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Using Technology in Constant Observation and the Fight Against Falls

Learn about the benefits and success of using video monitoring technology in a constant observation program to reduce falls and injuries. Discover the journey of University Hospital in implementing this program, the criteria for constant observation evaluation, and the results achieved.

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Using Technology in Constant Observation and the Fight Against Falls

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  1. Using Technology in Constant Observation and the Fight Against Falls Anne Leclaire MSN, RN, CRRN September 25, 2019

  2. Objectives • Discuss components of a successful Constant Observation (CO) Program • Describe additional benefits and success of using VM for fall reduction and injury

  3. Our Journey • In the beginning…. • University Hospital created Constant Observation Program (CO) • Developed the role of Patient Safety Attendant (PSA) for patients that require one to one supervision for safety

  4. PSA Requests And Fill Rate Increase

  5. Criteria For Constant Observation • Standardized Criteria for Constant Observation Evaluation guidelines. • Determine what types of standard interventions were attempted and were unsuccessful. • What type of CO is needed? • Patient Safety Attendant (PSA) • Patient Safety Observer (PSO) • Video Monitoring (VM)

  6. Criteria For CO Evaluation • Confused AND at least one of the following: • Wandering/Elopement (active) • Pulling at critical lines/drains/airways • Pulling at critical brace(s) • Unsteady gait and high risk for injurious fall • Violent and/or self-destructive restraints • Locked restraints  • Suicide precautions  • Other

  7. Constant Observation Flow Chart

  8. Video Monitoring • Can we use this technology to proactively prevent falls? • Could this be another tool in our toolbox?

  9. Fall prevention Priority Challenging Sustainability elusive Individualized interventions

  10. Continuous video monitoring (CVM)

  11. Review of Literature

  12. Proposal

  13. Methods • Nurses screened patients using: • Nursing judgment about patient risk behaviors • Patient’s ability to follow directions • High Fall Risk Report Selected patient at highest risk for falling Ensured that camera always in use

  14. Results • 53% • Decline over 2 years • 41% Decline • CY2016 – CY2017 • 21% Decline • CY2017 to CY2018

  15. Results • 64% Decline over 2 years • 55% Decline • CY 2016 to CY 2017 • 20% Decline • CY 2017 to CY 2018

  16. Conclusions Success Lessons Learned Next Steps

  17. Questions Anne Leclaire MSN, RN, CRRN Clinical Nurse Specialist Nursing Quality & Safety608-263-6487aleclaire-thoma@uwhealth.org

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