Falls Prevention Accreditation ROP Compliance Medicine Accreditation 2016

To Minimize injury from falls, a documented and coordinated approach for falls prevention is implemented and evaluated

Falls prevention is a safety priority Reducing injuries from falls can increase quality of life for clients and reduce costs

Major Tests for Compliance A documented and coordinated approach to falls prevention is implemented.

Falls @ Covenant Schmid Fall Risk Assessment Tool Post – Fall Report Reference Document Universal Falls Precautions (SAFE) Ask-3 Schmid Guideline Medication List list of medications that may increase fall risk

Major Tests of Compliance The approach identifies the populations at risk for falls

Major Tests of Compliance The approach addresses the specific needs of the populations at risk for falls Apply interventions as noted in the Schmid Tool

Falls @ Covenant For high risk patients, consider: Bed and/or chair alarms Relocate the patient in nursing unit Consider level of observation Frequent rounding for patients with dementia, delirium or behavioral problems Pamphlet and patient/family education If patient has limited or no ability to engage in fall prevention strategies, consider: Increase level of observation Move patient closer to nursing station Supervise all mobilization and toileting

Before leaving a patient’s room ask the following questions, as appropriate: 1. Do you need to go to the toilet? 2. Do you need anything for comfort or pain? 3. Are there any personal items you need within reach before I go? Communicate – “I or someone from the team will be back in about an hour to check on you” If patient is sleeping, assess for possessions but do not wake unless clinically indicated or previously arranged. Ask-3

Universal Falls Precautions (SAFE) Safe Environment Bottom bed rails down unless assessed otherwise Pathways clear of clutter and tripping hazards Bed and chair brakes are “ON” Lights are working and “ON” as required Assist with mobility Safe and regular toileting Transfer/mobility assist documented Glasses, hearing and mobility aides within patient reach Fall risk reduction Call bell in patient’s reach Bed lowered to patient’s knee height Personal items reachable Proper footwear available and in use Engage patient and family Discuss risk factors with patient and family Mutual Falls/Injury Prevention plan developed

Minor Tests for Compliance The effectiveness of the approach is evaluated regularly Results from the evaluation are used to make improvements to the approach when needed.

Falls @ Covenant Follow the post fall process on reporting and patient care: Report fall to person in charge Document the fall on the Post-Fall Report Follow the post-fall protocols, as appropriate Document fall in RLS Work collaboratively to analyze the fall and reduce the risk of similar falls reoccurring Frequently monitor patient’s fall status Frequently monitor environment of patient (room and unit) for new risks

SPLATT Tool Symptoms Previous Falls History Location Activity at time of fall Time Trauma Treatment

Falls Champions in Medicine Your falls champions provide: Education Audits Quality Improvement Projects using the PDSA cycle (Plan Do Study Act)

Questions?