Page 64 Complete Your CE Test Online - Click Here Fall prevention strategies are not a “one size fits all” proposition. Such strategies must be individualized to the patients. For example, it may be assumed that a strong, young, and generally healthy patient hospitalized for a bacterial infection is not in much danger of falling. Never assume. This patient needs to be assessed for fall risk and appropriate strategies need to implemented accordingly. This patient may be taking medication that alters cognition and/or balance. Nurses play a major role in fall prevention. However, they do not act in isolation. All employees, regardless of profession or role, must receive appropriate education regarding fall prevention. A culture of safety is the responsibility of everyone who works within a given organization. References Š Š Agency for Healthcare Research and Quality (AHRQ). (2013a). Preventing falls in hospitals. Retrieved from Š Š Agency for Healthcare Research and Quality (AHRQ). (2013b). Preventing falls in hospitals. Retrieved from Š Š Agency for Healthcare Research and Quality (AHRQ). (2013c). Preventing falls in hospitals. Retrieved from Š Š Agency for Healthcare Research and Quality (AHRQ). (2013d). Preventing falls in hospitals. Retrieved from Š Š Avillion, A. E. (2015). Nursing professional development: A practical guide for evidence–based education. Danvers, MASS: HCPro. Š Š Centers for Disease Control and Prevention (CDC) (no date given). Algorithm for fall risk assessment & interventions. Retrieved from Š Š Centers for Disease Control and Prevention (CDC). (2016). Retrieved from homeandrecreationalsafety/falls/fallcost.html. Š Š Centers for Disease Control and Prevention (CDC). (2017). Important facts about falls. Retrieved from Š Š Chu, R. (2017). Preventing inpatient falls: The nurse’s pivotal role. Nursing 2017, 47(3), 25-31. Š Š Gamble, M. (2013). 5 traits of high reliability organizations: How to hardwire each in your organization. Retrieved from administration/5-traits-of-high-reliability-organizations-how-to-hardwire-each-in-your-organization. html. Š Š Heung, M., Adamowski, T., Segal, J.H. and Malani, P.N. (2010) A successful approach to fall prevention in an outpatient hemodialysis center. Clinical Journal of the American Society of Nephrology, 5, 1775-1779. Š Š The Joint Commission. (2015). Sentinel Alert, Issue 55, September 28, 2015. Retrieved from http:// Š Š Minnesota Falls Prevention Initiative. (no date given). Risk factor assessment tools. http://www. Š Š Quigley, P. A., & White, S. V. (2013). Hospital-based fall program measurement and improvement in high reliability organizations. Retrieved from ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-18-2013/No2-May-2013/Fall-Program- Measurement.html?css=print. Š Š Stokowski, L. (2014). Time to battle alarm fatigue. Retrieved from viewarticle/820738. Š Š World Health Organization (WHO). (2016). Falls. Retrieved from factsheets/fs344/en/. FALLS: ASSESSMENT AND PREVENTION Self-Evaluation Exercises Select the best answer for each question and check your answers at the bottom of the page. You do not need to submit this self-evaluation exercise with your participant sheet. 1. Falls are a significant health problem globally, with research showing that: a. Most falls occur in high-income countries. b. 420,000 fatal falls occur every year. c. The highest fall morbidity occurs in people between the ages of 30 and 50. d. Falls are seldom severe enough to require medical attention. 2. Which of the following statements pertaining to falls in hospitals in the United States is accurate? a. To meet the definition of a patient fall, injury must occur. b. Less than 50,000 patients are hospitalized annually because of a fall. c. Falls are the most common cause of traumatic brain injury. d. In the United States, falls are not reported as sentinel events. 3. A staff nurse has attended a class on fall prevention. Which of the following statements shows that the nurse needs more education? a. The Centers for Medicare and Medicaid will reimburse hospitals for fall related costs. b. One out of 5 falls leads to a serious injury. c. Fear is another cost of falling. d. Direct medical costs for fall injuries are about $2 billion dollars annually. 4. When teaching a group of newly licensed nurses about fall risk factors, the educator explains that: a. Age is becoming less and less of a risk factor for falling. b. Research shows that females suffer the highest rate of fatal falls. c. Occupation has not been linked to fall risk. d. Poverty and young maternal age have been linked to an increased risk for falls. 5. All of the following have been linked to an increased risk for falling, EXCEPT: a. Lower extremity weakness. b. Vitamin C deficiency. c. Foot pain. d. Alcohol use. 6. When identifying fall risk nurses must know that: a. Most falls are due to a single risk factor. b. There is equal gender risk for falling throughout the world. c. Older women and younger children are more prone to increased severity of injury from falls. d. Home assessment is not the concern of inpatient staff. 7. A gait and balance assessment tool that consists of a 14-item scale used to measure adult’s balance in a clinical setting is the: a. Berg Balance Scale. b. Dynamic Gait Index. c. Timed Up and Go. d. Tinetti Performance Oriented Mobility Assessment. 8. Which of the following issues must be considered during fall risk assessment? a. Fear of falling. b. Cognition. c. Depression. d. All of the above. 9. The Agency for Healthcare Research and Quality recommends that when putting a new fall prevention program into action: a. There should be a process for putting new practices into global operation. b. A system for pilot testing the program should be developed. c. Measuring fall rates is not part of the fall prevention program. d. Education and training should be provided for clinical staff only. 10. Which of the following statements regarding general fall prevention strategies is accurate? a. Using color-coded identification bracelets violates confidentiality. b. Alarm fatigue should be addressed when developing the fall prevention program. c. Rounds should be performed at least every two hours. d. Posting fall risk signs should be avoided. Answers: 1.B 2.C 3.A 4.D 5.B 6.C 7.A 8.D 9.B 10.B