Fall Prevention Audit

The purpose of this activity is to monitor compliance withfall prevention policy.

Part 1: Instructions: Review the fall risk score on the charts of 4-6 patients on your clinical unit (Morse or other fall risk scale). Does the score indicate the patient is a high risk for falls? If yes, observe the patient and the room to determine if the fall precautions are in place as per facility policy. Share your results in post conference.

Observation # / Is the patient at a high risk for falls per the facility falls score?
Yes / No / If patient is a high fall risk, does the patient have the facility appropriate precautions in place? Yes / No
(Arm band, non-skid footwear (on patient), fall alarm activated on bed or chair, fall identification on room/door, bed in low position and locked).
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Part 2:

  1. Why is placing a patient with a high fall risk on highly visible precautions considered to be a critical part of client care?
  1. How would you summarize your completed observations?
  1. Were the precautions used consistently? If not, which one(s) seem to be the most likely to be not utilized?
  1. How will this exercise affect your personalpractice of putting fall precautions in place?

Hourly Rounds Audit

The purpose of this activity is to monitor compliance with hourly rounds. Hourly rounding includes observing and asking the patient about Pain, Potty, Possessions, Position. After performing the assessment the healthcare provider is to document and then reset the light (if applies).

Part 1: Instructions: Observe 2-3 patient rooms ashealthcare providers at your clinical facility go about their daily rounds. Try to not let them notice you are observing them. Record observed hourly rounding activities then complete the following. Share your results in post conference.

Key:

Observation # / Hourly rounds done
On time, late / Documented assessment at bedside before resetting light or documenting? Yes/No / Light reset light or documented without assessing the “Ps” with patient Yes/No
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Part 2:

  1. Why is hourly rounding considered to be a critical part of client care?
  1. How would you summarize your completed observations?
  1. If the person knew they were being observed, do you think it affected hourly rounding compliance?
  1. Did any factors create a barrier to being able to properly complete hourly rounding?
  1. How will this exercise affect your personal use of hourly rounding?