CEC med 2 Fall Event 1
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This document discusses falls prevention strategies and post-fall management. It provides examples of best practices to prevent falls, such as using low beds, bed/chair alarms, increased supervision, and non-slip footwear. It also outlines essential post-fall management principles like checking for injuries, conducting neurological observations, increasing supervision, reviewing the patient's falls risk plan, and arranging medical review. Key topics discussed include recognizing and managing delirium, balancing dignity and risk in toileting, and the importance of involving family/carers.
CEC med 2 Fall Event 1
- 2. Self Assessment Quiz Complete
- 3. 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
- 4. Fall Event 1B Please click on rectangle in the centre of the screen to view video
- 5. 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?
- 6. Post Falls Management - Unwitnessed Special consideration patients on anticoagulants Do not move, Call for assistance - REASSURE Baseline vital signs, initial GCS Clean Wounds Observe for change in behaviour Call Medical Officer for review and treatment Liaise for appropriate test and notify registrar/consultant Hourly Neurological observation for 4 hours and review continuing for 24 hrs (important in older people) Notify family IIMS report Document etc Reassess for Falls Risk and communicate to all staff
- 7. Fall Event 1C Please click on rectangle in the centre of the screen to view video
- 8. 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?
- 9. Flowchart
- 10. Question 1 What are some examples of best practice to prevent falls in high risk patients? (You can circle more than one) Use of hi-lo or lo-lo beds Use bed and chair alarms to alert staff to patient movement Provide increased supervision ( trained carers, paid staff or trained volunteers) Ensure patients are wearing non-slip footwear and socks Able to institute regular monitoring of patient every 15 minutes Familiarise patient to hospital environment on admission and post-surgery Quiz Review
- 11. Question 2 What are essential post fall management principles that apply here? Quiz Review 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
- 12. Mobilisation Toileting Medication Cognition Ward Areas Restraint
- 13. 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
Editor's Notes
- #4: If media file does not work then utilise DVD as your back up system. Windows Media Player needs to have been installed on computer system for this file to play. All four fall events are from notified falls that have occurred in NSW Hospitals.
- #7: Page 107
- #9: Point 1 – page 3 Point 3 - page 58
- #11: Page 8
- #12: Page 107 blank box flies out and ticked box flies in
- #15: Reminder for more information on Falls Prevention please refer to the Quality and Safety Council’s – Best Practice Guidelines “The Green Box”!