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Chasing Zero Falls

Chasing Zero Falls. 5200 Introduction to Graduate Nursing September 19,2012 Staci marchand , bsn , rn. Question. What characteristics and risk factors are associated with falls and what is best practice to identify adult patients at risk of falling while hospitalized?. OBJECTIVES.

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Chasing Zero Falls

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  1. Chasing Zero Falls 5200 Introduction to Graduate Nursing September 19,2012 Staci marchand, bsn, rn

  2. Question • What characteristics and risk factors are associated with falls and what is best practice to identify adult patients at risk of falling while hospitalized?

  3. OBJECTIVES • Define falls • Discuss characteristics related to falls • Describe types of falls • Describe risk factors associated with falls • Discuss 3 fall risk assessment tools • Describe best practice for fall prevention

  4. A fall is defined as: • An event whereby an individual unintentionally comes to rest on the ground or another lower level, with or without loss of consciousness.

  5. Pay for performance • Centers for Medicare & Medicaid Services (CMS) stop payment for treatments associated with injuries from nosocomial falls. • Best Practice is to focus on improvement of fall rate over time within your own facility rather than comparing to other similar organizations. MONITORING EFFECTIVENESS OF FALL REDUCTION PROGRAM

  6. Characteristics related to falls • RN Skill Mix • For 10% increase in RN, the odds of falling decreased by 18.8% How falls risk varies according to ward (Nazarko, 2011)

  7. Types of falls Anticipated Unanticipated Code Heart Attack Seizure Fainting Low Blood Sugar Bradycardia • Medications • Elimination • Balance/gait • Previous falls • Impulsive • Confusion • Poor vision/hearing

  8. risk factors Relating to Falls Intrinsic Patient Related Extrinsic Environmental Related Room layout Location of room Equipment Clutter Lighting Wet floors Type of flooring • Age related physiologic changes • Diseases • Muscle Weakness • Gait Disorders • Mental Status • Polypharmacy

  9. Fall reduction program

  10. Fall risk assessment tools Fall risk score can be used to predict whether a patient is at risk of falling

  11. For a Fall prevention program to be successful employees must? • COMMUNICATE • clearly with one another

  12. summary • Risk from falling cannot be eliminated, however falls can be reduced by implementing an effective fall risk assessment tool. A culture of safety must be created in order to have positive outcomes and to improve quality of care.

  13. references • Gray-Miceli, D. (2007). Fall risk assessment for older adults: the Hendrich II Fall Risk Model. Try This: Best Practices In Nursing Care To Older Adults, (8). • Kim, E., Mordiffi, S., Bee, W., Devi, K., & Evans, D. (2007). Evaluation of three fall-risk assessment tools in an acute care setting. Journal Of Advanced Nursing, 60(4), 427-435. • Nazarko, L. (2008). Falls part 4: prevention, assessment and intervention. British Journal Of Healthcare Assistants, 2(11), 535-539. • Nazarko, L. (2011). Falls: A momentary slip and a lifetime of consequences. British Journal Of Healthcare Assistants, 5(12), 604-607. • Stern C, Jayasekara R. Interventions to reduce the incidence of falls in older adult patients in acute-care hospitals: a systematic review. International Journal Of Evidence-Based Healthcare [serial online]. December 2009;7(4):243-249. • Swann, J. (2010). Simple ways to prevent falls. British Journal Of Healthcare Assistants, 4(4), 166-169. • Tideiksaar, R. (2009). Chapter 8: falls. In B. Bonder, V. Dal Bello-Haas, M. Wagner (Eds.) , Functional Performance in Older Adults (3rd Edition) (pp. 193-214). Philadelphia, Pennsylvania: F.A. Davis Company. • Titler, M. G., Shever, L. L., Kanak, M. F., Picone, D. M., & Qin, R. (2011). Factors associated with falls during hospitalization in an older adult population. Research & Theory For Nursing Practice, 25(2), 127-152.

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