PPT C493 Task 1.pdf - C493 Task 1 Patient-Centered Fall Prevention WGU RN to BSN 1 A1 A1a The Problem Explanation What is the problem Impact on patient

PPT C493 Task 1.pdf - C493 Task 1 Patient-Centered Fall...

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C493: Task 1 WGU RN to BSN Patient-Centered Fall Prevention 1
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The Problem & Explanation What is the problem? Preventable inpatient falls among the elderly All patients on an Orthopedic & post-op unit are at high risk for falls Current practice is clinician- centered fall prevention & is less effective due to minimal patient influence on interventions used, resulting in minimal patient participation Impact on patient Increased risk of morbidity & mortality Risk of fractures, possible surgery, extended stay in hospital, requiring physical & occupational therapies Impaired immobility causing pressure injuries, pneumonia & blood clots Decreased autonomy Impact on hospital Loss of reimbursement from Centers for Medicare & Medicaid Loss of confidence in care and safety from the patient, family & the community Lower satisfaction ratings on the end of hospital stay survey 2 A1 & A1a
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Investigation: Studies Avanecean et al. (2017) Systematic review of the effectiveness of fall prevention & the reduction of falls Fall prevention is most effective when patient interventions were individualized Kiyoshi-Teo et al. (2018) Qualitative research article that assessed patients fall risk scores & perceptions of fall risk Fall prevention programs were more effective when patients were involved in the fall prevention plan of care Ambutas, Lamb & Quigley (2017) Quality improvement study that evaluated areas of improvement for the current practice of fall prevention More active participation by RN and CNA staff was more effective at preventing falls rather than standardized fall prevention strategies Tzeng & Yin (2015) A study that compared clinician-centered fall prevention vs. patient- centered for effectiveness in reducing falls Patient-centered fall prevention strategies were more effective because they encouraged the patient to take a more proactive role in their care 3 A2 & A2a
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Investigation: Current Practice Fall Prevention Protocol Morse Fall Risk assessment upon admission to unit and every shift Moderate to high score indicate fall prevention is needed Fall prevention is standardized for every patient Bed and chair alarms Call light within reach Non-slip socks worn at all times Fall risk sign at door Special fall risk indicator bracelet on the patient Stand-by assist or contact-guard assist and gait belt with all ambulation or transfer Physical therapy and occupational therapy consult 4 Post Fall Protocol Head CT, additional diagnostic imaging of any possibly affected areas Medication evaluation for possible causes of fall Increased fall prevention measures View room with constant visual “Post-fall huddles” with all floor staff at time of fall Discuss the possible causes How to prevent in the future Thorough reports provided to nurse management and risk management about the fall Quarterly report is emailed to all applicable hospital staff with information about all falls that have occurred, patient outcome, and suspected cause of fall A2 & A2a
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Investigation: Interviews
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  • Fall '20
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  • • Falls

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