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The implications of local anesthetic volume in adductor canal blockade: An integrative review
(2018-05-17)
Introduction: Maintaining patient safety is of utmost concern for anesthesia providers. The adductor canal block, a peripheral nerve block identified as a motor-sparing sensory block, may decrease fall risk and associated ...
Purposeful rounding for fall prevention in the nursing home setting
Falls among nursing home residents is a frequent and recurring issue. Falls are major cause of injuries, hospitalizations, and death among nursing home population, as well as increased healthcare cost. The purpose of this ...
The utilization of an alarm elimination fall prevention program
(2017-02-23)
A typical nursing home with 100 beds reports 100-200 falls each year (CDC, 2015). It is common to see the utilization of personal alarms in nursing homes to prevent falls, although there is no evidence to support the idea that personal alarms reduce falls. The project aimed to address the question: In long-term care patients, what is the impact of an alarm elimination program versus current practice of utilizing alarms, on fall rates over a 2-month time frame? The project used a multi-pronged, alarm elimination program. Limitations of the project were an overall low compliance rate among staff, a short time frame, and isolation to a single facility. The results of the project found that no statistical significance was determined in the decrease in fall rates (p=0.29), however, fall rates decreased in frequent fallers (-3.49%, p=0.31), fall rates that excluded frequent fallers (-0.18%, p=0.47), and overall fall rates (-3.66%, p=0.29)....
Fall prevention in older adults who reside in nursing homes
(2016-10-21)
Falls among older adults who reside in the nursing home setting are a major problem in the United States (Center for Disease Control and Prevention [CDC], 2015). The site of this project was a nursing home located in a small town in New Hampshire. This home had a problem with the number of falls that occurred on a monthly basis. The rate of falls on average was two falls per month. This project sought to reduce the number of falls to zero over the course of three months. A fall prevention program using evidence base interventions was developed to reach this objective.
The interventions included staff education, medication reviews, an exercise program and hourly rounding. However, the fall rate at the completion of this project increased to four falls per month. This increase can be attributed to the lack of staff buy in to the program and insufficient staffing numbers. Even though the results demonstrated an increase in the rate of falls it is important to note that there was only one fall related injury during this time. The remainder of falls did not result in injury....
The effectiveness of newborn safety information and acknowledgement in preventing inpatient newborn falls
(2017-09-19)
Newborn falls can occur in the immediate postpartum period. The purpose of this capstone project was to evaluate the effectiveness of the Newborn Safety Information and Acknowledgement tool in impacting inpatient newborn ...
Hourly rounding and fall prevention: A change process
(5/9/2018)
Falls are among the most common and serious problems facing older adult patients living in nursing homes. The focus of this project was to implement an hourly rounding fall prevention protocol in a nursing home that provides ...
Overutilization of CT scans of the brain in nursing home patients post fall
(2017-09-21)
The use of head computed tomography (CT) scans are being overutilized in the nursing home setting following patient falls. The decision to perform head CT scans on post-fall patients isbeing made without using current best ...