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56 Cards in this Set
- Front
- Back
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AOs are in a special position as going in to a persons home allows us to... |
See how a person is managing |
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What 2 things have to be excluded before even thinking about whether a person who has had a fall can stay at home? |
No injuries No medical causes for the fall |
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If we are going to tnt after a fall what should we do? |
Appropriate referrals / recommendations should be made to minimise the risk of more falls |
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What is a long-lie post fall? |
On the ground for an hour or more. |
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What are the possible consequences of a long lie? |
Higher risk of death Pressure sores Dehydration Hypothermia Muscle damage Pneumonia |
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You get to a person that’s fallen. What do you do? |
Primary survey Secondary assessment including a full set of obs Hx of events surrounding the fall |
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You get to a person that’s fallen. What do you do? |
Primary survey Secondary assessment including a full set of obs Hx of events surrounding the fall |
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Assuming the pt appears ok re obs and no injuries what do you do next? |
Mobility assessment Plan how to get them up Call for assistance as needed |
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After a fall when must we take pt to hospital? |
Medical cause for fall Anticoagulant Injury Social concern |
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After a fall when must we take pt to hospital? |
Medical cause for fall Anticoagulant Injury Social concern |
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If we decide the patient does not need to go to the hospital after a fall what do we need to complete if pt is normally ambulant? |
Falls risk screen. |
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After a fall when must we take pt to hospital? |
Medical cause for fall Anticoagulant Injury Social concern |
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If we decide the patient does not need to go to the hospital after a fall what do we need to complete if pt is normally ambulant? |
Falls risk screen. |
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Do we need to record the result of the falls risk screen on the PCR? |
Yes |
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After a fall when must we take pt to hospital? |
Medical cause for fall Anticoagulant Injury Social concern |
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If we decide the patient does not need to go to the hospital after a fall what do we need to complete if pt is normally ambulant? |
Falls risk screen. |
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Do we need to record the result of the falls risk screen on the PCR? |
Yes |
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If pt was on the ground for longer than ? We need to complete a ? |
1 hr Pressure injury risk screen |
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After a fall when must we take pt to hospital? |
Medical cause for fall Anticoagulant Injury Social concern |
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If we decide the patient does not need to go to the hospital after a fall what do we need to complete if pt is normally ambulant? |
Falls risk screen. |
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Do we need to record the result of the falls risk screen on the PCR? |
Yes |
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If pt was on the ground for longer than ? We need to complete a ? |
1 hr Pressure injury risk screen |
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Re falls risk screen, a score of 0-3 is ? Risk and what needs to be considered |
Low Non-urgent falls referral |
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After a fall when must we take pt to hospital? |
Medical cause for fall Anticoagulant Injury Social concern |
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If we decide the patient does not need to go to the hospital after a fall what do we need to complete if pt is normally ambulant? |
Falls risk screen. |
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Do we need to record the result of the falls risk screen on the PCR? |
Yes |
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If pt was on the ground for longer than ? We need to complete a ? |
1 hr Pressure injury risk screen |
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Re falls risk screen, a score of 0-3 is ? Risk and what needs to be considered |
Low Non-urgent falls referral |
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Re falls risk screen, a score of 4-9 is ? Risk and what needs to be done? |
Urgent falls referral |
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After a fall when must we take pt to hospital? |
Medical cause for fall Anticoagulant Injury Social concern |
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If we decide the patient does not need to go to the hospital after a fall what do we need to complete if pt is normally ambulant? |
Falls risk screen. |
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Do we need to record the result of the falls risk screen on the PCR? |
Yes |
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If pt was on the ground for longer than ? We need to complete a ? |
1 hr Pressure injury risk screen |
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Re falls risk screen, a score of 0-3 is ? Risk and what needs to be considered |
Low Non-urgent falls referral |
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Re falls risk screen, a score of 4-9 is ? Risk and what needs to be done? |
Urgent falls referral |
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Re pressure injury screen. What do we do for low/medium/high risk? |
Low- provide advice on prevention Medium- same but recommend follow up with GP High- same as low but organise a gp appointment. |
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After a fall when must we take pt to hospital? |
Medical cause for fall Anticoagulant Injury Social concern |
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If we decide the patient does not need to go to the hospital after a fall what do we need to complete if pt is normally ambulant? |
Falls risk screen. |
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Do we need to record the result of the falls risk screen on the PCR? |
Yes |
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If pt was on the ground for longer than ? We need to complete a ? |
1 hr Pressure injury risk screen |
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Re falls risk screen, a score of 0-3 is ? Risk and what needs to be considered |
Low Non-urgent falls referral |
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Re falls risk screen, a score of 4-9 is ? Risk and what needs to be done? |
Urgent falls referral |
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Re pressure injury screen. What do we do for low/medium/high risk? |
Low- provide advice on prevention Medium- same but recommend follow up with GP High- same as low but organise a gp appointment. |
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If there is already a pressure sore present what must we do? |
Make sure there is a management plan in place. |
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If there is not sufficient care in place for a non-ambulant falls pt at home, we must ? The pt. |
Transport |
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Four things need to be done for non-transported pts. |
EOC consult Ensure the appropriate level of supervision and encourage usual activities Tell pt/carer when they need to escalate care Provide written info re falls/pressure injuries |
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If a fall occurs in our care what do we have to do? |
Report into sls |
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What are the 3 things a falls risk assessment looks at? |
Falls hx Steadiness when mobile Supports in place |
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Low/high falls risk scores |
0-3/4-9 |
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When should we do a mobility assessment? |
Prior to trying to move the pt |
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What’s a good saying to adhere to when moving a patient? |
Do everything for the patient but nothing they can do themselves |
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A mobility assessment not only assessed mobility but also... |
The pts cognition/compliance/alertness. |
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When shouldnt we do a mobility assessment? |
Spinal precautions Injury Hypotension Chest pain Significant cognitive impairment |
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What is the mobility assessment in a supine pt? |
Lifting each straight leg to hand Doing a bridge Lift head off pillow Get pt to roll onto their side |
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Pt mobility assessment if sitting in chair. |
Straighten knee to touch hand March on spot whilst sitting down Reach to the front then to side with both arms one At a time. |
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Where should the knees be before a pt stands up from sitting? |
Directly over their toes. |
