It Starts with You… Preventing Falls Improving Lives

1. Fall Prevention Interventions It Starts with You… Preventing Falls Improving Lives 2014 Fall Prevention Education Series brought to you by the Washington State Hospital Association

2. Why focus on preventing falls? 30% of Inpatient Falls Result in Serious Injury • Preventing falls: • Increases patient trust • Improves care • Improves patient satisfaction • Decreases unnecessary costs for both the patient and the hospital Reduces Risk of Injury to the Caregiver

3. What can I do to prevent falls? Leadership & Frontline Staff Involvement Identify Fall & Injury Risk Patients Fall Prevention Interventions Patient/Family Engagement & Culture Monitor Performance

4. Research Proven Interventions

5. What can I do to prevent falls? Bedside Shift Report - Including Patient and Family Design Individualized Care Plan Complete Falls Risk Assessment

6. What can I do to prevent falls? Use Patient White Board in Room for Communication

7. What can I do to prevent falls? Shift Huddles

8. What can I do to prevent falls? Frequent or Hourly Rounds

9. What can I do to prevent falls? Within Arm’s Reach During Toileting

10. What can I do to prevent falls? • PT/OT Consult • Bed alarm • Chair alarm • Door and Chart Signage • High Risk Armband • Call Button within Reach • Place Bed in Lowest Position

11. Culture of Fall Prevention- involving all disciplines Multi-Disciplinary Rounds -Increases Awareness &Communication Environmental Rounds -Decrease External Risk Factors No Pass Zone -Involve Everyone - Answering Call Lights

12. Patient and Family Engagement= Better Outcomes

13. Mr. Walt Demographic Information: 82 year old male Admitted with: Lower GI Bleed, r/o diverticula Social Situation: Lives at Assisted Living Facility, Family supportive Medications: Vitamins, low dose aspirin daily, famotidine, IV Fall History: Last admission was related to Fall w/injury 3 months ago Additional Observations: Mild dementia, uses walker, hard of hearing, Morse Fall Scale risk assessment at 47 (high risk falls)

14. Mr. Walt Which interventions would you implement for all patients, including Mr. Walt? • Communicate High Risk at Bedside Shift Report • Shift/Safety Huddle Communication • Hourly Rounding with P’s Action • Patient Communication White Board • Bed in Lowest Position/Call Bell in Reach • Include Family in Care Plan

15. Mr. Walt What other interventions would you implement for Mr. Walt? • High Fall Risk Signage • Fall Risk Armband • Staying Within Arms Reach • Bed and Chair Alarm • PT/OT Consult

16. What have we learned? • Complete Fall Risk Assessment • Design an Individualized Care Plan • Some interventions discussed include: • Bedside Shift Report • Shift/Safety Huddles • White Board Communication • Purposeful Hourly Rounds • Stay Within Arms Reach for Toileting • Use Alarms, Signage, Armbands as Notification Devices • PT/OT Consult

17. Other presentationsin this series Fall Risk Assessment Fall Prevention Interventions, Patient and Family Engagement Post-Fall Huddles and Analysis Brought to you by the Washington State Hospital Association

18. Resources