Rapid Fire Team Presentation
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www.saferhealthcarenow.c Rapid Fire Team Presentation Julie Valiquette, Physiotherapist & Jessica Emed, Clinical Nurse Specialist
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Rapid Fire Team Presentation Julie Valiquette, Physiotherapist & Jessica Emed, Clinical Nurse Specialist. Who We Are. Jewish General Hospital Montreal, Quebec. Acute care hospital 637 beds Over 24 800 admissions/year Affiliated with McGill University. AIM. - PowerPoint PPT Presentation
Transcript of Rapid Fire Team Presentation
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Rapid Fire Team Presentation Julie Valiquette, Physiotherapist & Jessica Emed, Clinical Nurse
Specialist
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Falls Facilitated Learning Series
Jewish General HospitalMontreal, QuebecAcute care hospital637 bedsOver 24 800 admissions/yearAffiliated with McGill University
Who We Are
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Falls Facilitated Learning Series
AIM
• To engage fall prevention team members in the National Falls Facilitated Learning Series (FFLS) to work towards reducing fall rates and injuries from falls
• To learn and integrate strategies of sustainability into our organization's falls improvement plans
• To network with other enrolled teams in the FFLS program
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Falls Facilitated Learning Series
Team Members•Team sponsors
• Judy Bianco, Interim Associate Nursing Director, Critical Care Services• Chantal Bellerose, JGH Accreditation Coordinator & Quality Improvement Advisor• Department Chiefs for Nutrition, Physiotherapy, Occupational Therapy
•Team leaders•Julie Valiquette, Physiotherapist•Jessica Emed, Clinical Nurse Specialist
•Team members•Zeina Aoude, Dietician•Helena Etrata, Nursing Education Consultant•Rania Ibrahi, Occupational Therapist-Psychiatry•Maya Lallouz, Physiotherapist•Yanna Mentakis, Occupational Therapist •Jocelyne Pépin, Pharmacist
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Falls Facilitated Learning Series
Falls Change Ideas tested to date in our organization
Changes Implemented within Organization
Working/Not Working
Facilitators/Barriers identified
New Policy and Procedure on Fall Assessment and Intervention
Working
Assessment and Intervention Tool in admission package
Working F: easy access to documentation and use; includes risk assessment and individualized intervention plan
Presentation of tool during general orientation to nursing staff
Working F: increase awarenessB : limited to nursing staff
Reminder to fill out the tool in multidisciplinary rounds
Not working yet B: only implemented on 1-2 units
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Falls Facilitated Learning Series
Measures• 3 of the 4 in-patient units targeted for audits have shown improvements in completing fall risk assessments on admission and documenting individualized intervention plans
• Special attention to one unit not yet showing improvements
•Overall number of falls did increase slightly in the last fiscal year, may be attributed to:
• More complex patient population• Possibility of increased reporting related to awareness-
raising activities• Promotion of early mobilization as much as possible
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Falls Facilitated Learning Series
•Importance of team work and involvement of all hospital departments•Importance of designated team members with protected time to work on fall prevention•Importance of sustained efforts to implement changes and keep up momentum•Fall prevention is a key component in patient safety
Lessons Learned on Sustaining Falls Improvement Work during Action
Period
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Falls Facilitated Learning Series
• Very short time period for an institution with high turnover and a high numbers of admissions
• Time allowance to implement changes • Given the program• Given size of our institution, competing demands
• Some falls are very difficult to prevent (e.g., patients with mental status changes)
Challenges to Sustaining Falls Improvement
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Falls Facilitated Learning Series6 Month Post FFLS Sustainability Plans for Falls Improvement
WorkGoal Description
(What is AIM)
Action
(What STEPS are to be taken to achieve)
Timeframe
(When to be done by)
Person Responsible Metrics: What is to be monitored to identify achievement
Increase rates of assessments and intervention plans on admission
Nominate a champion for each unit
Designate day in the week where tools can be updated
1 month Head nurses, Clinical Nurse Specialists and Nursing Educators
Percentage of tool filled should increase
Ongoing audits and feedback 6 months Research AssistantIntroduce the Fall Prevention Policy & Procedure to new staff
Mandatory hospital wide orientation to Fall Prevention
6 months Department of Training and Development in collaboration with Physiotherapy, Occupational Therapy, Nutrition
Fall Prevention Committee
Decrease in fall rates
Increase awareness of medications that can increase fall risk
Implement a visual alert on the medication administration record
3 months Pharmacy and Nursing Departments Decrease in fall rates
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Falls Facilitated Learning Series
6 Month Post FFLS Sustainability Plan (continued)
Goal Description
(What is AIM)
Action
(What STEPS are to be taken to achieve)
Timeframe
(When to be done by)
Person Responsible Metrics: What is to be monitored to identify achievement
Increase awareness of clutter as a contributor to falls
Organize a hospital-wide “de-clutter" contest
6 months Fall Prevention Committee Decrease in fall rates
Improve assessment and monitoring after a fall; help prevent recurrences
Implement a post fall assessment tool and policy and procedure
6 months Nursing Department
Multidisciplinary team
Fall Prevention Committee
Decrease in injury or injury severity; decrease in recurrences
Pilot huddle meetings with multidisciplinary team to discuss circumstances of falls and changes to be implemented in care
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Falls Facilitated Learning Series
Julie [email protected](514)340-8238
Jessica [email protected](514)340-8222 ext. 2726
Contact Information
