on this before leaving the patient
What is chair/bed alarm
How often the ROI model updates the fall risk level
What is every four hours.
However, the nurse does not need to verify precautions at each file
Escalation required on the 1st time patient declines under this risk tier.
What is the highest Risk
Must be charted under the intervention tab after a fall
What is post fall documentation
Staff must wear a working device for NPS to work properly
What is a locator
You can only plug in one or the other when a patient is up in the chair
What is chair alarm or seatbelt alarm
The fall assessment tool we use for ages 1-17
What is Humpty Dumpty
Chain of command you should involve when a patient refuse cares
What is primary nurse (if you are the UAP/ACP), charge nurse, manager (during normal business hours if charge RN cannot resolve), risk management if needed, and house supervisor if needed
Provider depending on risk level
What you should do if you are not able to implement a precaution that is displayed in Epic (i.e. lap belt or roll belt)
What is to document "no" in "are all precautions in place" and in the comment put what is not being used and why it can't be implemented
3 side rails, bed alarm, brakes set, bed in lowest position
What is bed status settings options for fall risk patients.