CEC med 4 Fall Event 3
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This document discusses falls prevention strategies for patients. It includes videos of fall events and discussions of how to engage independent patients about mobility aids, continence management, and assigning a SAC score. It also covers post-fall management, including not moving patients, vital signs, wound cleaning, neurological observations, and notifying family. Risk assessment strategies are discussed like flagging risk in patient notes, assessing safe footwear and non-slip socks. Quizzes assess understanding of risk factors and prevention strategies like mobilization, toileting, medication management, cognition, ward area safety, and restraint usage.
CEC med 4 Fall Event 3
- 1. Falls Prevention Session 3
- 2. Self Assessment Quiz Complete
- 3. Fall Event 3A 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 3B Please click on rectangle in the centre of the screen to view video
- 5. Discussion How do you engage an independent person about using a mobility aid? What are the issues regarding continence and management for this patient? What SAC 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 3C Please click on rectangle in the centre of the screen to view video
- 8. Discussion How do you make the ward area as safe as possible? How do you assess for safe foot wear and when would you use non-slip socks?
- 9. Flowchart
- 10. Question 1 How can you flag a patient’s fall risk to other staff? Quiz Review a. patient notes b. staff handover discussion c. patient transfer notes d. patient discharge summary e. Putting the patient in a designated falls bay f. All of the above
- 11. Question 2 What co-morbidities might increase a patient’s falls risk? Quiz Review a. Cardiovascular disease ( affecting blood pressure, syncope risk, dizziness) True False b. Cerebrovascular disease ( stroke), True False c. Parkinsons, MS affecting balance True False d. Cancer- palliative care patient- overall body weakness and fatigue True False e. Urinary tract infection True False
- 12. Mobilisation Toileting Medication Cognition Ward Areas Restraint
- 13. Summary How do you care for cognitively intact patients with mobility problems? Educate in use of mobility aids Ensure they have safe footwear Room is free of clutter, floor surfaces clean Patient can safely access personal items Call bell in easy reach
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 74 Point 2 page 47
- #11: Pg 16
- #15: Reminder for more information on Falls Prevention please refer to the Quality and Safety Council’s – Best Practice Guidelines “The Green Box”!