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Universal Fall Precautions

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During my last week’s clinical rotation, my preceptor and I floated to another unit. While there, I noticed a few lapses on the implementation of universal fall precautions. This ranged from failure to use and untimely response to bed and chair alarms, missing patient fall risk bands, cluttered patient rooms, and missed hourly rounding.
Importance of this Issue
Patient falls is still a significant issue in healthcare. Around 700,000 to 100,000 people in the U.S. suffer from falls in a hospital setting (Agency for Healthcare Research and Quality, 2013). Obviously, this is problematic because falls can exacerbate the patient’s condition. It can cause unwanted outcomes like pain, fractures, head injuries, or in a worst-case scenario, even death.
Preferred Practice
Falls in a hospital setting are preventable. Successful implementation of universal precautions is a big part of preventing this issue. It should always be practiced. Universal fall precautions include but are not limited to
• Properly identifying patients …show more content…
Another means of preventing falls is hourly rounding. Research has shown it is effective in reducing falls, use of call lights, and development of pressure ulcers (Halm, 2009). Ideally, it should be the nurse making these hourly rounds, however, due to patient volume this might not happen all the time. It is then recommended other healthcare team members like NCPs assist nurses and intervene on the basis of their scope of practice (Halm, 2009).
There is conflicting evidence regarding the efficacy of bed and chair alarms in preventing falls. Whether effective or not, however, it is part of Sentara’s fall prevention protocol for high fall risk patients. I was informed that any member of the healthcare team should respond to alarms as soon it is seen or heard.
Plan of

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