FALL: ASSISTED FALL - Cleveland Clinic · FALL: ASSISTED FALL: ... NOTE: Use of the Morse Fall...
Transcript of FALL: ASSISTED FALL - Cleveland Clinic · FALL: ASSISTED FALL: ... NOTE: Use of the Morse Fall...
FALL: ASSISTED FALL:
Unplanned descent to the
floor (or extension of the
floor, e.g., trash can or
other equipment) during
the course of a patient’s
hospital stay with or
without injury to the
patient.
A fall in which any staff
member was with the
patient and attempted to
minimize the impact of
the fall by easing the
patient’s descent to the
floor or in some manner
attempting to break the
patient’s falls.
THERE ARE 3 TYPES OF FALLS:
Anticipated physiological falls (fall prone)-78%
Unanticipated physiological falls (stroke, seizure, cardiac arrhythmias) -8%
Accidental (slipping, tripping) –14%
(Morse, 1997)
NOTE: Use of the Morse Fall Scale itself isn’t sensitive enough to identify patients at the highest risk for falls
Which staff members are involved??
• RN
• PCNA
• HUC
• MD/NP
• EVS
• Transport
• Nutrition Therapy
• PT/OT
Caregivers aware of environment & patient issues
• Low bed
• Bed and chair alarms
• Staff and Patient Education
• Fall Leaves
• Fall Huddle
• Interventions
Environmental Modifications
No BSC’s are to be left next to the patients’ beds
No Walkers are to be next to the patient’s beds unless approved by management
Bed alarms ON for all high risk patients/ICU transfers for 1st 24 hours
Landing Strips/mats ordered on ALL new amputees
Targeted Toileting
Each room will have a clipboard with a targeted toileting flow sheet to be used on patients with high Morse scores.
When entering the room, caregiver is to tell the patient “I have the time and I’m here now to take you to the bathroom.”
This is to be done Q 1hr by a caregiver.
Additional Initiatives
• Document high fall risk patients on the HUC log. • HUC Scripting to remind high risk patients not to get up without
assistance. • HUC is then to immediately call the PCNA or RN to go into the
patient’s room to assist. • If they are unable to go into the room, they are to call the ANM/Charge
phone so that the patient’s needs will be met immediately. • Weekly Unit rounds by ANM - Interviews patients/staff for their understanding of Fall Prevention measures
- Teach back with patients - Unit observation of HUC’s/RN’s/PCNA’s