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www.saferhealthcarenow.ca

Falls Facilitated Learning Series

Rapid Fire Team Presentation TemplateName of Presenter: Cathy-Jo Doyle


Falls Facilitated Learning SeriesWho We Are

Home Care YHSSA Yellowknife, Dettah and N’DiloHome and CommunityNumbers Vary, approx 550/yearYoung to ElderlyServices Provided:Wound Care, Ostomy Care, IV, Chronic Conditions, Acute Conditions, Palliative, Foot CareService Providers:NursingHome SupportDietaryOT/PTSocial WorkResident Care Coordinator



AIM

To incorporate the use of a falls prevention model; BEEEACH for high risk clients

To Apply BEEEACH strategies for high risk clients through the use of individual care plans

100% of clients with documented falls will have a prevention and or injury reduction plan


Falls Facilitated Learning SeriesTeam Members

Team Member Role

Cathy-Jo Doyle Co-Team Leader, HSW Supervisor

Karin Bucher Co-Team Leader, RN,BN

Lori Oake RCC, Intake Coordinator

Linsey Doucette OT

Tanya Gillard Dietician


Falls Facilitated Learning SeriesReview Falls Change Ideas tested to

date in your organization

Changes Implemented within Organization

Working/Not Working Facilitators/Barriers identified

1: OT created risk factor worksheet for all staff to use for high risk/post fall clients

In review process 3 drafts

B: ID simple language for assessment toolF: simple/usable for all staff

2:Process of reporting, documenting falls to OT

Working: all staff aware to report falls on OT board

F: simple/usable direction for all staff in Home Care

3:Application of snowflake ID to charts for all high risk/fall clients

Working F: easy to ID high risk clients, increased awareness that those clients are high risk

4: Morse Falls Scale on all admissions

Working B:not usable for child/infant



Use BEEEACH falls prevention model on all high risk clients and clients with documented falls

Refer to appropriate disciplines for assessment

Implement care plans using BEEEACH strategies

Audit charts monthly to ensure 100% high risk clients have documented care plan for falls prevention

Link to other programs: Elders in Motion, Remember When

Constantly Review process, Work with the Team, Staff and Clients for continuous feedback

Measures



Lessons Learned on Sustaining Falls Improvement Work during Action

PeriodNeed to make our Falls Team a priority (too easy to do other work, causing us to fall behind)

Maintain the time and commitment we agreed towards the Fall Team, maintain weekly meetings

Use of the Morse Falls Scale is being used on all admissions with 100%, key tool for our Home Care criteria



B: New Program, started from scratch

Staff turnover

Multidisciplinary Team with use of different language, terms

F: Good Team, productive when we meet

Use of PDSA’s helped us with planning, moving forward

**Use BEECH tool for Care Planning**

**Continue to use PDSA worksheets**

Challenges to Sustaining Falls Improvement



6 Month Post FFLS Sustainability Plans for Falls Improvement Work

Goal Description

Action Timeframe Person Responsible

Metrics

Care Plans in all high risk clients charts

Trial BEECH tool Dec. 2012 Falls Team Maintain monthly stats

Chart AuditsAll Home Staff to utilize BEECH tool and falls reporting form

Monthly in-services

Handouts with BEECH protocol

Dec. 2012 Falls Team Keep staff lists on who attended in-services

OT to maintain stats on falls



Contact Information

Name: Cathy-Jo Doyle, HSW Supervisor

[email protected]

Karin Bucher RN, BN

[email protected]

Phone Number: 867-920-3338

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