Preview

Implementation Plan In Nursing

Powerful Essays
Open Document
Open Document
1291 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Implementation Plan In Nursing
Developing Implementation Plan
According to Hill and Wee, 2012. Fall in the hospital among adult patients is a big problem for the health care sector, especially the nursing profession. Cognitive impairment, medically –induced immobility, past medical fall history, weak muscle and certain group of medications like psychotropic/benzodiazepines, are some factors that have been noted to be responsible for elderly patients vulnerability to falls. Educating the patients at risk for falls, lowering/stopping the use of the psychotropic medications, close observation and bed-alarm use are some of the strategies that will enhance the reduction of falls among this population. (Hill & Wee, 2012).This paper will address the implementation program for adults
…show more content…
The authors in this article suggests that the use of psychotropic drugs increases the chances of patients being prone to falls. This study concludes that the reduction of these medications will reduce the incidence of falls. Describing Implementation Logistics.
It is the duty is the duty of the hospital staff to implement the fall intervention measures for the adult population. The staff has to take part in the implementation plan in order to promote efficiency. The purpose of this exercise is to promote their participation as well as making the implementation process clear to them.
It will start from the CEO who will inspect the implementation action, and also elect an officer to help with the management of the implementation process for two years. The progress of the implementation action will be given reported to the CEO in a weekly basics, inspiring other staff members while clarifying vision and goals of the present plan in dealing with falls in the
…show more content…
She will be responsible for carrying out research to arrive at the best work practices in the implementation of all programs. The CNO will as well establish a framework under which the current safety measures will be implemented and also reporting to the CEO. The CNO will also be responsible for conveying information to the other important colleagues of the implementation process.
Thirdly, the Director of the Pharmacy (DP) will be involved in the process as well. The goal of engaging the DP is to report the inventory of elderly patients being treated with the psychotropic drugs that put the elderly patients at risk for falls. The DP in turn will give a recommendation to the CNO on any drug that will substitute with the psychotropic medications. It will now be the duty of the nurse to monitor the patients on the hazards. Additionally, the nurse will be checking for the following
• Checking for the improvement as well as well documenting any change in the situation of health of the involved patient.
• Noting down the efficacy of the care and preventive services.
• Undertaking important duties in care plan.
• Educating the elderly patients on fall

You May Also Find These Documents Helpful

  • Good Essays

    Fall Prevention

    • 1301 Words
    • 6 Pages

    The fall prevention program include fall screening tool, medication regimen, bedside hand off communication, hourly rounding as well as rounding during shift change, continuous observing to the patient who has fall within 12 months, providing education material to staffs, patients, and families to learn about how to prevent falls (Trepanier & Hilsenbeck, 2014). There is no evidence that one intervention would be most effective to prevent fall injury, multiple fall prevention intervention would be the best way to decrease falls and keeping patient safe from harm. The study has shown based on evidence practice that use of standardized fall prevention program decreases the fall injuries rate of 37.5% in first year and 33 % comparing to the second year; however, the limitation of study made difficult to generalize findings such as unable to find which intervention was most effective to prevent…

    • 1301 Words
    • 6 Pages
    Good Essays
  • Better Essays

    | |well as patient. Ensure bands are applied to identify persons|nursing leadership | |train staff on new process…

    • 1770 Words
    • 8 Pages
    Better Essays
  • Good Essays

    Kruschke and Butcher (2017) research supports “The purpose of the current fall prevention evidence-based practice guideline is to describe important strategies that will identify individuals at risk for falls, especially those 65 and older” (p. 16). A risk assessment tool is commonly used throughout hospitals to assess clients to determine if they are a fall risk. This screens the client based on several difference factors such as their age, fall history, medications, mobility, and several others. Another tool is the use of the 10-step protocol to screen the client. “The use of the 10-step protocol provides the tools needed to screen and/or assess for falls, screen for gait and balance, and develop an individualized fall intervention program intended to reduce falls in the aging population” (Kruschke & Butcher, 2017, p. 21). All fall prevention tools may assess the client differently but have the same goal in mind: maintaining safety and preventing the client from falling and injuring themselves. Along with assessment tools, there are other preventive measures that can be done. Yellow is standard throughout hospitals for high fall risk. A yellow arm band, yellow socks, and yellow gowns can indicate that the client is a high fall risk. Bed alarms are also used to alarm the nurses that the client is trying to get up out of bed. Educating the client to ring the call light and waiting on help before getting up is also a preventive measure. Goodwin et al. (2014) noted that multifactorial interventions, where each client’s interventions are tailored to their needs, have shown to reduce the rate of falls (p. 2). This means that one client may just have yellow socks and yellow arm band on to let staff know the client is a high fall risk and another client may have the arm band and socks on but also the bed alarm must be…

    • 1156 Words
    • 5 Pages
    Good Essays
  • Satisfactory Essays

    Data will be obtained from human resources/risk management regarding the number of patient falls, and number of staff injuries, adjusted for census, that were due to patient transfers. This includes information from incident reports and industrial injuries reports. A reduction in both the number of injuries and days offs as a result of those injuries, as well a reduction in the number of patient falls during transfers would be expected in a successful program. “The best measure of falls is one that can be compared over time within a hospital unit to see if care is improving. Sometimes staff would like to simply track the number of falls that occur every…

    • 743 Words
    • 3 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Patient Falls

    • 295 Words
    • 2 Pages

    This research involves the participation of patients who fell during hospitalization, the patients’ families, and health care workers who witnessed such incidents. The researchers looked into the patients’ health records, which included any history of adverse events, and they assured all participants that personal information given by them remained private and confidential to avoid ethical issues, like revealing private information and causing harm to the participant. For the study, review board approval from the hospital was obtained. To collect data, all patients, their families, nurses and witnesses of patients falling gave their written informed consent first before voluntarily giving information during their interviews. This study has been done so that new ideas can be brought up to lower the rate of falls occurring and thus improve the quality of the lives of patients. A benefit that researchers did not identify is that the results of the study relieve not only the patients but also the patients’ families and health care workers. The participants contributed to the ongoing medical research and helped make a difference for the present and the future. However, this study may have required the participants to stay at the research location for long hours and endure difficult, time-consuming procedures, a risk not mentioned by the…

    • 295 Words
    • 2 Pages
    Satisfactory Essays
  • Better Essays

    Fall Prevention Case Study

    • 3462 Words
    • 14 Pages

    Falls in the hospital are the major cause for the morbidity and the mortality in the elderly population. Falls among the elderly is increasigly being recognised and it is a major concern for the developed as well as the developing country. The purpose of this paper is to descibe the epidemiology of fall in the elderly in the hospital , incluidng the charateristics, circumstances and fall related related injuries. The focus of this program is to support the staff in identifying the system issues which gives rise to the error and the near miss situation. A quality improvement initiative was conducted to determine the effectiveness of a fall prevention program using education and a fall prevention kit…

    • 3462 Words
    • 14 Pages
    Better Essays
  • Good Essays

    Take with food. Don’t take with other NSAIDs. Monitor liver & renal function, electrolytes, bleding time, CBC, serum drug levels if using long-term.…

    • 2421 Words
    • 10 Pages
    Good Essays
  • Better Essays

    Executive Summary 2

    • 1178 Words
    • 4 Pages

    Falls are not only limited to hospital settings but home settings as well and according to the Center for Disease Prevention (CDC) in 2010 fall injuries for adults aged 75 and older per 1,000 individuals were 43 (2012). Research conducted globally has not shown a reduction in inpatient falls and the falls amongst patients still pose a great threat to patients. A program designed to eliminate or reduce falls can help patients across the world. There are numerous reasons that contribute to falls such as medications, weakness, disorientation, and environmental factors. The main key in preventing falls is education and appropriate interventions based on the individual patient needs. Designing a inpatient fall program as well as an outpatient home fall program can reduce falls both inpatient and outpatient. The program will target individuals 65 and older who have a history of falls, patients who have diagnosis of dementia, and those who may be experiencing muscle weakness that places them at a…

    • 1178 Words
    • 4 Pages
    Better Essays
  • Best Essays

    Shever, L.L., Titler, M.G., Mackin, M.L., Kueny, A. (2011). Fall prevention practices in adult medical-surgical nursing units…

    • 4717 Words
    • 19 Pages
    Best Essays
  • Good Essays

    The purpose of this case study is to evaluate my current place of employment for the causes of falls within the dementia/psychiatric unit, as they relate to medication usage, medical conditions of the patients, and staff to patient ratio, and to develop new ways to preventing falls. As a nursing leader in a management role, I will also incorporate ethics, staff motivation, team building collective bargaining partnership and performance management to work with my staff to reduce the incidence of falls.…

    • 2099 Words
    • 9 Pages
    Good Essays
  • Powerful Essays

    Patient Falls

    • 994 Words
    • 4 Pages

    Patient falls are an increasing concern within the healthcare system and contribute to costly treatments and lengthy hospital stays. The purpose of this article is to examine how nursing education impacts patient falls centered on evidenced-based research. Overall, evidence supports that nursing education can have effectively decrease falls among patients in hospitals and nursing homes.…

    • 994 Words
    • 4 Pages
    Powerful Essays
  • Better Essays

    Hourly Rounding

    • 1231 Words
    • 5 Pages

    The first step to implementing this change is to gather baseline data on falls, hospital acquired decubiti and call light statistics. Falls and decubiti information may be acquired from…

    • 1231 Words
    • 5 Pages
    Better Essays
  • Better Essays

    Hourly Rounding

    • 3382 Words
    • 14 Pages

    Patient falls are one of the most frequently reported adverse events in the Emergency Department (ED), and can lead to serious injuries, such as head injuries or fractures, or can result in death. Falls can lead to an increased length of stay for the patient, increased utilization of resources, cost for the hospital and patient, chance of falling again, and chance of unplanned discharge to a rehabilitation facility or nursing home, as well as a poor quality of life. York Hospital considers all falls to be preventable, yet the number of falls in the…

    • 3382 Words
    • 14 Pages
    Better Essays
  • Powerful Essays

    Str 581 Week 5

    • 1636 Words
    • 7 Pages

    Developing a solid Implementation Plan involves outlining short-term objectives, functional tactics, action items, milestones and deadlines, tasks and task ownership, and resource allocation. The short-term objectives for Summarize It! include:…

    • 1636 Words
    • 7 Pages
    Powerful Essays
  • Powerful Essays

    After allocation, the fall rehabilitation team would then notify the intervention group through letters. This to inform that their local falls prevention team would approach the participants for the rehabilitation programme. While the participants from control group were informed by the researchers through letters, that there will be no additional study intervention after the recruitment. In addition, they were being advised to use only the existing medical and social services instead.…

    • 2255 Words
    • 10 Pages
    Powerful Essays