1. Join the Falls Prevention Virtual Learning Collaborative Falls Virtual Learning Session # 4 & Closing Congress Team Rapid Fire Presentation Template Name of Organization: Capital Health Name of Speaker: Suzanne Hennessey

2. Location of Facility We operate hospitals, health centres and community-based programs throughout Halifax Regional Municipality and the western part of Hants County. Number and type of Patients/Residents/Clients: 1313 inpatient beds. We provide medical and surgical care, mental health care, community health programs, addiction prevention and treatment, and environmental health services. Who We Are

3. Team Members Team MemberRole Lorraine RobertsonProfessional Practice Leader, Health Services Manager Clinical Nurse Educators Suzanne HennesseyClinical Nurse Educator

4. AIM From your Team Charter Reduce incidence of falls (fall rate) by 25% from baseline by March 2011 Reduce injury from falls by 25% from baseline by March 2011

5. Change Ideas List Changes you have tested during Falls VLC PDSA Cycles: Adding the Morse Falls Risk Assessment tool to admission packages Reminder notices to staff to document interventions on kardex

6. Measures At the beginning of the collaborative we were just introducing the Morse Falls Tool so our baseline for documented falls assessment was 0. Since initiating the tool the data has shown a 97%/98% compliance rate with completing the tools.

7. Lessons Learned List any “key” advice or insights you would like to share with other teams? Lessons Learned/Key Insights Place the tool in the admission packs to increase compliance There is decreased compliance with reassessing patients after a fall or with a change in status Need to find a better way to capture patients transferred from ICU When there is high turnover of patients or a lot of changes in condition -the lower the compliance with competing and reassessing patient risk

8. What are some things you will do to sustain the work on reducing falls and injury from falls and by what date? Next Steps Key Sustainability Steps/Plan:Target Dates Continue to reinforce the importance of fall risk and share the information on falls risk – how are we doing during unit education days April/May 2011 Involve staff in doing chart audits to see if the tool is completed and updated as necessary, and if interventions are part of the care plan Ongoing

9. Name: Lorraine Robertson Email: Lorraine.Robertson@cdha.nshealth.ca Phone Number: (902) 473-7875 Contact Information