Fall prevention
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This document outlines a fall prevention and management program for residents at the Little Sisters of the Poor Nursing Home. It describes assessing residents for fall risk, identifying high risk residents, developing interim care plans, reporting falls, conducting neurological checks, and reviewing falls to improve prevention. Residents are assessed for fall risk and those scoring 14 or higher are considered high risk, with immediate interventions. When falls occur, they are reported, investigated, and the resident's care plan is updated in response. Falls are reviewed to identify patterns and improve prevention.
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- 1. Little Sisters of the Poor Nursing Home Fall Prevention/Management Program All residents will be assessed for risk for falls on admission, re-admission, during internal facility transfer, and following MDS/RAI schedule. Residents scoring 14 and above will be considered high risk for falls and will have immediate interventions in place to prevent falls. Residents who are high risk will be identified by a Gold dot or star on their name on the door of their room, on wheelchair or walker. Residents will remain in the high risk list and will only be removed by IDT if resident hasnt had a fall in 90 days. An Interim Fall Prevention/Management Plan will be completed manually on admission, re-admission, and internal facility transfer and immediately after a fall occurred. Staff will be educated on this plan of care and sign the Attestation at the bottom of the form. This plan of care will be entered in PCC by MDS Nurse or Designee after it was reviewed and approved by IDT. C N A care Card will also reflect all interventions in place to prevent falls. When a Fall Occur Falls will be reported in the Shift to Shift Report by nurses; followed and documented for 72 hours by nurses in the Shift to Shift report. Charge/ Shift Nurses will report to C N As at the start of each shift of any falls or change in residents condition that may contribute to high risk for falls. I/I Report will be completed including the Investigation Worksheet.
- 2. Vital Signs, Notifications and care plan update will be completed by the shift nurse. Nurses Notes will be entered in PCC; shift nurses note will document post assessment for 72 hours. Neurological checks will be completed by nurse with every unwitnessed fall or when there is question of head injury. Neurological checks should be as follow: Every hour x 4hours, every 4 hours x 24 hours and every shift x 48 hours. Interim fall care plan will be put into place and staff will be educated on this plan. Interventions should be appropriate and in response to the root cause of the fall. Falls will be reviewed at AM Clinical Meeting by IDT for 72 hours or as indicated by residents condition. Rehab will conduct a screen after each fall to assist nursing in developing a comprehensive and appropriate plan of care. Falls will be reviewed monthly to identify patterns or trends to enable nursing management and IDT to develop. Modify facility processes and/or residents plan of care.