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FALLS PREVENTION

FALLS PREVENTION. Greater Glasgow and Clyde falls prevention service. OBJECTIVES. Education/Training to all GGC staff in falls prevention. Awareness of HFP service referral criteria. Implementation of the research based inpatient falls prevention multidisciplinary/ multifaceted approach

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FALLS PREVENTION

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  1. FALLS PREVENTION • Greater Glasgow and Clyde falls prevention service

  2. OBJECTIVES Education/Training to all GGC staff in falls prevention. Awareness of HFP service referral criteria. Implementation of the research based inpatient falls prevention multidisciplinary/ multifaceted approach Audit activity to monitor standards of care

  3. Glasgow Hospital Falls Facts 8500 falls in 2006 prior to hosp falls service. 7991 falls and 82 fractures 2007-2008 5445 falls and 51 fractures 2008-2009

  4. WHY FALLS OCCUR Medical condition Medication – polypharmacy/culprit meds Previous fall – loss of confidence Muscle weakness Gait and balance disturbances Confusion / Poor safety awareness Incontinence Visual/hearing impairment Footwear Environmental hazards

  5. COMMON TRENDS IN FALLS Not witnessed Between bed/chair and toilet Usually associated with a basic need i.e. getting a drink, going to the toilet

  6. IMPLICATIONS OF A FALL Personal impact to patient Prolonged hospitalisation Mortality and morbidity Potential litigation

  7. FALLS RISK ASSESSMENT DOCUMENTATION

  8. Multidisciplinary/Multifaceted Interventions • Medical assessment • Pharmacy review • Nursing assessment • Physiotherapy assessment • Occupational Therapy assessment • Safe patient environment.

  9. Referral Criteria for Hospital Falls Prevention Service • Cannard Score 18+ • 2 or more falls • Fall with significant injury (N.B. any of the above)

  10. EQUIPMENT AVAILABLE • Hi-low beds • Enterprise 5000 beds • Bed monitors • Chair monitors • Adjustable height seating • Specialist seating • Non slip mats / one way glides

  11. SPIRIT ULTRA LOW BED

  12. BED RAILS Rationale for use/bed rail risk assessment. Regular review of decision making. Are bedrails fit for purpose? (N.B.- NPSA recommend all health boards should have a bed rail policy)

  13. AUDIT Ongoing audit by HFPC in compliance with falls documentation and maintaining a safe ward environment.

  14. Can Interventions Make a Difference? 2008-2009 – 32% reduction in falls and 38% reduction in fractures throughout all Glasgow Hospitals.

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