Success With Falls

By: Emilee Bird, RN
Tiffany Castelitz (Gamble), RN
Terry Fry, RN
Shelly Poling, RN
Jeanne Ponziani, RN
Lori Robinson, RN 
Kim Sadlier, RN 
Quynh Giao Vu-Doan,RN 

Congratulations to the departments who have made significant improvements in fall reduction during 2014!

Premier Units with > 100 Fall or Injury-Free Days

AMC

CVICU- 194 fall-free days
ACU- 126 days with NO Injury
BHU- 124 days with NO Injury
CTU- 211 days with NO Injury
ICU- 365+ days with NO Injury
L&D- 365+ fall-free days
Rehab- 150 days with NO injury

GSH

CVICU- 401+ fall-free days
ICU- 162+ fall-free days
Ortho/Oncology- 365+ days with NO injuries
HVH2- 150 days with NO injuries
Neurology- 120 days with NO injuries
3700- 210 days with NO injuries
Surgical 5300- 150 days with NO injuries
Mother Baby- 365+ days with NO injuries

MVH/MVHS

6SS- 365+ days with NO injuries
IR- 455+ fall-free days
SICU- 355+ days with NO injuries
OJS5- 365+ days with NO injuries
HVIC- 150 fall-free days
BMTU- 270+ fall-free days
ATA- 2yrs+ fall-free
BMTU- 270+ fall-free days
L&D- 223+ fall-free days
NSIC- Achieved 335 days fall-free

UVMC

Inpatient Rehab- 1 year Injury-free
ICU- 250 fall-free days
Behavioral Health- 1 month injury-free

Key elements of the Premier “moving safely” program:

  • Accurate nursing assessment of fall risk & risk for injury
  • Educating the patient and family
    • Partnering with patients and families to call for assistance prior to ambulating
     
  • Peer teamwork
  • Early mobility focus
    • Vented patients walking with interdisciplinary group
    • Using gait belts during transfers
     
  • Ensuring use of chair & bed alarms
  • Purposeful rounding
  • Awareness through visual cues
    • Posting number of days since last fall in a place that cannot be overlooked
     
  • Regularly discussing fall event successes and opportunities
  • Replacing lost or broken equipment immediately (bed alarms and gait belts)
  • Truly practicing safety trumps privacy
  • Daily review of interventions for each patient

Units using innovation to reduce fall rates.

  • Portable chair alarms used in all unit wheelchairs (UVMC inpatient rehab)
  • Unit champion invested in peer coaching (MVH HVIC)
  • Perinatal Ideas:
    • Trends with medications & toileting, specifically after epidurals (MVH perinatal areas)
    • Creating a proactive plan for the first time toileting after delivery (MVH perinatal areas)
     
  • ED ideas: 
    • Increasing awareness by having fun with the program using poems, pictures, and celebrating the small wins (MVH ETC)
    • Bed alarms in each room, bed alarm pads in each bedside cart, bed alarm battery boxes located in each medication room to make it easier to change batteries when necessary (MVH ETC)
    • Use of tray tables made for emergency room carts vs dropping side rail (MVH ATA)
     
  • Nurse manager meets with all new orientees to ensure that they understand all aspects of moving safely (GSH HVH4)

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Premier Health Nursing

Content Updated: April 3, 2015

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