Download - CEC med 3 Fall Event 2
Falls PreventionSession 2
Self assessment quiz
Complete
Fall Event 2A
This is an example of a real fall event.
Please click on rectangle in the centre of the screen to view video
Fall Event 2B
Please click on rectangle in the centre of the screen to view video
Discussion
• Recognition of Delirium symptoms
• Initial recognition of delirium diagnosis in
ED – is this possible and how ?
• Is there a place for bedrails?
• What SAC score would you give this fall?
Post Falls Management - Unwitnessed
Special consideration patients on anticoagulants
1. Do not move, Call for assistance - REASSURE2. Baseline vital signs, initial GCS3. Clean Wounds 4. Observe for change in behaviour5. Call Medical Officer for review and treatment6. Liaise for appropriate test and notify registrar/consultant7. Hourly Neurological observation for 4 hours and review continuing
for 24 hrs (important in older people) 8. Notify family9. IIMS report Document etc10. Reassess for Falls Risk and communicate to all staff
Fall Event 2C
Please click on rectangle in the centre of the screen to view video
Discussion
• Would a bed rail alarm have helped
manage this patient?
• Relatives responsibility in care patient
• How best to manage patients like this at
night?
Flowchart
Question 1What are essential post fall management principles that apply here?
a. Implement appropriate strategies to
address cognitive impairmentTrue False
b. Review medications if patient is taking
>4 of type and hydration levelTrue False
c. Allocate special nurse to provide
additional supervision of patientTrue False
d. Modify environmental factors if they
have contributed to fall incidentsTrue False
e. Organise for hip protectors and mobility
aids for walking or transfer if mobility
assessment indicates these aids are
needed
True False
Quiz Review
Question 2If a patient is identified as having a cognition problem what are some of the ways they can be managed?
a. Consider alarms (bed and chair)
b. Move them to a lo-lo bed.
c. Assess for delirium – use the CAM tool
d. Monitor and assess for any changes
e. Liaise with family or residential care about medications, mobilisation equipment, toileting requirements etc
f. All of the above
Answer: f
Quiz Review
Mobilisation Toileting Medication Cognition Ward Areas Restraint
Summary
• Recognition of Delirium symptoms
• Appropriate care for patients who are confused