What is the first thing you do when you put a fall-risk pt in the bed? - page 2

by Tyris | 7,321 Views | 46 Comments

As nurse what is the first thing you do when you put a pt in the bed that is a fall risk... Read More


  1. 8
    Quote from Blackcat99
    Yes, we have a lady who is always falling. She is suppose to be on 1:1 at all times. She's not. Nursing management won't pay to have a sitter for her.
    Urgh, and when she falls and fractures something, you can bet nursing management won't be taking the blame.
    SoldierNurse22, canoehead, al586, and 5 others like this.
  2. 0
    Quote from KatieP86
    Urgh, and when she falls and fractures something, you can bet nursing management won't be taking the blame.
    I think maybe this hospital learned a lesson. (Click the name of the hospital to see the citation they got from the state.)
    Pomerado Hospital
    15615 Pomerado Road, Poway, 92064, San Diego County - The hospital failed to ensure the health and safety of a patient when it did not follow its policies and procedures for fall prevention. This is the third administrative penalty issued to the hospital. The penalty is $75,000
    .

    PS: I typed that the nurse could advocate for the safety of the patient by asking the doctor to order a sitter.
  3. 0
    Bed alarms donít work and wonít reduce patient falls

    http://www.kevinmd.com/blog/2013/01/...ent-falls.html
  4. 2
    Bed in low locked position, side rails up, fall risk bracelet on, bed alarm, posey alarm, floor mat (<--whichever combo fits) slip proof socks, call bell in reach, educate on fall prevention, frequent checks for bathroom or any other need and 1:1 sitter if needed.....
    joanna73 and herring_RN like this.
  5. 9
    I pray to God my shift ends before the inevitable happens.
    Altra, ybanurse, LTCNS, and 6 others like this.
  6. 1
    Quote from KatieP86
    Urgh, and when she falls and fractures something, you can bet nursing management won't be taking the blame.
    This happened to us recently. Lady needed 1 on 1 care and her family abandoned her. Well, she was put in her room so everyone could get report and not even a full minute later BAM...fractured skull....all while TJC was there. Management had the "deer in the headlights" look b/c we all charted we have been contacting family to sit with her but they declined daily, we charted that management and the doctors were aware but we were not allowed to get a sitter, but somehow it was our fault. She even told two of her employees to lie. Somehow, she's still my boss. Ugh.
    Blackcat99 likes this.
  7. 1
    We have many residents with bed alarms. If they can weight bear at all, then only 2 or 3 side rails up, because 4 side rails presents a higher risk. Residents will try to climb over 4 rails and injure themselves even worse. One of our frequent fallers slept on a mattress on the floor, because no matter what we tried, he kept getting up.
    herring_RN likes this.
  8. 0
    Quote from workingharder
    I pray to God my shift ends before the inevitable happens.
    Yes. As soon as the next shift arrives, I am anxious to give report, count narcotics and to get the hell out of there quick before she falls again.
  9. 0
    Just to clarify....I thought side rails up X2 = restraints (or at least I think that's what they taught in nursing school-I'm a recent grad). Not that I don't think it's a good idea, just clarifying that it's kosher
  10. 0
    Quote from MotherRN
    Just to clarify....I thought side rails up X2 = restraints (or at least I think that's what they taught in nursing school-I'm a recent grad). Not that I don't think it's a good idea, just clarifying that it's kosher
    Two or three side rails are kosh. Four not kosh.


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