Falls and Risk Management

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Falls and Risk Management
Margaret Simon
NUR 492
April 25, 2016
Dr. Rachel Gonzales

Falls and Risk Management
In the hospital setting falls are prevalent for various reasons. According to Sullivan (2013), “Risk management is a component of quality management, but its purpose is to identify, analyze, and evaluate risks and then develop a plan for reducing the frequency and severity of accidents and injuries” (p. 77). This paper will address falls as a risk management issue; discuss methods to identify patients as a fall risk, methods to implement to reduce falls, and how to inform all staff of seriousness of fall issue. Furthermore, a comparison of three other facilities and their methods will be discussed and compared to the VA hospital's plan of action. Hospital Plan for Identifying Falls
Every patient that enters the hospital is required to have a fall assessment on the admission, and if the staff feels a patient's status has changed, it is completed again. The fall assessment template addresses cognitive status, hearing and vision issues, and gait and balance problems. Other information collected is his or her ability to use assistive devices such as canes, walkers, and crutches. Other information gathered is a medication list, a history of falls, and medical conditions such as vertigo. Another major issue is the environment at home, not enough lighting, rugs, stairs, and animals. In the hospital setting the number of falls is increasing clutter in the room. As most rooms are semi- private and patients at the VA want to move in they bring to many belongings. Other environment issues are IV poles, cords, and wet floors. A score of 45 or is considered a high fall risk and a physical rehab consult is initiated at that time. Hospital Methods Implemented to Reduce Falls
The acute care floor applied various methods in…...

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