NURS 4220: Leadership Competencies in Nursing and Healthcare
Week 5 pract post

Falls in the emergency room are a severe safety issue with patients. As a result, the goal of this project is to improve patient safety by identifying and decreasing the key causes of falls in the emergency room, as well as implementing customized preventive techniques. The FADE model will be utilized to guarantee that the deployed interventions are effective and evidence-based in order to attain this goal. There is a need for implementing 90% of the quality in the emergency department, to reduce falls, a systematic approach is required, which includes allocating resources to monitor, analyze, and implement successful solutions (Wagner, 2011).

The intervention implementation strategy will begin with the intervention that requires training and resource assistance. When a nurse does their initial assessment in the room, the nurse will go over the fall risk algorithm that displays in the EMR. Once the patient is recognized as a fall risk the nurse will place a “fall risk” arm band and educate the patient and family about being a fall risk by going over the fall poster on the wall. If the patient is identified as a major fall risk the bed alarm will be turned on. Finally, the nurse will communicate all of this to the CNA that is assisting so that they are aware of the patient in the room being a fall risk.

The use of the quality improvement process and referred to as the way for overcoming the associated problem is an important part of the plan to improve the quality and reduce falls. It is necessary to have a direct understanding for overcoming the problems and make sure that a good kind of quality will be implemented helping to reduce falls and should improve based on this plan (Rask, 2007).

References

Wagner, L. M., Dionne, J. C., Zive, J. R., & Rochon, P. A. (2011). Fall risk care processes in nursing home facilities. Journal of the American Medical Directors Association, 12(6), 426-430.

Rask, K., Parmelee, P. A., Taylor, J. A., Green, D., Brown, H., Hawley, J., … & Ouslander, J. G. (2007). Implementation and Evaluation of a Nursing Home Fall Management Program: (See editorial comments by Drs. Magaziner, Miller, and Resnick on pp 464–466.). Journal of the American Geriatrics Society, 55(3), 342-349.