What are your procedures for patients who fall frequently? (Or any patient falls, for that matter). We spend A LOT of administrative time dealing with those frequent fall patients, particularly those in nursing homes.
We complete an electronic occurrence report from which we then generate a paper occurrence report for signatures. The RN must gather the obvious data--date and time of fall and what exactly happened. He/she must also document what interventions were taken to decrease the risk of falling again. A Fall Assessment is done in the electronic record. He/she must also document the full name of the individual reporting the fall, the full name and title of the person they discussed the interventions with, the full name of the family/POA they notified and certainly the date and time the physician was notified as well.
Any data incomplete results in the occurrence report being returned for completion. Sometimes we learn of the fall days to weeks after it occurred if the facility did not notify us in a timely manner. Regardless, all the data must be obtained. Obtaining full name and titles of individuals in the facilities is a huge difficulty here; tracking down workers in the nursing home or personal care home can be quite time-consuming.
Also, when you have a patient who falls frequently and you've put in a low bed, perimeter (or 'scoop' mattress), fall mats, bed alarm, recommended q1h rounding (um, yeah), gotten a PT eval .... what ELSE do you do? Our organization insists on finding more interventions and yet it seems we've exhausted our possibilities.
What does your organization do in these cases? Thanks!