Providence Place- LTC Moose Jaw, SK

1. Providence Place- LTC Moose Jaw, SK

2. Background • Providence Place has 160 LTC beds and 14 Geriatric Assessment and Rehab beds. • Our Vision • “Guided by Divine Providence, we strive to meet the changing needs of our community.” • Providence Place is involved in a number of Qualtiy Improvement Initiatives including Releasing Time to Care™. The Saskatchewan Falls Collaborative fits nicely with our ongoing projects. Saskatchewan Falls Collaborative

3. Aim and Goals • Aim • Reduce incident of falls among our customers by 20% by March 2012 • Scope & Boundaries • Customers- those people who reside at Providence Place either permanently or temporarily • Goals/Objectives • -Improve staff awareness of falls rates on a continuous basis • -Continue to keep staff informed of improvements in falls and other areas (ie- restraints) • -Improve identification of those at risk for falls • -Improve problem solving around falls reduction, including reporting. Saskatchewan Falls Collaborative

4. Team Members • Cynthia Hanson- DOC • Melissa Friesen- Educator/ Nurse Coordinator • Krista Barnett -OT • Alison Given- Director of Rehab Serivces • Nancy Gurney – LTC Nurse Manager • Cathy Knittel- RPN Guardian Grove • Connie Isbister- SCA Guardian Grove • Mary Ann Prefontaine- RN GARU • Lynn Brown- SCA Unit 2 • Dianne Hartell- Director of Therapeutic Recreation Saskatchewan Falls Collaborative

5. ResultsTotal Falls/ Falls with Harm Saskatchewan Falls Collaborative

6. ResultsVitamin D • A letter was drafted asking our physicians to order Vit. D for all of our residents. This is also included in our admission packages so it is not missed on our new residents. Residents Currently on Vit. D Saskatchewan Falls Collaborative

7. Changes Tested • Morse Falls vs Scott Fall Risk Assessment • Based on research the team did on the tool as well as the data we received from our trial we have made the switch to the use of the Scott Fall Risk Assessment. • Random audit showed of 10 charts showed; • 80% completion rate of SFRA • 60% full implementation of Fall Care Plan Saskatchewan Falls Collaborative

8. Changes Tested • Hip Protectors Need to develop plan to track use and efficacy. Staff education on hip protectors and the use of kit. Still want to train champions for each unit. Develop Hip Protector Kit which would provide information, allow residents to try them prior to purchasing, and ability then to purchase on the spot. Research to find which hip protectors to recommend to families, supplier and cost. Saskatchewan Falls Collaborative

9. Lessons Learned • Staff education remains a key element in reduction of falls. • Staff need the knowledge and tools available to care plan around falls reduction. It is difficutl to educate a large staff base on changes and best practices. • Leadership support for implementing change is important especially when wanting to adjust policies. • Our facility has all private rooms which has it’s advantages but is challenging when it comes to preventing falls. Saskatchewan Falls Collaborative

10. Next Steps • We have a system designed to help identify our at risk population using a falling star. This will be put outside the resident room, on their chart as well as a list kept in the dining room for dietary staff. Saskatchewan Falls Collaborative

11. Next Steps • Develop motion monitor kit with different options including tabs, pressure pads and possible infrared laser monitors. • Expand walking program with collaboration between Rehab and Recreation • Increase Rehab assessments on admission. Saskatchewan Falls Collaborative