The patients and families should also be educated on what their activity level

The patients and families should also be educated on

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(Dacenko-Grawe & Holm, 2008). The patients and families should also be educated on what their activity level is according to their BMAT score as well as the physician’s orders. Continual analysis and auditing of the fall prevention program will be needed to ensure the program is effective. Once the fall prevention program has been implemented, a patient fall analysis will be completed along with a Quantros incident report will be filled out for any patient that does sustain a fall. The information gathered from the patient fall analyses will be reviewed at the fall prevention committee monthly meetings and information gathered will be used to help modify and refine the program (Dacenko-Grawe & Holm, 2008). Rationale for Recommended Change This change and implementation will be beneficial for not only for CaroMont Health but most importantly for the patients. First, the multidisciplinary fall prevention committee will ensure that evidence-based practices are being implemented in everyday practice. This change will continue the culture that CaroMont Health exhibits on patient safety and patient-centered care for the patients, families, and staff. There is also a financial benefit for CaroMont Health with the implementation of the fall prevention program. As any care provided related to a patient fall is no longer reimbursed from CMS, a decrease in patient falls would result in a potential increase in reimbursement for the hospital (Fehlberg et al., 2017). Assessing the patient’s fall risk, mobility and implementing standardized interventions based on their scores will allow the patient care team to know the ability from admission through discharge. Utilizing both bed and chair alarms for every patient that's MFS score deems them at risk will serve as a reminder to the patient to not get up without help as well as alert the staff if the patient does get up without assistance. The addition of video monitoring for the confused and
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CONSULTATIVE CHANGE RECOMMENDATIONS 12 impulsive behavior patient brings an additional level of monitoring to patient care. This allows this patient population to have consistent monitoring and immediate redirection for patients who attempt to get up without assistance. All the interventions included in the fall prevention protocol work to decrease the risk of patient falls and in turn increases patient safety. Collaboration between patients and their healthcare team, focusing on patient-centered care works to incorporate the patient’s values, preferences, and well-being into their plan of care and care activities (Bechtold & Fredricks, 2014). Education for patients and families on fall prevention from the time of admission as well including them in the plan of care help to ensure the patient will abide by the recommendations for their activity while in the hospital reducing their risk for falls.
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  • Spring '17
  • Health care provider, CaroMont Health

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