genfree

We recently did away with our alarms. Alarms do not prevent falls, and eventually staff become so use to people accidentally setting them off that they do no react to the alams like they should. With each fall you should be looking at the possible cause of the fall and then care plan for an intervention to correct, such as was the fall because of a UTI, needing to use the restroom,or type of foot wear. The people who were the "frequent fallers" we placed first on 30 minute visual checks, then as they showed that there were no increase in falls or say no falls over 30 days we DC'd the 30 minute checks. Those that did fall we placed on 15 visual minute check which aren't many. Right now our facility has approx 60 residents and we only have 5 people on 15 minute checks. Also, on new admissions we do 15 minute visual checks for 24hrs. Also along with the 15 minute checks we started prompted toileting, we changed from the normal toilet from every 2-3hrs to person centered. After completion of the 3 day voiding records you look to see when the resident toilets or is wet, the best way is to show you an example. Example: Prompt to toilet between 0600-0700, 0900-1000, 1100-1200, 1300-1400, 1500-1600,1800-1900,2000-2100 @ noc if awake between 2400-0100 and 0300-0500. This is just what we do for you to use as ideas.