{"id":1221,"date":"2017-11-09T12:04:09","date_gmt":"2017-11-09T06:34:09","guid":{"rendered":"http:\/\/esperti.co.in\/?p=1221"},"modified":"2022-06-20T10:31:08","modified_gmt":"2022-06-20T05:01:08","slug":"reblog-fall-prevention-safety-bundle-collaboration-leads-to-fewer-falls","status":"publish","type":"post","link":"https:\/\/www.rincon.co.in\/site\/reblog-fall-prevention-safety-bundle-collaboration-leads-to-fewer-falls\/","title":{"rendered":"Reblog: Fall prevention safety bundle: Collaboration leads to fewer falls"},"content":{"rendered":"

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At St. Joseph\u2019s Hospital and Health Center in Syracuse, NY, we\u2019re committed to providing a safe, comfortable, caring environment for our patients. We believe all patients deserve to be cared for in the most humane way possible to preserve their dignity and individual rights. This means ensuring our patients\u2019 physical safety, including preventing injuries from falls, during a hospital stay.<\/p>\n

Central to our fall prevention program is the hospital\u2019s patient safety care bundle. We found that bundling (standardizing) fall prevention practices prevents more falls than nonbundling or variable approaches. We also learned that involving all unit and house-wide staff in this approach inspires greater buy-in and participation and fosters best practices.<\/p>\n

Our bundling journey<\/h3>\n

St. Joseph\u2019s didn\u2019t always use bundling to prevent falls. Our journey began in 2010 when I was asked to lead a task force to review and revise the hospital\u2019s fall prevention program. After reviewing many articles in the nursing literature, our task force decided to take different concepts that proved effective and combine them into the bundled approach.<\/p>\n

All clinical and nonclinical staff were taught how to use the new bundle. Rapid-cycle piloting in select care areas was implemented. Following a process and outcome review and revision of the bundling approach, full implementation followed throughout our facilities. St. Joseph\u2019s bundled approach to fall prevention includes safety huddles, hourly rounding, use of the Morse scale, individual care plans, and post-fall debriefings.<\/p>\n

Safety huddle<\/strong>: To consistently identify patient safety needs for all shifts, each unit has a safety component as part of its shift-change huddle. The safety huddle must be documented on a form designed by the unit.<\/p>\n

Hourly rounding<\/strong>: Nurses round on patients hourly. The RN uses a consistent, caring conversation, which starts with an introduction, such as, \u201cMrs. Jones, I\u2019m Marty, your nurse, and I\u2019m here to check on you.\u201d Unless necessary, sleeping patients aren\u2019t awakened. Rounds are documented in the electronic documentation system. The RN admitting new patients explains that hourly rounding is done to anticipate their needs and ensure their safety.<\/p>\n

Morse scale<\/strong>: The Morse fall scale assessment tool, which is individualized for each patient, assesses for the following measures:<\/p>\n