BID Medication Administration Initiative Sarah Rousseau RN BSN

BID Medication Administration Initiative  Sarah Rousseau RN, BSN OBJECTIVE Improvement of sleep for residents in a long-term care facility while potentially decreasing daytime sleepiness, and decreasing the occurrence of falls Plan Develop BID protocol Ø Write policy Review Falls Ø Contributing Factors Implementation Medication Review Physician notification MAR changeover Monitor and track Falls Interview Residents / Staff Review Increase in falls Reported improved sleep Reported decreased daytime lethargy Improvement in ambulation and transfer ability Ø Develop Educational Tool Thorough review of resident medication regimen Ø Recommend changes for evaluation Ø Obtain Physician orders Ø Notify Families Ø Discussion with staff Implement Changeover to new protocol Ø Monitor and Review Ø Monitor Falls Ø Interview Residents Ø Interview Staff Ø Evaluate information Discussion Positive effects post-implementation § Reported improved sleep § Resident satisfaction with waking program Falls per unit June 2015 (pre-implementation) July 2015 (post-implementation) • Need for further monitoring and review § Monitor falls and possible contributing factors § Association between Initiative and increase in falls and improved sleep For additional information please contact: Sarah Rousseau MSN Student rousses 1@fsu. edu