FALL PREVENTION Steven Hernandez, RN University of Texas at Arlington NURS-4685 RN-BSN Capstone
OBJECTIVES : • Identifying fall risks • Improving fall prevention • Care and interventions after a fall • Improving patient education and home care instructions - vector-falling-person-silhouette-pictogram.html
DEFINITIONS: Fall: A patient fall is defined as an unplanned descent to the floor with or without injury to the patient. Near Fall: A stumble event or loss of balance that would result in a fall if sufficient recovery mechanisms were not activated.
How common are falls in healthcare facilities? More than 1 million patient falls are estimated to occur in hospitals annually, making falls one of the most commonly reported adverse events and increasing patient morbidity and mortality and the costs of healthcare. Injured patients require additional treatment and sometimes prolonged hospital stays. In one study, a fall with injury added 6.3 days to the hospital stay. The average cost for a fall with injury is about $14,000 What is the cost of healthcare falls/injuries? As of 2008, the Centers for Medicare and Medicaid Services no longer reimburse any hospital-acquired conditions that lengthen hospital stay. Hospitals now absorb the extra medical costs of patient injuries sustained in falls, which are considered preventable or “never” events. Falls associated with serious injuries are among the top 10 reported sentinel events in the TJC (The Joint Commision) sentinel event database.
FALL RISK FACTORS Patient Related Risk Factors: • Sensory Impairment • Medications • Gait and Balance Disorders • Age • Syncope • Hypotension Healthcare factors related to falls: • Call Lights • Bed and Chair alarms • Nurse-to –Patient ratio Environmental Factors: • Clutter • Unfamiliar Environment • Insufficient lighting • Slippery surfaces • Steps or Stairs • High positioned hospital beds • Hospital bed side rails • Cords for hospital equipment
POTENTIAL INJURIES FROM A FALL Physical injuries can include: Pain (Acute and Chronic) Bruising Superficial wounds (Abrasion, skin tears and avulsions) Hematomas Lacerations Fractures and Dislocations Traumatic Brain Injuries (Cerebral hemorrhage and cerebral contusions)
- Fall '15
- Tammy Eades