Fall Prevention Presentation

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Fall Prevention Program:

Fall Prevention Program Kacy Kilburn Fort Hays State University

Why is this a problem? :

Why is this a problem? Between 700,000 and 1,000,000 people experience a fall during their hospital stay annually. 30% to 50% of these falls result in patient injury Hospitals can incur fees of up to $14,000 in post-fall related care Length of stay is increased by an average of 6.3 days following a fall.

Why Do I care? :

Why Do I care? Capital Medical Center had 31 falls in 2017 Two of these falls resulted in injury The two patients who had a fall with injury were supposed to go home following their surgeries but instead had to go to a rehabilitation center, creating hardship for the patients and their families, and costing the hospital thousands of dollars.

Objectives :

Objectives 1. Staff can apply these ideals in real-life situations 2. Staff understands the benefits of utilizing the program 3. Staff can state three reasons why compliance within the program is important.



Why did I just do that? :

Why did I just do that?


Pre-education Assessment   Please report to room 330 and using the attached checklist identify what fall prevention interventions are missing. Do you think that the missing interventions put the patient at a greater risk of falling? Why or Why not?       Do you think that any other interventions not listed should have been present in the room? If yes, please list below       What are the benefits of utilizing this program?             List three reasons why compliance across staff is important for this program.     Staff will take this assessment to determine knowledge and before provided education.


Assessment Yes/No Low Fall Risk Yes/No Remind patient to change positions slowly Yes/No Familiarize patient with environment Yes/No Provide call light within reach and ask patient to demo use Yes/No Provide adequate lighting in the patient’s room Yes/No Make sure patient belongings are within reach Yes/No Educate patient on use of handrails in bathroom Yes/No Confirm patient has proper footwear Yes/No Keep bed brakes locked Yes/No Minimize clutter; keep floor surfaces dry Yes/No   Yes/No   Yes/No   Yes/No   Yes/No   Yes/No   Yes/No   Yes/No   For the first part of the Pre-education assessment staff will be directed to a patient room that has some fall prevention interventions in place and some that are missing. They will used the provided checklist to determine what is present and identify missing interventions. Yes/No Medium Fall Risk Yes/No Provide patient with Fall Risk instructional materials-pamphlets, video, etc. Yes/No Make sure patient’s visual aids are accessible for use Yes/No Apply a Fall Risk wristband to the patient Yes/No If facility protocol, assign colored socks to the patient-educate on the meaning of the color sock assigned Yes/No Assign a Fall Risk door magnet to patient’s door Yes/No Discuss home safety measures in place with patient/family Yes/No Order low bed or floor mat for patient-guidelines vary by state Yes/No Set chair/bed alarm Yes/No High Fall Risk Yes/No Schedule patient for hourly rounds or increased observation periods Yes/No Set up toileting schedule for patient Yes/No With staff assistance, encourage patient to take walks in the hall- use assistive devices PRN Yes/No If patient has restraints ordered, give unrestrained periods-guidelines vary by state and per MD order Yes/No Manage and monitor hypotension- educate patient on postural hypotension Yes/No   Fall Prevention Rounds Checklist

What will fall rounds mean for me? :

What will fall rounds mean for me? Required to perform an assessment of the patients environment at the beginning of each shift using the fall prevention Checklist Have another Registered Nurse Sign off on your checklist that the interventions that stated were in place were accounted for.

Why should I participate? :

Why should I participate? I recent studies, only fifty percent of patients remember receiving fall prevention education from staff even though staff documented that education was provided to all patients. A study conducted over use of a similar program saw a decrease in falls by over 80%. After the program had been in place for six months and staff were 100% compliant the facility went a full calendar year without a fall.


Conclusion Falls account for the leading cause of adverse events in hospitals and the second leading cause of harm. Falls are also the leading cause of injury related deaths in older adults. Often times, a patient falls and develops a fear of falling again. This fear can reduce mobility and in turn increase their risk of falling again. Falls are expected to cost the healthcare industry an upwards of 54 billion dollars in 2020. Giving further evidence that regardless of what changes are made, amendments to current protocols are vital to the future of healthcare.

Staff will Redo the Pre-assessment at this point:

Staff will Redo the Pre-assessment at this point This will help to determine if the education was beneficial to staff and helped to change their ideals.

Staff questionnaire:

Staff questionnaire Fall Prevention Rounds- Employee Survey How Are We Doing? We are committed to providing you with the best work experience possible, so we welcome your comments. Please fill out this questionnaire and place it in the clinical coordinator’s box. Thank you. What did you think of the educational presentation given today?  1  2  3  4  5 Disappointing Exceptional Do you think the implementation of Fall Rounds will benefit our patients?  1  2  3  4  5 Disappointing Exceptional Do you think the implementation of Fall Prevention Rounds will benefit you?  1  2  3  4  5 Disappointing Exceptional Do you agree with the checklist proposed for use during Fall Prevention Rounds?  1  2  3  4  5 Disappointing Exceptional Do you have any concerns? Staff will then be provided with a questionnaire since it was determined that noncompliance would be the biggest barrier it would be important to gauge how likely they are to comply


References Casey Rieland , personal communication, June 6, 2018 Huey-Ming, T., & Chang-Yi, Y. (2015). Perceived top 10 highly effective interventions to prevent adult inpatient fall injuries by specialty area: A multihospital nurse survey. Applied Nursing Research , 28 (1), 10-17. http:// dx.doi.org /10.1016/j.apnr.2014.04.005 Nagelkerk , J., Peterson, T., Pawl, B., Teman , S., Anyangu , A., Mlynarczyk , S., & Baer, L. (2014). Patient safety culture transformation: an interprofessional approach. Retrieved from http://informahealthcare.com/jic Silva, K., & Hain, P. (2017, May-June ). Fall prevention: Breaking apart the cookie cutter approach. MEDSURG Nursing , 26 , 198-213. Theories and approaches. (2018). Retrieved from http:// recapp.etr.org / recapp / index.cfm?fuseaction = pages.TheoriesDetail&PageID =347

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