Fall Prevention W16

Refers to a fall event that was witnessed by any healthcare provider or relative

• Accidental Fall

• Assisted Fall

• Unwitnessed Fall

• Fall

All nurses must complete Fall prevention management on-line training course VIA E-LEARNING at least once.

• TRUE

• FALSE

Referral to Clinical pharmacy and OT/PT must be completed when patients only meets criteria.

• TRUE

• FALSE

Any incidents of patient fall in the program premises must be reported through SRS.

• TRUE

• FALSE

Fall risk re-assessment must be performed when;

Choose all that apply.

• within 1 hour of shift

• post dialysis

• immediately after fall occurs

• when condition change

• 4h of permanent transfer into ward/unit

Where possible, confused patients should;

Select all that apply.

• Have a sitter attendance

• be assigned a room near the nursing station

• be transferred to other unit

• 1:1 nursing

Referral to a clinical pharmacist will be done by the RN if the patient has all following criteria;

• 60 YEARS above

• has history of fall within 6 months

• takes 1 or more fall risk medication

• unsteady gait

In the event of fall ,documentation about fall occurrence in BEST Care should;

Select all that apply;

• whether the assisted or unassisted

• level of injury

• brief description how the patient fell

• type of fall

• post fall treatment

From the injury scoring system-Fall that resulted in application of ice or a dressing is;

• NONE

• MINOR

• MAJOR

• MODERATE

Fall poster represents

• No risk

• Low

• High

• Moderate