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Falls In Hospital Case Study

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There are many safety issue in hospitals among one of the major issues are falls. Among the most common victims are the elder patients with multiple health problems, patient’s that undergo multiple treatment regimens, side effect of medication and patients who are unfamiliar with the environment. The consequences of falls in hospitals can result to injury with fracture, often lead to poor outcomes and increases the length of stay (National Patient Agency, 2010).The second episode of care which was the patient experiencing a fall from the side effect of the medication: valium; leading to assessment done by the nurses. RN Elliot confirmed that after 20 minutes of giving the Valium the patient had an unobserved fall. The use of the risk management
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The clinical practice guidelines that were selected for this paper are from the National Guideline Clearinghouse and from International journal of nursing studies. The Hendrich Fall Risk Model was primarily developed as a predictive nursing assessment tool based on epidemiological research (NGC, 2011). The Guidelines were developed by the Hartford Institute for Geriatric Nursing the committee was however not stated. Authors were asked to sign confidentiality documents and all the authors agreed this. The research was conducted by hand searches of public literature and searches of electronic database.

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Objective One During my clinical day three, I demonstrated entry-level competence in professional nursing practice in caring for patients with multiple and/or complex unmet human needs. I addressed safety needs, safety in medication administration, effective communication, and surveillance for my patients. First, I addressed safety needs my ensuring the appropriate safety measures were implemented for the patients. Some of the safety measures included, wearing non-skid socks, wearing a yellow armband which indicated fall risk, keeping the bed in lowest position, two side rails up, bed locked, and the call light within reach.

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The Way We Fall by Megan Crewe, Response Journal #4, pp. 160-309 Question: What emotions did the book invoke: tears, smiles, anger? Share and discuss these. When reading The Way We Fall, I felt a range of emotions.

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Falls of critically ill patients admitted to the ICU routine should be avoided developing certain strategies used outside this area, such as prevention of displacement, promote stability, elimination of sliding hazards routinely ensure that the patient is oriented to the environment and the bell is at the fingertips, keeping the beds in the lowest position and braking, providing adequate lighting, and provide anti-slip footwear and technical assistance in lifting patients bed. The response time of the call prolonged ringing patient or family is just one of the potential causes of falls, firstly because if the response time is greater serve their needs later, and partly because no response to the patient may start feeling agitated. Shift schedules nurses can be particularly effective in preventing falls, as they allow the staff to anticipate and address the needs of each patient. The tubing, drains and cables must be securely to prevent tripping when lifting or embody patients. Although falls can happen without warning, subsequent falls can be avoided if the etiology of them is

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The necessity to reduce patient falls is the trigger in this circumstance. This is a knowledge- focused trigger since the purpose is to implement a practice that has been shown to prevent falls. The next step is establishing if the issue is a top priority for the clinic, division, or section. Patients should be a top priority in any acute care facility, as they can result in catastrophic injuries and even death (Cullen et al., 2022).

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Review with nurse Gilbert why valium and morphine are contraindicated in shock and her duty to identify this and speak up 5. Review with nurse Gilbert her duty to speak up regarding a need for a transfer of patient to Dr. Dick 1. Complete a root cause analysis identifying breakdowns in processes that directly resulted in the negligent acts by nursing, if any. Implement action plans to correct any process issues identified. Complete any additional individual nurse follow up identified, as needed, outside of short-term action

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This is reviewed with any change in patient status, a fall, and/or quarterly. Patients, depending on screening, might receive services from physical therapy (PT), occupational therapy (OT), nutritional services, bed/chair alarms, floor mats, medication adjustment, and change in room to closer to the nurses’ station, or other services. All at risk patients are easily identifiable by notation on wrist band, footwear, room and equipment signage, in the electronic medical record, and on any paper records. The fall rate of patients at SAVAHCS continues to be at or slightly below the benchmark, but our goal is to have zero falls. The intervention not fully utilized at this hospital, that does show promise in the literature, is the post-fall huddle.

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Risk assessment is the fundamental step of risk management program, which identifies, estimates and analyzes the extent of risks to the patients, healthcare workers, and the organizations. It is the step of investigating what could go wrong, who is exposed to the risks and what actions are needed to minimize or prevent the risks. Risk assessment helps to design the appropriate planning to deal with hazards (National …….). In nursing home falls and healthcare associated infections such as urinary tract infections (UTIs), aspirations pneumonia, gastroenteritis and others are very common. Residents in a nursing home fall frequently, which increases the morbidity and mortality rate.

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- Safety provi¬sions are interpreted to protect patients from illnesses caused in the course of medical treatment as well as to provide hygienic and injury-free experience in the health care setting. Special provisions exist for safety in pharmaceuticals, blood supply, infectious disease treatment and diagnostics, and mental health services, among others. Ethical codes for doctors, nurses, and other health care workers contain provisions applicable to the patients’ right to safety. Medical errors and other actions that fail to meet safety standards can carry civil, criminal and administrative penalties

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Before this study, nurses were using general fall precautions for these patients at risk for falls and were not using fall prevention interventions specific for patient’s fall risk factors (Wilson et al., 2016). There were major themes and minor themes to go along with each major theme. There was a study before the fall prevention intervention practice that was described as a fall that occurs, either the patient is at a fall risk or the patient passed the fall risk assessment. Action was then taken by implementing general fall prevention practices for these patients that were shown as a risk. Before the study, one example of a general fall prevention practice was “We had

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Recognizing, acknowledging, and understanding medication safety is important when administering medications. Understanding which medications are high-risk ones, being familiar with the medications being given, remembering the five most important rights when administering medications, communicating clearly, developing checking habits, and reporting the medication errors will lead to safe outcomes for the residents. However, errors do occur from a lack of experience, rushing, distractions, fatigue, doing too many things at once, not double checking, poor communication, and lack of team work. It is not only the staff that commit errors, but also the work environment that contributes to the medication error. Two examples are poor reporting systems

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The policy and procedure to be examined presents guidelines for both preventing and documenting falls in an acute care setting. This policy is to be used daily and with every patient in a hospital setting.

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Problem Identification Getting out of bed is one of the dangerous things that the elderly patients do when they are admitted in the hospital. Study conducted by Ambrose, Paul & Hausdorff, (2013) on patient falls reveals that a majority of falls in the elderly patients occur between 0700 and 1900, especially when they are getting out of bed to use the rest room. The cause of their falls is mainly due to unsteady gait, memory loss, confusion that comes with age. Memory loss and vision problems which occurs during old age in the elderly patients puts them at risk for falls. Other factors that can lead to falls are; Presence of throw rugs, psychotropic medications, lack of Vitamin D, and weakness of the lower extremities.

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When you are writing a story, the situation can be affected extremely just by changing the point of view. You could use a soccer player falling and breaking his leg as an example. If you write-through the point of view of the soccer player, he would explain the pain and the way that he fell to break his leg. However, if you write-through the point of view of a person in the audience they could only explain what they can see from the stands, and that could be nothing at all. Another example could be if a car breaks down, if you write the story through the point of view of someone who has experience in fixing cars they would know what they would have to do to fix the car.

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