1. By: Ashley Hazelwood

2. Site  University Medical Center (UMC)  Lebanon, TN  Small community hospital

3. Assigned Units  Assigned to two units:  Orthopedics  One East  Orthopedics:  Examples: Total knee replacement, Total hip replacement, Shoulder scopes  One East:  Post Surgical Unit

4. Role of Nurse Manager  Fredia Fisher: Director of orthopedics and one east  Seventeen years at UMC  Budget  Payroll  Staffing and schedules  Evaluations  Attending meetings  Advocate  Rounds  Delegate to clinical coordinators

5. Role of Preceptor: Clinical Coordinators  Jan Parker: Clinical Coordinator of orthopedics  Janice Nichols: Clinical Coordinator of one east  Assists Fredia  Advocates  Assists nurses  Rounds  Attends various meetings  Various committees

6. Role of Preceptor: Charge Nurses  Lorrenda Daniels: Charge for one east  Annette Scruggs: Charge of orthopedics  Assigns patients to nurses  Assigns rooms to patients  Were the only registered nurses  Performed tasks for licensed practical nurses  Delegates tasks  Care to assigned patients

7. Leadership Project  Fall precautions sign to post on door  Safety checklist on sign  Bed low position, wheels locked  Alarms on  Call light and personal items in reach  Area clear of clutter  Proper footwear available  Toileting offered

8. Objectives for Project Decrease falls among patients Improve compliance of safety assessment Increase placement of fall precaution sign Educate unlicensed employees on safety checklist Involve everyone in performing safety checklist

9. Most Unique Aspect: Fall Project  Attending fall meeting  Learning issues with fall program  Brainstorming ideas  Working with chief of nursing  Making changes to the policy  Working with Fredia, Jan, and Janice  Receiving insight from nurses and other employees  What they thought would help

10. Most Unique Aspect: My Nurse Manager  Seeing a different side of nursing  Excellent leadership skills  Excellent advocacy  Go to person for many employees  Seventeen years of experience

11. Strengths  Fall Program  Fall Team  Policy  Bracelets  Hourly rounds  Sticker on chart

12. Areas for Improvement for Fall Program  Placement of patients  More detailed post fall assessment  Fall risk criteria  Charting  Need for more patient care technicians  Educate other employees

13. Strengths of UMC  Strive to make a better facility  Strive for satisfaction:  Employee  Physician  Patient  WOW and Caught in the Act Program

14. Recommendations for Improvement: UMC  Isolation precautions  Reduce communication barriers  Medication administration  More Registered nurses

15. PICO Question Among the elderly population does the use of bed alarms reduce the risk of falls compared to lack of alarms.