Transcript Slide 1

Rapid Fire Team Presentation Template
Name of Presenter: Alisa Bromley
www.saferhealthcarenow.ca
Falls Facilitated Learning Series
Who We Are
St. Adolphe Personal Care Home
St. Adolphe, Manitoba, Canada
42 Residents live at St. Adolphe Personal Care Home
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Falls Facilitated Learning Series
AIM
From your Team Charter
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Falls Facilitated Learning Series
Team Members
From Your Team Role/Responsibility
Alisa Bromley – Lead Organizer
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Falls Facilitated Learning Series
Review Falls Change Ideas tested to date in
your organization
Changes Implemented
within Organization
Working/Not Working
Facilitators/Barriers
identified
Increased awareness of
walking program.
3 Residents were added
to the walking program.
Nurses are facilitators to
ensure program is
sustained.
Increase frequency of
exercise program.
To begin in March 2012
and to be reassessed by
Residents at next
Resident Council
meeting.
All HCAs will need to
ensure they bring
Residents to activity
area immediately
following breakfast.
Post fall huddles (2-5min)to
identify prevention
measures necessary.
Pending initiation.
Fall prevention awareness by To review available
education process.
resources from 2010
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Falls Facilitated Learning Series
Measures
1.
2.
3.
4.
5.
6.
7.
8.
9.
Increase participation of Residents in walking program.
Decreased number of falls with injuries.
Decreased number of falls.
Increased Resident/family awareness of need to purchase preventative devices
such as hip protectors.
Increased Resident participation in exercise programs.
Increased staff participation in solutions to address complications from a
Resident fall through the Post Fall Huddles.
Identification of Residents at greatest risk to injury from falls, ie. Osteoporosis,
Dementia diagnoses, poor nutritional intake, sudden undesirable weight loss.
Reinforcement of measurement and assessment tools already in place.
Analysis of data in order to identify needed areas of focus.
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Falls Facilitated Learning Series
Lessons Learned on Sustaining Falls
Improvement Work during Action Period
When I first became aware of the LLSF, I believed that it would offer an educational
opportunity for all staff through webinars. After being discouraged, I contacted
Nadine, who provided me with the direction needed. The program is designed to build
upon already existing structures such as initial and ongoing assessments. However
the data interpretation is a strong indicator of where you need to go. For us it was
increased awareness of prevention through the walking program, increase Resident/
family/staff awareness of preventative measures such as hip protectors and exercise
program participation, and how to ultimately get staff participation and awareness
increased by simply have a post fall huddle and documented this information for
reference to assist in future occurrences.
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Falls Facilitated Learning Series
Challenges to Sustaining Falls Improvement
• Barriers we a lack of staff members being able to
participate. Our small facility size reducing the amount of
time staff are able to participate and it falls on the lead
to make initiatives at team meetings and during
educational opportunities.
• Facilitators include education and participation of
Residents, families, and staff in existing programs and
awareness of the preventative benefits of participation.
• Ongoing progression with education to the Residents,
families and staff.
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Falls Facilitated Learning Series
6 Month Post FFLS Sustainability Plans for Falls Improvement Work
Goal Description
Action
Timeframe
(What is AIM)
(What STEPS are to be
taken to achieve)
(When to be done by)
1. Increase Resident
participation in exercises.
a. Increase exercise
frequency.
March 2012
b. HCAs to assist with
taking Residents
to exercises.
c. Resident awareness to
exercise
programs to
increase.
March 2012
April 2012
Person Responsible
Metrics: What is to be
monitored to identify
achievement
Louise Davies,
Recreational assistant
Number of Residents in
attendance to exercise
programs.
Nurses to review with
HCAs recreational activity
participation.
Satisfaction by Residents
who attended the
program at the next
Resident Council meeting.
Louise Davies to discuss at
next Resident Council
meeting with reassessment by Residents
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Falls Facilitated Learning Series
6 Month Post FFLS Sustainability Plan (continued)
Goal Description
Action
Timeframe
(What is AIM)
(What STEPS are to be
taken to achieve)
(When to be done by)
2. Decrease number of
falls with injury.
a. Increased exercise
program participation.
3. Identification of
Residents at greatest
risk to injury from falls,
ie. Osteoporosis,
Dementia diagnoses,
poor nutritional intake,
sudden undesirable
weight loss.
b. Post fall huddles.
a. Use of current
assessment tools
during Medication
reviews quarterly and
as Resident condition
changes.
Person Responsible
Metrics: What is to be
monitored to identify
achievement
April 2012
Nurses on units
Number of falls with
injury.
March 2012
Nurses during medication Increased awareness of
reviews and on
risks by nurses, physician
admissions, during
and pharmacist.
quarterly assessments and
as Resident conditions
change.
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Falls Facilitated Learning Series
Contact Information
Name: Alisa Bromley
Email: [email protected]
Phone Number: 1-204-883-2181
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