The residents fell in their apartments, why? What personnel, procedure, and equipment changes have contributed to the almost three-time increase in falls among residents living alone in their apartments (Primaris, n.d.)? What lack of current staff, processes, and equipment’s used within the facility has contributed to this increase in falls? Where did the resident fall, and what was occurring before the resident fell?
Personnel to be interviewed
Administrator: What procedure, policies, and personnel do you believe influenced the increase in falls this year? What personnel, procedure, or equipment have been modified within the facility within the last year? Is there a specific fall prevention method in place? Is this method easily access and visible to staff? Is there a system to identify staff 's training needs? Could the administrative, policies, and procedures use improvement and where?
Medical Director (SeniorCare.com, n.d.): What are the supervisor to current staff ratio and is their enough to provide adequate supervision and assistance to nurses and nursing aide staff? Are there enough nursing assistants to resident’s ratio to cover cares adequately? Tell me if the orientations and training programs are detailed enough to meet all the resident 's safety requirements, and fall preventions? What are the policies for monitoring residents, addressing the needs of the residents, and where can improvement occur? What is the plan for placement of medical equipment, and alert systems within an apartment and is it appropriate? What processes is the facility using to identify environmental risks to residents? Is the resident’s documentation complete, and where could progress directed at fall prevention be made? Could the healthcare and medical programs use improvement and where? Admission Coordinator/Social Services (SeniorCare.com, n.d.): Were the resident assessed for all aspects that might contribute to falling risks while moving around alone in their apartments, and any ideas for improving missed risks? Is the fall assessment procedure missing a critical step when reviewing admission? What are the cognitive and physical health questions that we could add to the admission process to make sure these potential fall residents do not slip through the admission process? Is the resident’s documentation complete, and where could advances directed at fall prevention be made Could the admissions program use improvement and where? Director of Nursing: Have there been staffing shortages, excessive workload, and what has contributed to these shortages? Was the care plan for the resident being followed and are there are in which the care plans need to be modified and address to accompany those who are a minimal fall risk? Are the alert systems, wheelchairs, walker, canes, glasses, or hearing aids within reasonable reach for the resident? What are the ways to improve the monitoring and observations of residents? Could the nursing program use improvement and where? Is the resident’s documentation complete, and where could developments towards fall prevention be made? Charge Nurse/RNs/LPNs: Was the minimal necessary amount of staff on duty the day/night of the falls incidences? …show more content…
What was the scene surrounding the resident who had fallen, was the floor wet, and did the incident occur on carpet or tile? What was the medication that was given to the resident before their falls? What were the vital signs of the resident and did they demonstrate any signs of fatigue or dizziness, or abnormal behaviors (Willy, B., & Osterberg, C., 2014)? Is the staff to staff communication or training an issue? Are the alert systems, wheelchairs, walker, canes, glasses, or hearing aids within reasonable reach for the resident? Is the resident’s documentation complete, and where could advances towards fall prevention be made Could the nursing program use improvement and where? CNAs/PCAs/Nursing Aides: Was there enough staff to provide residents with a safe amount of supervision? Is communication satisfactory and can staff convey any patients risks concerns with ease to the supervisor on duty? Is the staff to staff communication an issue? What was the scene surrounding those residents who had fallen, was the floor wet, and did the incident occur on carpet or tile? Were there any abnormalities viewed in the residents or did they appear weak or disorientated and has the resident been sleeping well? Are there any distracting noises within the apartment that
Personnel to be interviewed
Administrator: What procedure, policies, and personnel do you believe influenced the increase in falls this year? What personnel, procedure, or equipment have been modified within the facility within the last year? Is there a specific fall prevention method in place? Is this method easily access and visible to staff? Is there a system to identify staff 's training needs? Could the administrative, policies, and procedures use improvement and where?
Medical Director (SeniorCare.com, n.d.): What are the supervisor to current staff ratio and is their enough to provide adequate supervision and assistance to nurses and nursing aide staff? Are there enough nursing assistants to resident’s ratio to cover cares adequately? Tell me if the orientations and training programs are detailed enough to meet all the resident 's safety requirements, and fall preventions? What are the policies for monitoring residents, addressing the needs of the residents, and where can improvement occur? What is the plan for placement of medical equipment, and alert systems within an apartment and is it appropriate? What processes is the facility using to identify environmental risks to residents? Is the resident’s documentation complete, and where could progress directed at fall prevention be made? Could the healthcare and medical programs use improvement and where? Admission Coordinator/Social Services (SeniorCare.com, n.d.): Were the resident assessed for all aspects that might contribute to falling risks while moving around alone in their apartments, and any ideas for improving missed risks? Is the fall assessment procedure missing a critical step when reviewing admission? What are the cognitive and physical health questions that we could add to the admission process to make sure these potential fall residents do not slip through the admission process? Is the resident’s documentation complete, and where could advances directed at fall prevention be made Could the admissions program use improvement and where? Director of Nursing: Have there been staffing shortages, excessive workload, and what has contributed to these shortages? Was the care plan for the resident being followed and are there are in which the care plans need to be modified and address to accompany those who are a minimal fall risk? Are the alert systems, wheelchairs, walker, canes, glasses, or hearing aids within reasonable reach for the resident? What are the ways to improve the monitoring and observations of residents? Could the nursing program use improvement and where? Is the resident’s documentation complete, and where could developments towards fall prevention be made? Charge Nurse/RNs/LPNs: Was the minimal necessary amount of staff on duty the day/night of the falls incidences? …show more content…
What was the scene surrounding the resident who had fallen, was the floor wet, and did the incident occur on carpet or tile? What was the medication that was given to the resident before their falls? What were the vital signs of the resident and did they demonstrate any signs of fatigue or dizziness, or abnormal behaviors (Willy, B., & Osterberg, C., 2014)? Is the staff to staff communication or training an issue? Are the alert systems, wheelchairs, walker, canes, glasses, or hearing aids within reasonable reach for the resident? Is the resident’s documentation complete, and where could advances towards fall prevention be made Could the nursing program use improvement and where? CNAs/PCAs/Nursing Aides: Was there enough staff to provide residents with a safe amount of supervision? Is communication satisfactory and can staff convey any patients risks concerns with ease to the supervisor on duty? Is the staff to staff communication an issue? What was the scene surrounding those residents who had fallen, was the floor wet, and did the incident occur on carpet or tile? Were there any abnormalities viewed in the residents or did they appear weak or disorientated and has the resident been sleeping well? Are there any distracting noises within the apartment that