Capstone Assign wk 9.docx - Running head THE EFFECT OF HOURLY ROUNDING ON FALL PREVENTION The Effect of Hourly Rounding on Fall Prevention Grand Canyon

Capstone Assign wk 9.docx - Running head THE EFFECT OF...

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Running head: THE EFFECT OF HOURLY ROUNDING ON FALL PREVENTION The Effect of Hourly Rounding on Fall Prevention Grand Canyon University: NRS-490 1
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THE EFFECT OF HOURLY ROUNDING ON FALL PREVENTION The Effect of Hourly Rounding on Fall Prevention The World Healthcare Organization defines falls as an event, which results in a person coming to rest inadvertently on the ground, floor or other lower level (WHO, 2018). Falls are the leading cause of accidental and unintentional death. It is estimated that over 646,000 people have died from falls globally. Statistics also shows that about 70,000 to 100,000 hospitalized patients in the United Stated fall annually (WHO, 2018). The purpose of this paper is to enlighten healthcare practitioners on the impact of hospital falls and about possible evidence -based practice solution to reducing the rate of these incidents or bring them to an end. Problem Statement There are several factors contributing to the high number of fall incidences recorded in our hospitals. Certain medications are proven to cause dizziness/ drowsiness, for example pain medications such as Dilaudid, Morphine, Oxycodone etc. Low nurse to patient ratios, certain disease conditions such as hypotension as well as some patient care equipment such as IV pumps all impede patient’s movement/gait, hence putting them at substantial risk for fall (AHRQ, 2013). Falls can lead to patient injury such as lacerations, fractures, intracranial hemorrhage and worst- case scenario death (Veronese, Maggi, Schofield, & Stubbs, 2017). Falls are also prolonging patients’ hospital stays, which can further expose these patients to hospitals acquired infections, further injuries and legal liability leading to poor patient outcomes and financial burden both on the patient and hospital facilities (Mehta, Y., Gupta, A., Todi, S., Myatra, S., Samaddar, D. P., Patil, V., … Ramasubban, 2014). Nurses play significant roles in the care of their patients. It is with this that nurses have been encouraged to advance their careers by gaining further knowledge in how they can safely care for their patients, while also being able to get to a level where they could be part of a research team that comes out with solutions to ending some of these clinical 2
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THE EFFECT OF HOURLY ROUNDING ON FALL PREVENTION issues such falls, which are bringing the reputation of nurses role of ensuring the safety of their patients into question. Hourly or purposeful rounding as called in my facility is an evidence- based practice designed to help nurses or healthcare workers to be proactive in the care of their patients and to ensure patient safety (Krepper, R., Vallejo, B., Smith, C., Lindy, C., Fullmer, C., Messimer, S., Xing, Y., & Myers, 2014). In rounding, nurses ensure precautionary measures to prevent falls, such as call lights, making sure floor mats are in place, beds are at their lowest position, and offer bathroom breaks to prevent them from doing it alone and falling in the process (Mitchell, 2017). However, more education needs to be done to help healthcare workers understand why hourly/purposeful rounding a great tool is preventing hospital associated falls.
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