Reducing Falls in Pioneer Lodge

Each Resident on Admission will have a Fall Risk Assessment – SCOTT FALL TOOL

Each resident’s room will have an environmental assessment on admission and yearly thereafter

Mobility assessments are done on admission and quarterly or if significant change

Reducing Falls in Pioneer Lodge

Care aides can reduce falls by ensuring client has call bell accessibleEnsuring brakes are on the bed, wheelchair Checking the environment such as moving

wheelchair pedals aside Ensuring if any alarms used are on and working

Reducing Falls in Pioneer Lodge

Care aides can prevent falls byAsking before leaving do you need the

bathroom Are you in any pain Is there any thing else you need

Reducing Falls in Pioneer Lodge

Date: Time of Fall: Location: BP________; Pulse_______; Resp______; O2 Saturation_________

Cognitive status contributing factor/how?Alarms needed?_____Yes/NoType_______Are they in place now post fall_______

Present Transfer logo Fall related to transfer:Yes/NoDoes transfer need changing______Yes/NoTransfer changed to_________Fall related to positioning in chair:Yes/NoIf yes referral to OT for positioning device

Activity of client prior to fall:We they toileted prior to the fall- yes/noAre they on a toileting schedule- yes/no

Medications factors:Sedatives/ psychotrophics?Do they have pain management issues-yes/no that may have contributed.

Environment a factor________Lighting________Bed Height/ Rails___Too much furniture________Changes done_____

Recent Change in medical condition:Weaker?

Assistive Devices in reach_____Yes: does client know to use_______No: Is signage or instruction needed____Yes: has instruction been done ______Signage up in room to call for assist_____

Changes to care plan: yes /noYes changes documented on care plan__________Communicated to staff on report:yes/no Nurse signature: ____________ Date:__________ Time:_______________

Days reviewed: signature_______________ Date________Evenings reviewed : signature____________ Date_______Nights reviewed: signature________________ Date_________Comments:________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Appendix 2 – Post-fall Problem Solving ToolPost Fall Problem SolvingCompleted with occurrence report of fall and signed by

By witness, unit nurse, care staff By care and nursing staff next

consecutive three shifts.

After a fall we need to problem solve to prevent this is an important part of prevention of future falls