Organization wide fall prevention
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Organization Wide Fall prevention. Goals of our falls program. Organization wide Work smarter not harder Everyone is involved and responsible. Step 1: Change your thoughts…. Falling is not normal-there is always a reason and a prevention

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Goals of our falls program
Goals of our falls program

  • Organization wide

  • Work smarter not harder

  • Everyone is involved and responsible

Step 1 change your thoughts
Step 1:Change your thoughts….

  • Falling is not normal-there is always a reason and a prevention

  • It takes the whole community to keep people safe-all staff must play a part

  • Just because they fall frequently does not mean there is “nothing” that can be done

  • More work on the front end=less work later

Step 2 look at each situation separately
Step 2:Look at each situation separately

  • Who do we serve

    • Community

    • Home Care

    • Assisted Living

    • Skilled Nursing facility

    • How can we effectively help them

Step 3 staff buy in and understanding
Step 3:Staff buy in and understanding

  • Many different approaches for staff understanding

    • Initial, annual and continual

  • Establishing and educating the goals of the program to staff

  • Posting actual results on a monthly basis

Step 4 tools needed to accomplish goals
Step 4:Tools needed to accomplish goals

  • Assessments at all levels

    • Community, Homecare, AL and SNF

  • Exercise classes

  • Rounding and roving (4 P’s)

  • Permanent staffing (know the person)

  • Think beyond situation to habits, environment and signs to predict falling

  • Community home care assisted living
    Community, Home Care & Assisted Living

    • What is our goal?

      • Helping them understand dangers

      • Giving them tools to improve

    • How can we help??

      • Monthly education classes

      • Physiological assessments

      • Free exercise classes

      • Periodic reassessments

    Skilled nursing facility
    Skilled Nursing Facility

    • What needed improvement

      • Initial assessments

      • Fall investigations

      • Fall prevention plan

      • Medication Management

      • Staff oversight of residents (rounding /roving and permanent staffing)

      • Attitudes about “who’s job is it really”

    Skilled nursing facility1
    Skilled Nursing Facility

    • What was added

      • Resident exercise classes

      • Monthly data sharing with staff about falls

      • Better tools for investigating falls (whole picture)

      • Short shift workers to cover the high fall volume hours

      • Awareness of all workers that they play an important part in the residents safety

    Things that did not work
    Things that did not work

    • Reminding and re-educating residents to ask for help

    • Telling staff to “do it” without their input and understanding

    • Having expectations that are unachievable

    • Carrot and stick approach VS understanding we all are an important part of solution

    Outcomes for community homecare and assisted living
    Outcomes for community, Homecare and Assisted Living

    • Stronger and more educated public

    • Community members are familiar with our services and trust MCHS

    • Participants know better where they are at and how to improve themselves

    Outcomes so far for nursing home
    Outcomes so far for nursing home…

    • Staff able to generate better interventions because they have understanding of why the person fell.

    • Stronger residents

    • Falls decreased

      • 2010 Average 17 falls per month

      • 2011 Average 9 falls per month


    • Cindy Iverson-Director of Nursing

    • Kathy Murken- Assistant Director of Nursing

    • Helen Stafsholt-Outreach Coordinator