Rapid Fire Team Presentation – Royal Terrace
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Transcript of Rapid Fire Team Presentation – Royal Terrace
www.saferhealthcarenow.ca
Falls Facilitated Learning Series
Royal TerracePalmerston, ON
67 bed Long Term Care Home
Who We Are
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Falls Facilitated Learning Series
AIM
To engage all staff of Royal Terrace in the Falls Prevention/Injury reduction policies and procedures protocol to ensure sustained improvement in reducing falls and injury from falls by implementing the educational tools learnt through the FFLS.
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Falls Facilitated Learning Series
Team Members
Team Members: Barb Wakeford, Restorative CareBecky Wagner, RPNDiane Ash, PSWLuz Batara, PSWLuca Fleming, PSW
Team Lead: Jennifer George, Director of Life Enrichment
Team Sponsor: Joyce Riehle, RN
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Falls Facilitated Learning Series
Review Falls Change Ideas tested to date in your organization
Changes Implemented within Organization
Working/Not Working Facilitators/Barriers identified
1) Environmental Changes– layout, de-clutter Working / Ongoing Facilitator- improving area for mobility, less tripping hazards
2) Staff Education- staff information board, monthly staff meetings
Working / Ongoing Facilitator- visuals give staff a better perspective, allows for staff to ask questions
3) Fall Leaf Program- weekly rounds Working / Ongoing Facilitator- makes all parties aware due to visual reminders
4) In-House Physiotherapy Services- personalized treatment plans
Working / Ongoing Facilitator- availability of staff 7 days a week to provide treatment
5) Weekly Falls Audit- measurement tool Working / Ongoing Facilitator- data collection, analysis, graphs/statistics
6) Transfer Logos- placed above bed to identify residents transferring needs
Working / Ongoing Facilitator- staff awareness, at a glance reference
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Falls Facilitated Learning Series
Lessons Learned on Sustaining Falls Improvement Work during Action
PeriodWhat advice would you give to other teams?
Expect to have resistance from staff (poor buy-in) Be aware of your population (cognitive impairment, increased wandering, frailty) Be realistic when establishing goals. (SMART) Be patient, don’t get overwhelmed “Rome wasn't built in a day”
What are your key insights? Effective & efficient communication by all stakeholders Continuous education Continual change with your population
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Falls Facilitated Learning Series
What were some barriers? Diverse demographics Environment (structural layout) Staff buy-in Staff turn-over
What are some facilitators? Excellent committee members (great commitment) Up-to-date policies and procedures (reviewed annually)
How do you propose to move forward? By sustaining our Fall Leaf Program to achieve our goal of decreasing falls by 25% from average of
17 falls per month to 12 and an average of 2-3 falls with injury per month to 0-1 per month. To continue to have monthly Fall Committee meetings to review collected data, analyze and make
necessary changes Keeping in compliance with Residents First and Best Practices
Challenges to Sustaining Falls Improvement
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Falls Facilitated Learning Series
6 Month Post FFLS Sustainability Plans for Falls Improvement Work
Goal Description
(What is AIM)
Action
(What STEPS are to be taken to achieve)
Timeframe
(When to be done by)
Person Responsible Metrics: What is to be monitored to identify achievement
Decrease the # of falls by occurring in Resident Bedroom/Bathroom by 10% a month.
In conjunction to the IC3 program, staff will complete a 1 week voiding diary, then Resident will start on a prompt voiding schedule.
1 week for diary collection
Prompt voiding program is ongoing once started.
IC3 Committee
PSW’s
IC3 Committee member to check daily to ensure daily is being completed correctly.
POC Charting on continence / incontinence.
Decrease/eliminate the # of falls with hip injury.
Registered staff to educate the benefits and encourage the purchase and use of hip protectors to family and resident upon admission.
1 week post admission Unit Leader
Charge Nurse
Daily audits completed by PSW’s to ensure hip protectors are on high risk fallers and on properly.
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Falls Facilitated Learning Series
6 Month Post FFLS Sustainability Plan (continued)Goal Description
(What is AIM)
Action
(What STEPS are to be taken to achieve)
Timeframe
(When to be done by)
Person Responsible Metrics: What is to be monitored to identify achievement
To have compliant and knowledgeable staff regarding fall risks and prevention.
Present statistics and data at monthly staff meeting.
Post current graph and run charts on staff education board.
Ongoing Director of Life Enrichment
Staff’s compliancy with completing audits and falls risk assessments correctly and following Fall Risk policies and procedures.
To have all Residents that are at risk for falls to actively participate in strengthening exercises 1-3 times a week to aid in the prevention of falls.
Physiotherapist will assess Resident and prescribe Resident specific exercise regimen.
Within one week of admission.
Physiotherapist
PTA and Restorative Aide to lead strengthening exercises.
Prescribed exercise will be noted in Residents Care Plan.
Resident will be reassessed quarterly and changes made on care plan and noted in a progress note.
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Falls Facilitated Learning Series
Name: Jennifer George
Email: [email protected]
Phone Number: 519-343-2611 ext. 227
Contact Information