Join the Falls Prevention Virtual Learning Collaborative Name of Organization: Name of Speaker : Sesan and Daisy

The Centre is located in West-Central Toronto and was founded by a group of dedicated medical doctors more than 30 years ago. Elm Grove has 126 residents (complex care, mental health) Elm Grove's medical services are provided by three physicians who visit Elm Grove weekly (Tuesday, Wednesday and Friday). Elm Grove has a full time Social Worker on staff. Dietitian visits the home 3x/week. Physiotherapy Aide 5x/week. Physiotherapist 3x/week. Occupational Therapist at least every 2 weeks and prn. Other services: foot care nurse, pastoral counseling and specialist consultants in psycho-geriatrics.

Team MemberRole Sesan SebhatleabRPN, Project Leader Sue ChatthaRN, DOC Daisy RobinsonRN, BN, ADOC Robyn LawProgram Director Jeff HodgartPhysiotherapist Iris WilksRPN Jasso JagessarRPN

AIMS: Reduce incidence of falls by 20% per month Annual reduction of falls by 40%

CHANGE IDEAS: Alignment of Falls Assessment and Tinetti & Gait Balance Score to establish and define TRUE High Risk Residents. Utilization of Risk Management from Point Click Care for Root Cause Analysis of falls. Falls Prevention as a part of Shift to Shift Report. Unit debriefing/meeting post fall with falls collaborative team involvement. PSW “Special Assignment” with focus on Exercise Program

Lessons Learned/Key Insights Commitment from interdisciplinary team is important in keeping our Residents safe and improving quality of life. Myth: Falls Prevention is a Nursing responsibility. Truth: Falls Prevention is Everyone’s responsibility. Regular communication and reminders helped to increase awareness and focus staffs’ attention on prevention. Falls can be prevented if proper interventions and resources are in place. Seek feedback from front line staff re: effective interventions

Key Sustainability Steps/Plan:Target Dates Post Fall Analysis (unit base) by Charge Nurses and staff on duty. Everyone is accountable. Ongoing Replacement of Call Bell Cord. Will allow for call bell to be clipped to Residents’ clothing April 2011 Risk Management Tool be utilized by interdisciplinary teamOngoing Unit Exercise Programs by PSW Special Assignment is effective in getting our Residents moving and active. Ongoing Restorative Care Program Implementation2011 Replacement of Old Bed i.e. set to certain height, full bed rails, etc. New Beds adjustable height and ½ rails April 2011 Falls risk assessment and Tinetti on all New Admissions. Assessments to be completed when there is significant change in status. Ongoing

Key Sustainability Steps/Plan (continuation) :Target Dates High Risk Residents = staff to complete Falls Prevention and Strategies Kardex (posted Resident’s room) and update regularly Ongoing Dietitian to evaluate nutritional status of moderate to high risk residents (blood work: albumin level, etc.) Ongoing Occupational therapist referral for equipment /mobility aide assessment Ongoing Pharmacy = medication analysis for side effects i.e. antidepressant, psychotropic and etc. Ongoing Physicians = Medication ReviewOngoing

Name: Sesan Sebhatleab Phone Number: Contact Information