Falls PreventionSession 4

Self Assessment Quiz

Complete

Fall Event 4A

This is an example of a real fall event.

Please click on rectangle in the centre of the screen to view video

Fall Event 4B

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Discussion

• Why did she fall?

• Low blood pressure

• Weak – loss of muscle/ loosing weight/

dehydration

• What SAC score would you give this fall?

Witnessed Fall - Post Falls Management

1. Do not move, Call for assistance - REASSURE2. Baseline vital signs, initial GCS3. Clean Wounds 4. Call Medical Officer for review and treatment5. Liaise for appropriate test and notify registrar/consultant6. Monitor Vital signs for 24 hrs (important in older people) 7. Notify family8. Flag as high falls risk as per hospital policy9. IIMS report Document etc10. Reassess for Falls Risk and implement strategies and

communicate to all staff

Fall Event 4C

Please click on rectangle in the centre of the screen to view video

Discussion

• BP has been low – should you sit patients

for a while before standing?

• Loss of weight –leads to loss of strength

and weakness, what strategies would you

implement?

• Do you use walking belts for patients with

similar symptoms?

Flowchart

Question 1a. Should a nurse catch a patient falling to

the floor?True False

b. Older patients involved in toileting are

at higher risk of having a fall?True False

c. The majority of patient falls in hospital

are not witnessedTrue False

d. The likelihood of a patient over

65years having a fall in hospital is 1 in

10 ?

True False

Quiz Review

Question 2Patient falls risk screening should be undertaken?

a. on admission to hospital for all

persons over 65 yearsTrue False

b. in the emergency department for

all persons over 70 yearsTrue False

c. on admission to a nursing home True False

d. by general practitioner for

patients over 65 years who have

had a recent fall

True False

e. all of the above True False

Quiz Review

Mobilisation Toileting Medication Cognition Ward Areas Restraint

Summary

• Sit patients with low BP on edge of bed

for a few minutes before standing

• Review of weight loss and causes

• A simple assessment for mobility/balance

is standing the patient beside the bed and

walking on the spot.