join the falls prevention virtual learning collaborative
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Falls Virtual Learning Session # 4 & Closing Congress Team Rapid Fire Presentation Template. Name of Organization: Alberta Health Services (AHS). Name of Speaker: Ray Johnson & Elaine Demeule. Join the Falls Prevention Virtual Learning Collaborative. - PowerPoint PPT PresentationTRANSCRIPT
Join the Falls Prevention Virtual Learning Collaborative
Falls Virtual Learning Session # 4 & Closing Congress Team Rapid Fire Presentation Template
Name of Organization: Alberta Health Services (AHS)
Name of Speaker: Ray Johnson & Elaine Demeule
Manoir Du Lac (McLennan AB) : 13 continuing Care, & 31 DSL (Designated Supportive Living);
and
J.B. Wood (High Prairie AB) : 36 Continuing Care Beds & 1 respite
Alberta Health Services (AHS): North Zone
Team MembersTeam Member Role
Patricia Bacon Senior ‘s Health Area Manager North Zone AHS. Project sponsor
Elaine Demeule Care Manager – J.B. Wood Collaborative Leader
Ray Johnson Director of Care and facility Manager - Manoir Du Lac
Bilna Jose Staff Registered Nurse
Susan Vanden Bosch Staff Registered Nurse - Homecare
Rose Marie Fiddick Staff LPN Homecare
Donna Ouelette Quality Improvement Consultant
AIMImprovement Objective:
To reduce the fall rate and fall with harm rate by 40% by implementing evidenced informed standards in regards to fall prevention and management by the end of the virtual collaborative May 2011.
Overall aim: To build a reliable process to ensure that all of our residents/clients are screened for their fall risk, with additional interventions and individual care plans implemented based on the resident/client fall risk to prevent and/or to minimize fall with harm falls for 100% of our residents/clients.
Change Ideas
Standardization of process – PDSA cycles:
1. A fall risk assessment will be completed on the next patient admitted.
2. A fall risk assessment will be completed on the next two patients that fall
3. A fall risk assessment will be completed on the next admission and the next patient that falls using an alternate FRA tool
4. That the residents fall risk score will be communicated to the staff at shift report, email, and in the communication book
5. The staff will do a resident check every 30-45 minutes on 3 residents who are at the highest fall risk to see if this makes a difference in the frequency of falls.
6. That the staff will try hourly rounds and ask the residents: do you need to go the BR? Are you having pain? Is all your stuff within reach? Staff will give feedback on this process and document that they have completed this process.
easures
Lessons LearnedLessons Learned/Key Insights
1. Standardize the process and address the WHY! Use the Post fall huddle process as a mini root cause analysis to gain an understanding about WHY the resident fell to implement interventions to prevent further falls. and/or harm from falls
2. That communication is very important with any change….use as many modes for communication as possible.
3. Communicate to and Involve all stake-holders with a big emphasis to include front line, and the resident.
Next StepsKey Sustainability Steps/Plan: Target Dates
Include the supportive living residents in the process. Start with a FRA on admission , and then after a fall.Monitor their fall and fall with harm rate monthly
Initiating : Immediately have 18 supportive living beds on site.
That a standard fall risk logo is implemented and is visual for all residents at risk for falls.
March 31, 2011
Continue to measure the process and outcome. Fall rate/1000 patient days, Fall with harm, Fall risk assessment on admission and after a fall…..(Measures # 1, 2, 3 & 4)
On-going
Ray Johnson – Manoir Du Lac (McLennan AB) [email protected]
and Elaine Demeule – J.B.Wood (High Prairie AB)
:
Contact Information