Decreasing Patient Falls in an Acute Inpatient Rehab Unit • Patient safety is a priority at a large community hospital and regional trauma center • A Falls Team
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Decreasing Patient Falls in an Acute Inpatient Rehab Unit • Patient safety is a priority at a large community hospital and regional trauma center • A Falls Team
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Decreasing Patient Falls in an
Acute Inpatient Rehab Unit
•Patient safety is a priority at a large community hospital and regional trauma center. A Falls Team leads fall prevention and is composed ofRNs from adult units and led by a M/S CNS.
The team evaluates the frequency of patient falls at the unit level, monitors trends, identify opportunities
for improvement and recommends interventions to reduce the incidence of falls. Following a review of the literature about identifying patients at risk of injury from a fall, the following risk criteria were adopted:80 years or older
Showing delirium/impulsivity
History of recent fall with injury or trauma
Anticoagulants use/ bleeding disorder, and first day post-operative status. Increased awareness of fall risk involving clinical nurses Implementation of solutions to preventing falls Allocation of resources to purchase more chair alarms Adoption of a standard for using chair alarms for all Rehab patientsGoal of decreasing unassisted falls was met. Unassisted falls decreased from six in November 2013 to zero by June 2014
Jorilynn C. Lima
, RN,MSN, CRRN, NE
BCShannon Smith, RN
Eleanor
Odenbach
, RN, BSNHuntington Hospital
BackgroundResults
Continuing Plan of Action
References
Jorilynn.lima@HuntingtonHospital.com
Shannon.Smith@HuntingtonHospital.com
Eleanor.Odenbach@HuntiingtonHospital.com
By the end of 2015, unassisted falls increased to 7Staff re-educated on use of chair alarms
The need for adequate education was key for both the implementation process and effectiveness of the electronic sensor bed/chair alarm system" Shee , Phillips, Hill,& Dodd, 2014) To decrease the number of unassisted falls on theAcute Inpatient Rehab Unit, the RN lead for fall
prevention evaluated patient fall data from November2013 showing six unassisted falls. The evidence based-criteria for fall risks
recommended by the Falls Team was shared with clinical nurses on the unit and applicability to the unit"s patient population was discussed. They determined that patients were at risk for unassisted falls because most are chair-bound and can be impulsive due to brain injury, stroke or other neurological trauma.RNs identified one barrier to using chair alarms was not having enough of them and then discussed this with the nurse manager. 10 additional chair alarm were purchased and deployed to the unit
Shee A W, Phillips, B, Hill, K, Dodd, K. (2014). Feasibility, Acceptability, and Effectiveness of an Electronic Sensor Bed/Chair Alarm in Reducing Falls in Patients with Cognitive Impairment in a Subacute Ward. Journal of Nursing Care Quality, 29 (3), 253