I work at a 175-bed hospital. I work on a med/surg unit that has been open about 6 months. This unit is different from other units because it is split into 2 separate units, one on either side of the floor. Needless to say, this is a very large unit and a lot of walking is done during every shift.
Each side has its own med, supply rooms and nursing station. There is no centralized nursing station which is the typical set up for a hospital floor with patient rooms. Each side is staffed with 2 nurses and 1 nursing tech. The unit can hold 15 patients on each side.
The unit typically gets many patients who are very confused and they often try to get out of bed. Many times it is necessary for 2 staff members to be in a room to care for a patient. This leaves 1 staff member for the other 14 patients. The problem is that we are being blamed for an increase in falls.
This is not our fault. We work very hard every shift. Our staff works well together and have a great spirit of teamwork. We don't have a "that's your patient" philosophy, but when there is a need, we all rise to the challenge.
What do you think we can do to decrease falls? Obviously we can't change the unit design.
Thanks for your suggestions.
Feb 13, '13
I forgot to mention that we always use bed alarms and we occasionally use restraints if the bed alarms, meds or a family member is not available to stay with the patient.
How is everyone's unit set up?
Last edit by JustBeachyNurse on Feb 13, '13