Fall Investigation Methodology

We then look at the errors of hazards that occurred in the Mr. B scenario.  Though we can say understaffing may have contributed to Mr. B’s demise, we cannot blame understaffing. This scenario is regrettably connected to inattentive nursing practice. It is clear that respiratory therapist was in the building and

I read the unit policy about emergency situations, accidents and incidents like fall. I also asked my preceptor about the forms that needs to be filled out when there are accidents and incidents like fall. When there is an incident of fall in the unit, the staff needs to act promptly to check the resident’s condition e.g. neurological vital signs, injuries sustained, any fractures, dislocations etc. The staff also needs to treat the resident’s wound if he sustained any injury from the fall. In addition, the staff should inform the resident’s family and fill out an incident/accident form and document it on the progress notes.

There was additional backup staff present (including a respiratory therapist) that could have been called upon for help, yet they never were. The charge nurse or nurse supervisor could have stepped in at this point to provide additional help. A lack of present nursing staff and support can lead to unfavorable patient outcomes, as is the case with Mr. B. Additionally, the staff on duty could have lacked training regarding protocols or their training could have been out of date.

The staff could also have done something different so as not to have to use restraints on the patient. A sitter could possible have been

During hospitalizations, falls are amongst the highest preventable consistent adverse events. Preventing such undesirable events, enhances patient overall experience, as well as increased trust in the health care professional team (Fragata, 2011). The importance of fall prevention lies with the many serious unfavorable health outcomes it can pose on the patient. Falls have the potential increase length of hospital stay, limit mobility, independence, but can ultimately lead to health deterioration, including death. Worldwide, falls are the second leading cause of accidental death. In addition to the life-threatening health and safety risks falls have to the patient, it also as a financial impact,

Who was cleopatra the seventh? Cleopatra the seventh was the was the last Queen of Egypt. Cleopatra was born 69 b.c and died at year August 12, 30 b.c when she was 39 years old, Cleopatra died at Alexandria. Cleopatra's death effectively the war between Octavian and Mark Antony, probably your asking yourselves, Who is Mark Antony? Mark Antony was Cleopatra’s husband that always support Cleopatra.When Cleopatra, received word that Rome had declared war. Antony threw his support to egypt.

records for allegedly failing to provide appropriate care to the patient, after he fell in his room

Intervening falls can reduce the financial burdens attributed to patient falls in hospitals and other healthcare settings are among the most serious risk management issues facing the healthcare industry.

A fall is a lethal event that results from an amalgamation of both intrinsic and extrinsic factors which predispose an elderly person to the incident (Naqvi et al 2009). The frequency of hospital admission due to falls for older people in Australia, Canada, UK and Northern Ireland range from 1.6 to 3.0 per 10 000 population (WHO 2012). The prevalence of senior citizen’s falls in acute care settings varies widely and the danger of falling rises with escalating age or frailty. Falls of hospitalized older adults are one of the major patient safety issues in terms of morbidity, mortality, and decreased socialization

As the United States population is advancing in age, the amount of patient falls and medical costs are estimated to increase. Approximately 700,000 patients fall per year in the hospital, which one-third of those falls could have been prevented (AHRQ, 2012). Prolonged hospital stays related to fall injuries is very costly. In 2013, a total of $34 billion dollars was paid due to falls by patients and insurance companies (CDC, 2015). Examples of injuries that can occur as a result of falls are fractures, lacerations, or internal bleeding (AHRQ, 2012). Studies also show

If patient safety is the most important issue in Health Care facilities then how come hospital inpatient falls continue to be the most reported of all accidental falls (Tzeng & Yin, 2009)? Throughout the years, hospitals continue to make changes to decrease the risk of accidents and increase the quality of patient safety. With research studies and improvements made, patient falls still hold the largest portion of reported incidents in hospitals (Tzeng, & Yin, 2008). According to Tzeng & Yin (2008), “fall prevention programs apparently do not effectively reduce inpatient fall rates because of human factors and ergonomics in a hospital environment (p.179, para. 2). The two studies reviewed in this paper were performed with the hopes of

During the home health observation day, there were several opportunities to observe a variety of patients with varying levels of functioning ability, different illnesses, and different needs and levels of interaction with the nurse. The first patient seen was a seventy-three year old Caucasian female with an ulcer on her right heel. Several weeks prior, she had scratched her left leg and she also had several small wounds on her left leg. The orders were to clean and redress the ulcer. She has a history of end stage renal disease, pneumonia, weakness, diabetes, dialysis, and right hip fracture. Upon entering the home, the patient was found to be sitting in a wheel chair in the living room watching television with her husband close by her side. She greeted the nurse with a smile and began to update her on her current condition. Her heel was “hurting” and she rated her pain an 8 on a scale of 1 to 10. She also had some “swelling” that she could not “get to go away; because, she could not get up and walk. They need to fix my foot so that I can get up and get around.” She told the nurse that she had been to see the doctor “yesterday” and the doctor had given her a written order that she wanted her to see. The order was written for an evaluation for a soft pressure shoe fitting. The nurse read the order to

The Posters that were used during World War II targeted women, Mechanics, and Hard working men. They targeted different types of people in order to get these people join and fight for America. By targeting these people it helped because these people to join in the fight. It targeting men who worked in factories, women who were nurses and doctors, and young mechanics who knew the inside and outside of cars. Because they targeted a specific audience it caused many more people to join the air force, army, and the air force. This was a way for the government to get more troops and more doctors.

Problem: Patient falls have long been a common and serious problem in hospitals across the nation, causing

Let children be children, is not only a popular phrase heard in education, but it is also my motto. Yes, it is true, today’s children are tomorrow’s future; but how we choose to raise our children determines the outcome of our future. Many believe academics should be stressed more in schools, taking away from children’s playtime. I feel that play is what molds a child. Play allows not only a child’s imagination to run freely, but builds and strengthens children’s motor, language, cognitive, and social emotional development skills. I believe that play; along with parental involvement forms a child’s identity. Play is what makes children: tomorrow’s future.