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Top Prevention Highlights

Falls evidence-based practice and top prevention techniques

  • Assess fall risk on admission and in ED
  • Reassess fall risk daily or if there are changes in the patient’s condition or status
  • Utilize approved risk tool:
    • Hendrich II Fall Risk Model
    • Morse Fall Scale
  • Prevent harm when you can’t fully prevent falls:
    • bed low to the floor
    • bedside mats
    • hip and head protectors
  • Post fall “SWAT” huddles/mini-RCA as soon as possible after the fall
  • Engage and educate patient and care partners in prevention
  • Purposeful rounding with the four Ps:
    • Pain: provide comfort and relief
    • Personal Needs/Potty: offer help with toilet, offer hydration, offer nutrition, empty commodes/urinals
    • Positioning: help the patient get into a comfortable position and turn immobile patients
    • Possessions/Placement: make sure patient’s essential needs (call light, phone, reading materials, trash can, tissues, water, etc.) are within easy reach
  • Put falls prevention guides and documentation on the white boards
  • Progressive Activity and Mobility program
  • Clear visuals and directions on level of assistance needed (out of bed, bathroom, walking, IV pole/pump, etc.)
  • Recognize medications that can increase vulnerability to falls and take precautions
  • Use safety products:
    • walkers, canes, etc.
    • safety belts
    • colored socks
    • colored wrist bands
    • falling star or other visuals
    • side rails
    • bed alarms
    • chair alarms
    • pads, mats, etc.
  • Tailor prevention to the unique needs of the patient
  • Optimize PT/OT assistance – consider non-conventional teaming
  • Educate all staff on falls prevention and urgent intervention