BID Medication Administration Initiative  Sarah Rousseau RN, BSN Implementation Medication Review Physician notification MAR changeover Monitor and track Falls Interview Residents / Staff OBJECTIVE Improvement of sleep for residents in a long-term care facility while potentially decreasing daytime sleepiness, and decreasing the occurrence of falls Plan Develop BID protocol Write policy Review Falls Contributing Factors Develop Educational Tool Thorough review of resident medication regimen Recommend changes for evaluation Obtain Physician orders Notify Families Discussion with staff Implement Changeover to new protocol Monitor and Review Monitor Falls Interview Residents Interview Staff Evaluate information Review Increase in falls Reported improved sleep Reported decreased daytime lethargy Improvement in ambulation and transfer ability Review Discussion Positive effects post-implementation Reported improved sleep Resident satisfaction with waking program Need for further monitoring and review Monitor falls and possible contributing factors Association between Initiative and increase in falls and improved sleep Falls per unit June 2015 (pre-implementation) July 2015 (post-implementation) For additional information please contact: Sarah Rousseau MSN Student rousses1@fsu.edu