96%(51)49 out of 51 people found this document helpful
This preview shows page 1 - 6 out of 16 pages.
C493: Task 1WGU RN to BSNPatient-Centered Fall Prevention 1
The Problem & ExplanationWhat 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 participationImpact 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 autonomyImpact 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 survey2A1 & A1a
Investigation: StudiesAvanecean 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 strategiesTzeng & 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 care3A2 & A2a
Investigation: Current PracticeFall 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 consult4Post 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