1. Join the Falls Prevention Virtual Learning Collaborative Falls Virtual Learning Session # 4 & Closing Congress Team Rapid Fire Presentation Template Name of Organization: RUH Ward 6000 Name of Speaker: Louise Sladek

2. Location of Facility: Saskatoon, SK Number and type of Patients/Residents/Clients: 42 acute care cardiology and cardiovascular surgery patients Admission rate average 160 patients/month Who We Are

3. Team Members Team MemberRole Stuart Hutton, dir.Team sponsor Louise Sladek,CNETeam lead Kelly Johnson,CNSLead and support with tests of change Linda Braun,CNEDeveloping/studying tests of change Katie Frerichs,CCDeveloping/studying tests of change Karen Kolbanson,PTAssessment/expertise Sheila Spirling,OTAssessment/expertise QI committeeDeveloping/studying tests of change

4. AIM From your Team Charter 1. Reduce fall rate by 40% by March/2011 2. Reduce fall injury rate by 40% 3. Completed falls risk assessment on all patients who are not independent (from TLR assessment) on admission 4. 100% of Patients with completed falls risk assessment following a fall. 5. 100% of “At Risk” patients with a documented falls prevention/injury reduction plan.

5. Change Ideas List Changes you have tested during Falls VLC PDSA Cycles: 1. Mobility record and flip chart at each bedside 2. Development of High Risk assessment tool 3. Identification of High Risk patients – assessment tool, red slippers, PT assessment 4. Assessment of patients post fall for risk 5. Development and trial of toileting chart on High Risk patients

6. Measures Any measurement you have related to your AIM Could be baseline plus any data up to last submission Charts or graphs

7. Lessons Learned List any “key” advice or insights you would like to share with other teams? Lessons Learned/Key Insights 1. Frequent regular auditing 2. Constant communication and reminders 3. Have all equipment required well ahead of time 4. Regular meetings with multidisciplinary team. 5. Post actions and results, meeting minutes

8. What are some things you will do to sustain the work on reducing falls and injury from falls and by what date? Next Steps Key Sustainability Steps/Plan:Target Dates Monthly PDSA cyclesMonthly Monthly meetingsEvery 2 nd Wednesday Review medication on High Risk patients March Regular safety roundsApril Night lights on High Risk ptsMay

9. Name:Louise Sladek Email: louise.sladek@saskatoonhealthregion.ca Phone Number: 306-655-6682 Contact Information