1. 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