Definitions Falls Unexpected falling down from high position to lower position with or without injury due to physical or mental effect. Near Falls Sudden Loss of balance with incomplete fall which include slips and stumbles .
Most causing to Falls Individual Loss of consciousness Orthopedic disorders Hypoglycemia Anemia Hypotension Drugs actions Post Operative (Sedation) Aging and sleeping habits Paralysis CVA
Environmental Unsafe higher position Beds side rails Unlocked wheel chair & bed Water in the Floor Wire connection Steps Walker Interfering clothes
Patient Fall Injury Level None :- No Injury Miner- Minor Injury with abrasion treated by dressing, limb elevation, topical medication Moderate – injury lead to suturing treated by bandage, muscle or joint strain Major – Which leads for casting, skin, traction and surgery, may need neurological Death – The patient died as a result of serious injury
Policy All in patients will be assessed for the risk of fall up on admission Reassessment the following conditions Post operative Procedure sedation Offer administer medication Transferring patients between two units Offer recording incident of fall Humpty dumpty scale for pediatrics All falls patients should be classified according to level of injury
High risk of falling age >55 Medium risk of falling >30 to 55 Low risk of falling >0 to 25
Post fall Protocol of Care First aid Ensure that patient is safe from further danger. Ask help. Don’t reposition the patient, until the patient is ready to do so. Move the patient safely with attention to move and handling. Complete the post fall assessment form. Reporting Patient and family education.