1. Join the Falls Prevention Virtual Learning Collaborative Falls Virtual Learning Session # 4 & Closing Congress Team Rapid Fire Presentation Template Name of Organization: Fairview Lodge LTC Name of Speaker: : Helen Gies

2. Organization: Fairview Lodge Location of Facility: Whitby, ON Number and type of Patients/Residents/Clients: 198 Who We Are

3. Team Members Team MemberRole Laura MacDermaidAdministrator, Lead & Executive Sponsor Helen GiesManager of Nursing Practice Liz CowlingResident Care Coordinator Mike LatimerMechanical Maintenance Gloria JohnstonRAI Coordinator Tania Ninacs-GomesRN Joanne BulmerRPN Shannon CoxRecreation Programmer Angie Van BeekAdjuvant George PunnoosePhysiotherapist

4. AIM From your Team Charter Reduce incidence of falls (fall rate) by 25% from baseline by March 2011 Reduce injury from falls by 40% from baseline by March 2011

5. Change Ideas List Changes you have tested during Falls VLC PDSA Cycles: Identified residents at high risk for falls (3+ falls in previous quarter) Application of ‘falling leaf’ logo above bed, name plate & mobility devices Ensured falls intervention plan updated in care plan Using chair alarms for residents who attempt to transfer without required assistance Using motion sensor for beds for residents who attempt to transfer without required assistance Implementing Falls Risk Assessment Tool (FRAT) Implementing post fall huddle worksheet

6. Measures Any measurement you have related to your AIM Could be baseline plus any data up to last submission Charts or graphs Baseline data (based on past two quarters): Falls/1000 resident days = 7.92 Injury from falls = 16.9%

7. Lessons Learned List any “key” advice or insights you would like to share with other teams? Lessons Learned/Key Insights Test forms and processes in one area first to iron out the wrinkles and get staff buy-in. Test one change at a time Stay positive – results don’t happen overnight Evaluate each change implemented in order to achieve continuous quality improvement sustainability U sing the multidisciplinary approach provides valuable insight into all preventative strategies The resident safety audits has ensured staff adhere to Best Practice Guidelines in Falls Prevention

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 Continue to identified residents at high risk for falls On going Initiate and continue with admission RN to administer FRAT with all new admissions March 07, 2011 Continue application of falling leaf logo above bed, name plate & mobility devices On going Initiate and continue with administering FRAT by RN on change of health status, readmission from hospital April 30, 2011 Implement on unit post fall huddles with all disciplines at time of fall March 15, 2011 Continue to trial alternative fall prevention strategies in order to meet the specific residents risks (e.g. motion lighting, sensors, non slip flooring, Hi- Lo bed, medication reviews) On going

9. Name: Helen Gies Email: Helen.gies@durham.ca Phone Number:905-720-0053 Contact Information