formed to decide what assessment tools and interventions will be used, educating the clinical staff, and evaluating and maintaining the effectiveness of the program. A patient’s risk for falls is assessed upon admission, each shift, and at transfer while in the hospital using the Morse Fall Scale (MFS). This tool is used to identify risk factors for patient falls in the hospital as well as predicting future falls and all the clinical staff to plan the patients care to address the risk factors (AHRQ, n.d.-a). The use of this tool should be in conjunction with the clinical assessment, the patient’s condition, and a review of the patient’s medications.
CONSULTATIVE CHANGE RECOMMENDATIONS 10 Patients often overestimate their mobility, especially when they are ill, which can increase their risk for a fall in the hospital. The BMAT assessment for mobility will be completed upon admission, transfer, and any change in the patient’s status to stay up to date on a patient’s mobility status per evidence-based practice (Boynton, Kelly & Perez, 2014). This tool increases staff awareness, education, and training regarding patient assessments, prevent patient falls and staff injuries, leading to better patient outcomes (Boynton, Kelly & Perez, 2014). Based on the BMAT assessment score, the nurse is given recommendations for the patient’s activity. Based on a patient’s fall risk and mobility are assessed, standardized interventions will be implemented. The patient’s BMAT score will not only be documented in the patient's EMR but also on the whiteboard in the patient's room which will alert anyone entering the room to the patient’s mobility and activity level. Bed and chair alarms will be engaged in any patient deemed at risk for falls per their MFS score. In addition to bed and chair alarms, video monitoring will be implemented for all confused patients as well as those exhibiting impulsive behaviors. Video monitoring has been identified as a cost-effective safety promotion technology for the confused and impulsive behavior patient subset (Spano-Szekely et al., 2019). Initiating intentional hourly rounding integrates fall prevention with normal patient care. Intentional rounding is an opportunity to ensure patients remain safe, the fall precaution interventions are being utilized appropriately, and that patients remain safe (Spano-Szekely et al., 2019). Lastly, educating the staff, patients, and their families is an important aspect of the fall prevention program. Ensuring that all bedside staff is educated on all the aspects of the new fall prevention program is crucial for the success of the program. The patients and family education are a vital part of preventing falls during hospitalizations. Patients are often unaware of their activity and mobility limitations during acute illness and hospitalization, therefore, education via
CONSULTATIVE CHANGE RECOMMENDATIONS 11 informational handouts should start at admission and continue throughout the patient’s entire stay (Dacenko-Grawe & Holm, 2008). The patients and families should also be educated on what
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- Spring '17
- Health care provider, CaroMont Health