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Ambulant Care Falls Prevention in BC Cancer Agency
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Ambulant Care Falls Prevention in BC Cancer Agency

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This presentation was delivered in session F2 of Quality Forum 2014 by: …

This presentation was delivered in session F2 of Quality Forum 2014 by:

Sue Fuller Blamey
Corporate Director, Quality & Safety
BC Cancer Agency

Lorna Roe
Director of Operations, Systemic Therapy
BC Cancer Agency

Tracy Lust
Quality & Safety Leader
BC Cancer Agency

Published in: Health & Medicine

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  • 1. Falls Prevention Putting our Best Foot Forward Taking Steps to Prevent Falls Quality Forum Lorna Roe, Tracy Lust & Sue Fuller Blamey February 28, 2014
  • 2. Why Falls Prevention is Important Anyone can fall 1 in 3 over age 65 and older fall once per year Falls are the leading cause of death in those 65 and older Patient fallshospital admission  Residential care vs home
  • 3. # of BCCA Out-patient Falls BCCA Number of Out-patient Falls Aug 1, 2012 - July 31, 2013 9 8 7 # of Falls 6 5 Falls 4 3 2 1 0 Aug Sept Oct Nov Dec Jan Feb Month Mar Apr May Jun Jul
  • 4. Risk for Oncology Patients While anyone can fall, many different factors can contribute to an Oncology patient’s risk of falling Medication or Procedures Other Effects of Disease Process Environment Factors • Confusion, lethargy, fatigue • Altered electrolytes, anemia • Nausea, vomiting • Altered nutrition leading to weakness • Changes to mobility (requiring the use of a cane/walker) • Alterations in elimination (urgent need to urinate) • Unfamiliar and overwhelming health care surroundings • Inappropriate footwear, wet floors, obstacles in hallways
  • 5. BCCA Falls Prevention Program Patient Self Assessment From (PRISM) 1. Have you falls in the last 6 months 2. Do you have balance or muscle weakness 3. Do you use mobility aides Referral to Falls Prevention Clinics in Community Documentation: Electronically and/or paper patient record
  • 6. Falls Prevention Education Strategy Stage 1: 2009 - 2012 Stage 2: Nov 2012 – Nov 2013 Stage 3: Nov 2013 – Feb 2014 • Situation analysis & planning • In-patient, then ambulatory roll-out • Mandatory staff annual education • Executive & leadership engagement • Learning Hub annual staff education • Collaboration & updating of program with Health Authority Falls prevention leaders
  • 7. Implementation Results # of BCCA Out-patient Falls 9 8 7 A# of Falls 6 5 4 3 2 1 0
  • 8. Analysis: Reasons for Falls • People trying to get in/out of wheelchairs • Falls while walking in hallways • Tripping over obstacles in hallways • Standing too quickly post sitting/supine • Following staff to exam areas • Slippery floors/tiles/entrance • Lost balance getting changed • Footwear/socks/shoe laces untied
  • 9. Risks and Interventions: Always walk with the Patient X √
  • 10. Ensure blanket is not tangling X
  • 11. Observe and remove falls hazards X
  • 12. Ensure wheelchair footrests are moved out of the way X
  • 13. Ensure shoes are back on and laces tied prior to patient walking X
  • 14. Keep equipment to one side of hallways – declutter pathways clear X
  • 15. Falls Prevention vs Homecare Referral – ensure the correct referral Falls Prevention Clinic • Life Expectancy greater than 6 months • Over age 65 • May have to come to clinic Home Care or Community Care • Urgent home care needs • Potentially less than 6 months life expectancy • Daily care needs
  • 16. Falls Prevention is Everyone’s Responsibility No matter where you work within the BC Cancer Agency, or what you do… Max’s Story
  • 17. • Questions • Tracy Lust = tlust@bccancer.bc.ca • Lorna Roe = lroe@bccancer.bc.ca • Sue Fuller Blamey = sue.fuller-blamey@bcca.bc.ca