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Falls Prevention Program Ipsg: Ahmad Thanin

This document outlines a falls prevention program with the objectives of maintaining patient safety, reducing injury risk, determining how falls occur, and implementing prevention strategies. It defines falls and near falls, identifies individual and environmental risk factors, and classifies injury levels. The program requires assessing fall risk upon admission and reassessment after certain events. It details standardized precautions for low, moderate, and high risk patients, including education and monitoring. Post-fall protocols include first aid, safety checks, and reporting. The overall goal is to determine risks and implement strategies to prevent patient falls and injuries in healthcare settings.

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334 views12 pages

Falls Prevention Program Ipsg: Ahmad Thanin

This document outlines a falls prevention program with the objectives of maintaining patient safety, reducing injury risk, determining how falls occur, and implementing prevention strategies. It defines falls and near falls, identifies individual and environmental risk factors, and classifies injury levels. The program requires assessing fall risk upon admission and reassessment after certain events. It details standardized precautions for low, moderate, and high risk patients, including education and monitoring. Post-fall protocols include first aid, safety checks, and reporting. The overall goal is to determine risks and implement strategies to prevent patient falls and injuries in healthcare settings.

Uploaded by

manoj reddy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Falls Prevention Program

IPSG
Ahmad Thanin
Objectives

 To maintain patient safety.


 To reduce the risk of injury.
 To determine the way of the falls occurrence.
 To implement fall prevention program
Definitions

Falls:: unexpected falling down from


high position to lower position with or
without injury due to physical or mental
effect.

Near Fall: sudden loss of balance with


incomplete fall which include slips,
stumbles, or strip with ability to control .
Most Causing to Falls

Individual Environmental
• Loss of consciousness. • Unsafe higher position.
• Orthopedic disorders. • Beds side rails.
• Hypoglycemia. • unlocked wheel chair.
• Anemia, Vision • Water in the floor.
• Hypotension. • Wire connections.
• Drugs action. • Steps or stairs.
• Post operative (sedation). • Walker.
• Aging and sleeping habits • Interfering Clothes
• Paralysis, TIA, CVA
Patient Fall Injury Levels
• None: No injury.
• Minor: minor injury with abrasion or bruise
treated by dressing, limb elevation, topical
medication.
• Moderate: injury lead to Suturing or limping
treated by bandage, splinting, muscle or
joint strain.
• Major: which leads for casting, skin traction
and surgery, may need neurological and
vascular attention.
• Death: the patient died as a result of
serious injury.
• UTD: unable to determine from the
documentation .
• All in-patients will be assessed for the risk of fall upon admission.
• Reassessment is indicated for all of the following conditions:
- post operative.
- following procedural sedation.
- after administer medication.
- after blood transfusion.
- transferring patients between 2 units.
- after recording incident of fall.
- any changing in ambulatory status or elimination status,
• Applying Risk Fall procedure for patients
- Hendrich 11 Fall risk for Adults.
- Humpty Dumpty Scale for Pediatrics.
• Standard fall precaution shall be implemented for all patients.
• Reporting and documenting any fall occurrence.
• All Falls patients should be classified according to level of Injury
Post Fall Protocol of Care

Implement the following intervention after


any fall:
• First Aid.
• Ensure that patient is safe from further
danger .
• ask for help.
• don’t reposition the patient until the
patient is ready to do so.
• move the patient safely with attention
to moving and handling.
• complete the post fall assessment
Form
• Reporting.
• Patient and Family Education.
Standard Fall Precaution for Low Risk Patients

• Orient the surrounding • Conduct regular environmental


environment. rounds in all areas surrounding
• Provide Medication Information. the patients to decrease the risk
• Instruct patient to call for of falls.
assistance. • Keep bathroom light on and the
• Instruct to use the rubber – soled floor dry.
shoes or non – slip footwear to
prevent slipping.
• Secure call bell, phone, bed table.
• Ensure the clothes are not
interfere with the patient mobility.
• Maintain the bed in the lowest
position and ensure bed and
wheelchairs are looked.
• Put side rails
Standard Fall Precaution for Moderate Risk Patients

• Identify as falls risk on medical • Check the patients after the


record and include in shift visitors leave always.
endorsement. • Don’t lower the bed side rails if
• Assist and supervise ambulation, any nurse rise it up.
Reinforce to always call for • Patient Education.
assistance. • Family Education.
• Conduct hourly safety checks. • Apply Fall Risk Hand Band
• Perform regular pain assessment
• Offer assistance to the bathroom
or use bedpan hourly while
awake.
• Evaluate for reversible causes
- Orthostatic B.P
- Monitor Blood Sugar .
- Adequate Hydration
Standard Fall Precaution for High Risk Patients

• Apply all low and moderate


interventions.
• Place a high risk for fall sticker/
label on the patient charts and
patient room.
• Raise Both upper and lower side
rails.
• Place mattress on floor.
• Review the medication.
• Assess the need of physical
therapy consultation.
• Assess the need for 1:1
monitoring as needed.
Patient and Family Education

• Educate both about the risk of falling, Safety Issues, and their
Mobility Limitation.
• Teach patient to make position changes slowly.
• Emphasize how important the family to be involving tin the
patient safety.
• Emphasize on what patient can do to be healthy, active, and
independent
Questions & Answers

Thank you

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