Fall prevention


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Fall prevention

  1. 1. Falls Prevention Program IPSG Ahmad Thanin
  2. 2. Objectives  To maintain patient safety.  To reduce the risk of injury.  To determine the way of the falls occurrence.  To implement fall prevention program
  3. 3. Definitions Falls:: unexpected falling down from high position to lower position with or without injury due to physical or mental effect. Near Fall: sudden loss of balance with incomplete fall which include slips, stumbles, or strip with ability to control .
  4. 4. Most Causing to Falls Individual • Loss of consciousness. • Orthopedic disorders. • Hypoglycemia. • Anemia, Vision • Hypotension. • Drugs action. • Post operative (sedation). • Aging and sleeping habits • Paralysis, TIA, CVA Environmental • Unsafe higher position. • Beds side rails. • unlocked wheel chair. • Water in the floor. • Wire connections. • Steps or stairs. • Walker. • Interfering Clothes
  5. 5. Patient Fall Injury Levels • None: No injury. • Minor: minor injury with abrasion or bruise treated by dressing, limb elevation, topical medication. • Moderate: injury lead to Suturing or limping treated by bandage, splinting, muscle or joint strain. • Major: which leads for casting, skin traction and surgery, may need neurological and vascular attention. • Death: the patient died as a result of serious injury. • UTD: unable to determine from the documentation .
  6. 6. • All in-patients will be assessed for the risk of fall upon admission. • Reassessment is indicated for all of the following conditions: - post operative. - following procedural sedation. - after administer medication. - after blood transfusion. - transferring patients between 2 units. - after recording incident of fall. - any changing in ambulatory status or elimination status, • Applying Risk Fall procedure for patients - Hendrich 11 Fall risk for Adults. - Humpty Dumpty Scale for Pediatrics. • Standard fall precaution shall be implemented for all patients. • Reporting and documenting any fall occurrence. • All Falls patients should be classified according to level of Injury
  7. 7. Post Fall Protocol of Care Implement the following intervention after any fall: • First Aid. • Ensure that patient is safe from further danger . • ask for help. • don’t reposition the patient until the patient is ready to do so. • move the patient safely with attention to moving and handling. • complete the post fall assessment Form • Reporting. • Patient and Family Education.
  8. 8. Standard Fall Precaution for Low Risk Patients • Orient the surrounding environment. • Provide Medication Information. • Instruct patient to call for assistance. • Instruct to use the rubber – soled shoes or non – slip footwear to prevent slipping. • Secure call bell, phone, bed table. • Ensure the clothes are not interfere with the patient mobility. • Maintain the bed in the lowest position and ensure bed and wheelchairs are looked. • Put side rails • Conduct regular environmental rounds in all areas surrounding the patients to decrease the risk of falls. • Keep bathroom light on and the floor dry.
  9. 9. Standard Fall Precaution for Moderate Risk Patients • Identify as falls risk on medical record and include in shift endorsement. • Assist and supervise ambulation, Reinforce to always call for assistance. • Conduct hourly safety checks. • Perform regular pain assessment • Offer assistance to the bathroom or use bedpan hourly while awake. • Evaluate for reversible causes - Orthostatic B.P - Monitor Blood Sugar . - Adequate Hydration • Check the patients after the visitors leave always. • Don’t lower the bed side rails if any nurse rise it up. • Patient Education. • Family Education. • Apply Fall Risk Hand Band
  10. 10. Standard Fall Precaution for High Risk Patients • Apply all low and moderate interventions. • Place a high risk for fall sticker/ label on the patient charts and patient room. • Raise Both upper and lower side rails. • Place mattress on floor. • Review the medication. • Assess the need of physical therapy consultation. • Assess the need for 1:1 monitoring as needed.
  11. 11. Patient and Family Education • Educate both about the risk of falling, Safety Issues, and their Mobility Limitation. • Teach patient to make position changes slowly. • Emphasize how important the family to be involving tin the patient safety. • Emphasize on what patient can do to be healthy, active, and independent
  12. 12. Questions & Answers Thank you