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

2. 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.

3. Sesan Sebhatleab RPN, Project Leader Sue Chattha RN, DOC
Team Member
Role
Sesan Sebhatleab
RPN, Project Leader
Sue Chattha
RN, DOC
Daisy Robinson
RN, BN, ADOC
Robyn Law
Program Director
Jeff Hodgart
Physiotherapist
Iris Wilks
RPN
Jasso Jagessar

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

5. Falls Prevention as a part of Shift to Shift Report.
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

9. Myth: Falls Prevention is a Nursing responsibility.
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

10. 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 team
Unit Exercise Programs by PSW Special Assignment is effective in getting our Residents moving and active.
Restorative Care Program Implementation
2011
Replacement of Old Bed i.e. set to certain height, full bed rails, etc. New Beds adjustable height and ½ rails
Falls risk assessment and Tinetti on all New Admissions. Assessments to be completed when there is significant change in status.

11. 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.)
Occupational therapist referral for equipment /mobility aide assessment
Pharmacy = medication analysis for side effects i.e. antidepressant, psychotropic and etc.
Physicians = Medication Review

12. Contact Information
Name:  Sesan Sebhatleab 
Phone Number: