CEC med 2 Fall Event 1

Falls PreventionSession 1

Self Assessment Quiz

Complete

Fall Event 1A

This is an example of a real fall event.

Please click on rectangle in the centre of the screen to view video

Fall Event 1B

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Discussion• How do you recognize and manage delirium?

• Dignity vs risk in toileting procedures

• What are the key post fall management

strategies?

• What is the risk of injury for patients on blood

thinning medication?

• What SAC score would you give this fall?

Post Falls Management - Unwitnessed

Special consideration patients on anticoagulants

1. Do not move, Call for assistance - REASSURE2. Baseline vital signs, initial GCS3. Clean Wounds 4. Observe for change in behaviour5. Call Medical Officer for review and treatment6. Liaise for appropriate test and notify registrar/consultant7. Hourly Neurological observation for 4 hours and review continuing

for 24 hrs (important in older people) 8. Notify family9. IIMS report Document etc10. Reassess for Falls Risk and communicate to all staff

Fall Event 1C

Please click on rectangle in the centre of the screen to view video

Discussion Points

• Why is it important to involve

families/carers to gain better information

about the patient history?

• Why is it important to engage family/carers

whilst patient is in hospital

• What is the appropriate way to manage

night sedation?

Flowchart

Question 1What are some examples of best practice to prevent falls in

high risk patients? (You can circle more than one)

a.Use of hi-lo or lo-lo beds

b.Use bed and chair alarms to alert staff to patient movement

c.Provide increased supervision ( trained carers, paid staff or trained volunteers)

d.Ensure patients are wearing non-slip footwear and socks

e.Able to institute regular monitoring of patient every 15 minutes

f.Familiarise patient to hospital environment on admission and post-surgery

Quiz Review

Question 2What are essential post fall management principles that apply here?

a. Check patient for signs of injury including bruising, fractures, internal bleeding, head injury, laceration and document well in patient notes

True False

b. Undertake neurological observations as per nursing manual guidelines over the next 24 hours then monitor as required

True False

c. Increase patient supervision - ( using special. AIN, companion observer) True False

d. Review patient’s falls risk and adjust their patient care plan and ensure changes are communicated to all relevant clinical staff

True False

e. Arrange for medical review of patient as soon as practicable

True False

Quiz Review

Mobilisation Toileting Medication Cognition Ward Areas Restraint

Summary

• Recognition of Delirium and that it

causes fluctuating changes in behaviour

• Recognition of the added risk of injury

for patients on blood thinning meds

• Dignity vs. risk for toileting procedures

• Involving family/carers