Implementing and sustaining evidence-based practices in long-term care.

Falls

The following resource is designed to assist Long-Term Care (LTC) homes with the implementation of the Prevention of Falls and Fall Injuries in the Older Adult Best Practice Guideline. Documents found in this resource are evidence-based, but it is not a program plan. Each LTC home is unique and each home is in various stages of guideline implementation. LTC homes are advised to use the resource at their discretion. For those resources that have copyright notations, it is recommended that LTC homes obtain permission from the primary author prior to implementing them within their setting. The Toolkit is a dynamic resource, and is being updated and revised on a regular basis by the LTC Best Practices Program team. Visit this site often to see what's new!

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RNAO Gap Analysis worksheet: Prevention of Falls and Reducing Injury from Falls

Falls Gap Analysis

An organizational assessment tool to assist with implementation and evaluation of the RNAO Prevention of Falls and Injury from Falls by comparing current practice to evidence-based practice.

Registered Nurses' Association of Ontario's Long-Term Care Best Practices Program, Toronto, ON, Canada. September 2017.

 

RNAO BPG - Prevention of Falls and Reducing Injury From Falls

Preventing Falls and Reducing Injury from Falls (3rd ed.) replaces the RNAO (2011) BPG Prevention of Falls and Fall Injuries in the Older Adult, which was originally published in 2002 and then revised in 2005 and 2011. Whereas previous editions focused on older adults in hospital and long-term-care settings, the scope of this third edition has been expanded to include in all adults (>18 years) at risk for falls and receiving care from nurses and other health-care providers across the health-care continuum, including those living in the community.

The purpose of this guideline is to outline evidence-based approaches for preventing falls and reducing fall injuries for adults. Recommendations are provided at the following three levels:

  • Practice recommendations are directed primarily toward nurses who provide direct clinical care to adults at risk for falls across the continuum of care, including (but not limited to): primary care, home care, hospital care, and long-term care settings. The secondary audience of the practice recommendations includes other members of the interprofessional team who collaborate with nurses to provide comprehensive care. All of the recommendations are applicable to the scope of practice of registered nurses and nurse practitioners (general and extended classes); however, many are also applicable to other health-care providers.
  • Education recommendations are directed at individuals and organizations responsible for the education of healthcare providers, such as educators, quality improvement teams, managers, administrators, academic institutions, and professional organizations.
  • Organization and policy recommendations are directed at those managers, administrators, and policy-makers responsible for developing policy or securing the supports required within health-care organizations that enable the implementation of best practices. For optimal effectiveness, recommendations in these three areas should be implemented together.
Registered Nurses’ Association of Ontario.  (2017).  RNAO Prevention of Falls and Reducing Injury from Falls Best Practice Guideline. (4th Ed.).  Toronto, ON: Author.

 This work is funded by the Ontario Ministry of Health and Long-Term Care

http://rnao.ca/bpg/guidelines/prevention-falls-and-fall-injuries

Purposeful Hourly Rounding in long-term care

This article highlights the impact of implementing the RNAO Falls Best practice guideline.

Laviolette, K. (2020). Purposeful hourly rounding in long-term-care. Canadian Nurses Association. https://www.canadian-nurse.com/en/articles/issues/2020/april-2020/purposeful-hourly-rounding-in-long-term-care

Copyright ©, Canadian Nurses Association, 50 Driveway, Ottawa, Ontario, K2P 1E2 CANADA, 2018 all rights reserved

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Comfort Care Rounding in Long-term care

A series of videos on Comfort Care Rounding (CCR) for the long term care sector developed through a partnership with Perley and Rideau Veteran’s Health Center and Struder Group Canada. The series includes morning round, the subsequent (sandwich) round, rounding in the evening/night, rounding on a resident with dementia, rounding with an independent resident, rounding: not just for PSWs, the rounding test scenario.

Huron Consulting Group Inc. (n.d.). Comfort Care Rounding in Long-term care. https://www.huronlearninglab.com/temporary/comfort-care-rounding 

 

 

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Reducing falls and injury from falls (falls): Getting started kit

Canadian Patient Safety Institute website contains tools and resources on Reducing Falls and Injury from Falls: Getting Started Kit. It contains clinical information on reducing falls and injuries from falls; and information on making improvements. Icons and resources to successfully implement interventions in an organization on best practices related to falls

Canadian Patient Safety Institute. (n.d.). Reducing falls and injury from falls (falls): Getting started kit. http://www.patientsafetyinstitute.ca/en/toolsResources/Pages/Falls-resou...

 

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Intentional Hourly Rounding – Example from Fraser Health, British Columbia, Canada

Example signage of Intentional Hourly Rounding Poster from Fraser Health, British Columbia, Canada.

Registered Nurses’ Association of Ontario.  (2017).  Appendix K of RNAO Prevention of Falls and Reducing Injury from Falls Best Practice Guideline. (4th Ed.). Toronto, ON: Author. (p.115)

 

Components and Example of Universal Falls Precautions – Appendix K

AThis table lists common components of universal falls precautions that health care organizations can determine which precautions are applicable to their setting.

Registered Nurses’ Association of Ontario.  (2017).  Appendix K of RNAO Prevention of Falls and Reducing Injury from Falls Best Practice Guideline. (4th Ed.).  Toronto, ON: Author. (p.113)

 

Falls Debriefing and Action Plan – Example from St. Joseph’s Healthcare, Hamilton

Example of a form for documentation from St Joseph’s Healthcare Hamilton on falls debriefing and action plan.

Registered Nurses’ Association of Ontario.  (2017).  Appendix J: Example: Falls debriefing and action plan from St. Joseph's Healthcare Hamilton (Ontario, Canada) of RNAO Prevention of Falls and Reducing Injury from Falls Best Practice Guideline. (4th Ed.). Toronto, ON: Author. (p.111-112.)

 

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