Rapid Fire Team Presentation – Royal Terrace

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Rapid Fire Team Presentation – Royal Terrace


Falls Facilitated Learning Series

Royal TerracePalmerston, ON

67 bed Long Term Care Home

Who We Are



AIM

To engage all staff of Royal Terrace in the Falls Prevention/Injury reduction policies and procedures protocol to ensure sustained improvement in reducing falls and injury from falls by implementing the educational tools learnt through the FFLS.



Team Members

Team Members: Barb Wakeford, Restorative CareBecky Wagner, RPNDiane Ash, PSWLuz Batara, PSWLuca Fleming, PSW

Team Lead: Jennifer George, Director of Life Enrichment

Team Sponsor: Joyce Riehle, RN



Review Falls Change Ideas tested to date in your organization

Changes Implemented within Organization

Working/Not Working Facilitators/Barriers identified

1) Environmental Changes– layout, de-clutter Working / Ongoing Facilitator- improving area for mobility, less tripping hazards

2) Staff Education- staff information board, monthly staff meetings

Working / Ongoing Facilitator- visuals give staff a better perspective, allows for staff to ask questions

3) Fall Leaf Program- weekly rounds Working / Ongoing Facilitator- makes all parties aware due to visual reminders

4) In-House Physiotherapy Services- personalized treatment plans

Working / Ongoing Facilitator- availability of staff 7 days a week to provide treatment

5) Weekly Falls Audit- measurement tool Working / Ongoing Facilitator- data collection, analysis, graphs/statistics

6) Transfer Logos- placed above bed to identify residents transferring needs

Working / Ongoing Facilitator- staff awareness, at a glance reference



Measures



Lessons Learned on Sustaining Falls Improvement Work during Action

PeriodWhat advice would you give to other teams?

Expect to have resistance from staff (poor buy-in) Be aware of your population (cognitive impairment, increased wandering, frailty) Be realistic when establishing goals. (SMART) Be patient, don’t get overwhelmed “Rome wasn't built in a day”

What are your key insights? Effective & efficient communication by all stakeholders Continuous education Continual change with your population



What were some barriers? Diverse demographics Environment (structural layout) Staff buy-in Staff turn-over

What are some facilitators? Excellent committee members (great commitment) Up-to-date policies and procedures (reviewed annually)

How do you propose to move forward? By sustaining our Fall Leaf Program to achieve our goal of decreasing falls by 25% from average of

17 falls per month to 12 and an average of 2-3 falls with injury per month to 0-1 per month. To continue to have monthly Fall Committee meetings to review collected data, analyze and make

necessary changes Keeping in compliance with Residents First and Best Practices

Challenges to Sustaining Falls Improvement



6 Month Post FFLS Sustainability Plans for Falls Improvement Work

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

Decrease the # of falls by occurring in Resident Bedroom/Bathroom by 10% a month.

In conjunction to the IC3 program, staff will complete a 1 week voiding diary, then Resident will start on a prompt voiding schedule.

1 week for diary collection

Prompt voiding program is ongoing once started.

IC3 Committee

PSW’s

IC3 Committee member to check daily to ensure daily is being completed correctly.

POC Charting on continence / incontinence.

Decrease/eliminate the # of falls with hip injury.

Registered staff to educate the benefits and encourage the purchase and use of hip protectors to family and resident upon admission.

1 week post admission Unit Leader

Charge Nurse

Daily audits completed by PSW’s to ensure hip protectors are on high risk fallers and on properly.



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

To have compliant and knowledgeable staff regarding fall risks and prevention.

Present statistics and data at monthly staff meeting.

Post current graph and run charts on staff education board.

Ongoing Director of Life Enrichment

Staff’s compliancy with completing audits and falls risk assessments correctly and following Fall Risk policies and procedures.

To have all Residents that are at risk for falls to actively participate in strengthening exercises 1-3 times a week to aid in the prevention of falls.

Physiotherapist will assess Resident and prescribe Resident specific exercise regimen.

Within one week of admission.

Physiotherapist

PTA and Restorative Aide to lead strengthening exercises.

Prescribed exercise will be noted in Residents Care Plan.

Resident will be reassessed quarterly and changes made on care plan and noted in a progress note.



Name: Jennifer George

Email: [email protected]

Phone Number: 519-343-2611 ext. 227

Contact Information

Rapid Fire Team Presentation – Royal Terrace

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