1. Join the Falls Prevention Virtual Learning Collaborative Falls Virtual Learning Session # 4 & Closing Congress Team Rapid Fire Presentation Vancouver Coastal Health, Lions Gate Hospital Barb Barham, Tanya Dunne, Nancy Quinlan, Sandra Sovdat, Geraldine Casey

2. Lions Gate Hospital 231 E 15th Street North Vancouver, B.C. LGH provides a full range of general and many specialized acute care services. The hospital has 268 beds, 7 operating rooms, and a variety of diagnostic services. It is the 4 th busiest hospital in Vancouver and 1 of only 5 neurosurgery centres in B.C. Who We Are

3. Team Members Team MemberRole Cindy RobertsTeam Sponsor – Director of OASIS / FIP Tanya DunneTeam Lead – VCH Fall & Injury Prevention Nancy Quinlan4 West Lead – Subacute Medicine Sandra Sovdat4 East Lead – Acute Medicine Barb Barham7 East Lead – Neurosciences Sherry StackhouseEmergency Deb HendryEmergency Geraldine Casey / Melanie HoarPhysiotherapy Nicola Cumming6 West – Ortho/Surg Vivien McTavish7 West – Palliative / Hospice

4. AIM 1.To reduce the incidence of falls (fall rate) by 40% from baseline by March 2011. 2.To reduce injury from falls by 40% from baseline by March 2011.

5. Change Ideas List Changes you have tested during Falls VLC PDSA Cycles: 1.Implement double-sided non-skid socks on all units for those who do not have appropriate footwear. 2.Provide education on completing CAMP (the risk screening tool) on the assessment form for all patients on 4 east, 4 west and 7 east. 3.Revise fall prevention preprinted customizable care plan and implement on 4 east, 4 west, and 7 east. Care plan to be completed for those patients that score 2 or more on the CAMP at admission. 4.Implement “falling man” decal as visual identifier for those at risk of falls and with a fall prevention care plan. On spine of chart and at bedside

6. Measures

11. Lessons Learned List any “key” advice or insights you would like to share with other teams? Lessons Learned/Key Insights - Regular meetings were very important for keeping us on track - It is necessary to have a key person to lead the changes on each unit. - Regular ongoing education on fall prevention and PDSA focus - Ongoing regular updates to the staff on progress and data - Involve the frontline staff!!! Get feedback and insight on new ideas.

12. 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 Continue with fall data tracking and chart audits June 2011 (1 st week) Continue regular scheduled meetings with Fall Prevention Working Group June 2011 Liaise with Practice Educator GroupJune 2011 Continue with Staff education and fall prevention promotion June 2011

13. Tanya Dunne Project Manager, Fall & Injury Prevention Program Vancouver Coastal Health Email: tanya.dunne@vch.ca Phone Number: 604-875-5600 ext 67208 Contact Information