FALLS PREVENTION Greater Glasgow and Clyde falls prevention

  • Slides: 20
Download presentation
FALLS PREVENTION • Greater Glasgow and Clyde falls prevention service

FALLS PREVENTION • Greater Glasgow and Clyde falls prevention service

OBJECTIVES • Education/Training to all GGC staff in falls • • • prevention. Awareness

OBJECTIVES • Education/Training to all GGC staff in falls • • • prevention. Awareness of HFP service referral criteria. Implementation of the research based inpatient falls prevention multidisciplinary/ multifaceted approach Audit activity to monitor standards of care

Glasgow Hospital Falls Facts • 8500 falls in 2006 prior to hosp falls service.

Glasgow Hospital Falls Facts • 8500 falls in 2006 prior to hosp falls service. • 7991 falls and 82 fractures 2007 -2008 • 5445 falls and 51 fractures 2008 -2009

WHY FALLS OCCUR • • • Medical condition Medication – polypharmacy/culprit meds Previous fall

WHY FALLS OCCUR • • • Medical condition Medication – polypharmacy/culprit meds Previous fall – loss of confidence Muscle weakness Gait and balance disturbances Confusion / Poor safety awareness Incontinence Visual/hearing impairment Footwear Environmental hazards

COMMON TRENDS IN FALLS • Not witnessed • Between bed/chair and toilet • Usually

COMMON TRENDS IN FALLS • Not witnessed • Between bed/chair and toilet • Usually associated with a basic need i. e. getting a drink, going to the toilet

IMPLICATIONS OF A FALL • Personal impact to patient • Prolonged hospitalisation • Mortality

IMPLICATIONS OF A FALL • Personal impact to patient • Prolonged hospitalisation • Mortality and morbidity • Potential litigation

FALLS RISK ASSESSMENT DOCUMENTATION

FALLS RISK ASSESSMENT DOCUMENTATION

Multidisciplinary/Multifaceted Interventions • Medical assessment • Pharmacy review • Nursing assessment • Physiotherapy assessment

Multidisciplinary/Multifaceted Interventions • Medical assessment • Pharmacy review • Nursing assessment • Physiotherapy assessment • Occupational Therapy assessment • Safe patient environment.

Referral Criteria for Hospital Falls Prevention Service • Cannard Score 18+ • 2 or

Referral Criteria for Hospital Falls Prevention Service • Cannard Score 18+ • 2 or more falls • Fall with significant injury (N. B. any of the above)

EQUIPMENT AVAILABLE • • Hi-low beds Enterprise 5000 beds Bed monitors Chair monitors Adjustable

EQUIPMENT AVAILABLE • • Hi-low beds Enterprise 5000 beds Bed monitors Chair monitors Adjustable height seating Specialist seating Non slip mats / one way glides

SPIRIT ULTRA LOW BED

SPIRIT ULTRA LOW BED

BED RAILS • Rationale for use/bed rail risk assessment. • Regular review of decision

BED RAILS • Rationale for use/bed rail risk assessment. • Regular review of decision making. • Are bedrails fit for purpose? (N. B. - NPSA recommend all health boards should have a bed rail policy)

AUDIT Ongoing audit by HFPC in compliance with falls documentation and maintaining a safe

AUDIT Ongoing audit by HFPC in compliance with falls documentation and maintaining a safe ward environment.

1 2 3 4 5 6 7 8 9 10 1. Is the patient’s

1 2 3 4 5 6 7 8 9 10 1. Is the patient’s chair at appropriate height ( i. e. patients can sit on chair with feet resting on the floor) (patients in wheelchairs are footplates in use) Patient Yes No N/A Yes No N/A Yes No N/A 2. Is the patients bed in the low position (even if patient is not presently in bed) Yes No N/A Yes No N/A Yes No N/A 3. Is the patient buzzer within arms reach Yes No N/A Yes No N/A Yes No N/A 4. Can the patient access personal belongings at arms reach (If patient able ask patient to reach for an item of personal belongings) Yes No N/A Yes No N/A Yes No N/A 5. . Have all non- essential items which would impact on the patients Yes safety been removed from patients bedspace No (inspect bed space for i. e. dynamaps / cables / clutter) N/A Yes No N/A Yes No N/A Yes No N/A 6. If the patient uses a walking aid independently – is walking aid within reach (ask patient to reach for walking aid , if able) Yes No N/A Yes No N/A Yes No N/A 7. Are bedrails used when this patient is in bed Yes No Yes No Yes No 8. Is reason for bedrail use recorded in patients notes i. e. bedrail risk assessment (Check with staff) note if used as restraint or moving & handling aid 9. Detail the reason for using the bedrails : i. e. sided weakness/ patient requested Yes No N/A Yes No N/A Yes No N/A Yes No N/A Yes No N/A 10. Cannard score for this patient = 11. Has a Cannard risk assessment been initiated within 24 hours of Yes the patients admission to this ward (check nursing notes) No N/A 12. Has the risk assessment been up dated in line with the policy (check nursing notes) Yes No N/A Yes No N/A Yes N/A No Yes No N/A 13. Has a care plan been initiated (check nursing notes) Yes No N/A Yes No N/A Yes No N/A 14. Has the care plan been up dated in line with the policy (check nursing notes) Yes No N/A Yes No N/A Yes N/A No Yes No N/A 15. How many has the patient experienced since their admission to this ward (check Medical notes)

Can Interventions Make a Difference? 2008 -2009 – 32% reduction in falls and 38%

Can Interventions Make a Difference? 2008 -2009 – 32% reduction in falls and 38% reduction in fractures throughout all Glasgow Hospitals.