Falls Facilitated Learning Series Rapid Fire Team Presentation Template Name of Presenter: Cathy-Jo Doyle

Falls Facilitated Learning Series Who We Are Home Care YHSSA Yellowknife, Dettah and N’Dilo Home and Community Numbers Vary, approx 550/year Young to Elderly Services Provided: Wound Care, Ostomy Care, IV, Chronic Conditions, Acute Conditions, Palliative, Foot Care Service Providers: Nursing Home Support Dietary OT/PT Social Work Resident Care Coordinator

Falls Facilitated Learning Series AIM To incorporate the use of a falls prevention model; BEEEACH for high risk clients To Apply BEEEACH strategies for high risk clients through the use of individual care plans 100% of clients with documented falls will have a prevention and or injury reduction plan

Falls Facilitated Learning Series Team Members Team MemberRole Cathy-Jo DoyleCo-Team Leader, HSW Supervisor Karin BucherCo-Team Leader, RN,BN Lori OakeRCC, Intake Coordinator Linsey DoucetteOT Tanya GillardDietician

Falls Facilitated Learning Series Review Falls Change Ideas tested to date in your organization Changes Implemented within Organization Working/Not WorkingFacilitators/Barriers identified 1: OT created risk factor worksheet for all staff to use for high risk/post fall clients In review process 3 drafts B: ID simple language for assessment tool F: simple/usable for all staff 2:Process of reporting, documenting falls to OT Working: all staff aware to report falls on OT board F: simple/usable direction for all staff in Home Care 3:Application of snowflake ID to charts for all high risk/fall clients WorkingF: easy to ID high risk clients, increased awareness that those clients are high risk 4: Morse Falls Scale on all admissions WorkingB:not usable for child/infant

Falls Facilitated Learning Series Use BEEEACH falls prevention model on all high risk clients and clients with documented falls Refer to appropriate disciplines for assessment Implement care plans using BEEEACH strategies Audit charts monthly to ensure 100% high risk clients have documented care plan for falls prevention Link to other programs: Elders in Motion, Remember When Constantly Review process, Work with the Team, Staff and Clients for continuous feedback Measures

Falls Facilitated Learning Series Lessons Learned on Sustaining Falls Improvement Work during Action Period Need to make our Falls Team a priority (too easy to do other work, causing us to fall behind) Maintain the time and commitment we agreed towards the Fall Team, maintain weekly meetings Use of the Morse Falls Scale is being used on all admissions with 100%, key tool for our Home Care criteria

Falls Facilitated Learning Series B: New Program, started from scratch Staff turnover Multidisciplinary Team with use of different language, terms F: Good Team, productive when we meet Use of PDSA’s helped us with planning, moving forward **Use BEECH tool for Care Planning** **Continue to use PDSA worksheets** Challenges to Sustaining Falls Improvement

Falls Facilitated Learning Series 6 Month Post FFLS Sustainability Plans for Falls Improvement Work Goal Description Action Timeframe Person Responsible Metrics Care Plans in all high risk clients charts Trial BEECH toolDec. 2012Falls Team Maintain monthly stats Chart Audits All Home Staff to utilize BEECH tool and falls reporting form Monthly in- services Handouts with BEECH protocol Dec. 2012Falls TeamKeep staff lists on who attended in-services OT to maintain stats on falls

Falls Facilitated Learning Series Contact Information Name: Cathy-Jo Doyle, HSW Supervisor Karin Bucher RN, BN Phone Number: