Clinical Fall Assessments

828 Words 4 Pages
Children’s of Alabama has medication precautions, fall risk precautions, and a “Do Not Use” list in place to protect patients. SBAR is used to effectively communicate patient and nursing needs to physicians. Pharmacy and the nursing staff verify medications before the medication is ever administrated to patients, to reduce errors. Call-lights are in place for patients to alert employees to wants and needs. Nursing Informatics help implement and educate employees on electronic charting. Electronic charting is in place to provide patient confidentiality. Overall, patient care and safety is the number one concern at Children’s of Alabama. No patient safety and quality care issues were identified.
The first evidence based recommendation this author
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10 Harbert has the highest fall rate due to the patient acuity. The reduction of falls can help improve patient outcomes. In a study conducted by McKinley, Fletcher, Biggins, McMurray, Birtwhistle, Gardiner, Lampshire, Noake, and Lockhart (2008), found that conducting a Clinical Fall Review assessment before a fall and after a fall overall reduced the number of falls. The Clinical Fall Review assessment involves introduction of post-fall assessment protocol: assessment of known risks, and patient mental and physical status. Development of assessment tool: demographic data, clinical factors, fall history, mobility assessment, and pharmacological information. Development of flagging system: chart stickers, ID bracelets, electronic patient information system, and pharmacy alert system. Implementation based on clinical assessment and management decisions: care plan, environment, and equipment needs. These strategies can overall help decrease falls at Children’s of …show more content…
Many patients come to 10 Harbert with pressure ulcers or are at an increased risk for developing a pressure ulcers related to their condition. Many patients on the unit are immobile and require total patient care. In a study conducted by Keevil, and Kimpton (2012), found that using an SSKIN bundle reduced pressure ulcers by 50%. The acronym stands for surface, skin, keep moving, incontinence, and nutrition. The steps include relieving the pressure of bony prominences of they body, checking the skin regularly for signs of damage, encouraging independent turning, reducing damp and wet skin, and providing adequate protein and calories. These strategies can overall help decrease pressure ulcers at Children’s of Alabama.
The fourth evidence based recommendation this author would suggest to improve patient safety and quality care would be to reduce surgical site infections. Surgical site infections lead to a longer hospital stay and an increase chance to be readmitted. In a study conducted by Garling and Vasaly (2013), found that using 2% chlorhexidine gluconate cloths pre-operatively reduced surgical site infections versus patients having a regular bath. With correct teaching at the nursing level how to use the wipes, this strategy can overall help decrease surgical site infections at Children’s of

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