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have stricter policies than others. Such as, Florida hospital in Deland, Florida policy is that everypatient that comes on the cardiac step-down unit must have a bed alarm, it does not matter what their diagnosis is, age, or cultural background. Holmes Regional medical center policy states thatonly patients that have previously fallen in the last 90 days, are on any type of pain medication, or is an identifiable fall risk need to have a bed alarm. Nurses are also a huge impact on the problem as well, they are not answering call lights quickly enough and they seem to be too busy and patients are stating that they are not wanting to bother the nurses so in turn the patients are putting themselves in harm’s way by getting out of bed, ambulating on their own without any assistance and falling. In the clinical qualitative study,” Patients Experience After a Fall and Their Perceptions of Fall Prevention”, Patients were explaining to the researchers that they were not educated about the potential of falls and that the nurses were taking a long time to answer their calls, so the patients tried to be independent and ambulate in their rooms without any assistance, either to the bathroom or to put on their clothing they were unsteady and fell (Mei Ling, 2018).
C361 EBP- Task 24A4. Discuss how the problem impacts the organization and/ or patients cultural background.Frequent falls in side in-patient facilities has a great impact on many different facilities due to the patient injuries and cost. Patients fall to frequently in these organizations and this can cause serious physical and psychological effects. Between 30% and 50% of falls that happen inside an in-patient facility result in injury. This increases the patient stay at the facility and insurance will not cover it because they say that it is a preventable condition, so the hospital mustpay for the extended stay, medications concerning the fall, such as pain medication, and any typeof wound care associated with the fall (Miake, 2013). After the patient has fallen in the facility, this may also increase the amount of time they must remain in the hospital or they may have to get discharged into a rehabilitation facility for skilled care and rehab in order to eventually be discharged home. Most falls are the result of the patient cognitive status and the physical environment, medications, incontinence, and lastly postural hypotension just to name a few (Miake, 2013).B. PICO TableP (Patient, Population, Problem)Inpatient falls, elderly, injuriesI(Intervention)Frequent room /patient checksC(Comparison with other Interventions or Current practices)Answering the patient promptly when they call for help using there call bell.O (Outcomes)Reducing the number of patient fall’s and injuries.
C361 EBP- Task 25B1. PICO QuestionAmong elderly patients, does frequent room and patient checks lower in-patient falls and injuries, in comparison to the current practice?