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Intervention

Nurse on duty initiates post-fall interventions to reduce likelihood for recurrence of fall.

POST FALL EVENT

ROADMAP

Injury

If the resident sustained an injury or required hospitalization, notify the manager on duty.

The Next Business Day:

  • Initiate Root Cause Analysis
  • Determine if additional interventions should be implemented

Investigate

Intitate investigation including timeline of the event, resident location, and activities prior to the event.

Notify

Notify the attending physician and responsible party.

Report

Complete the incident report.

Review

Conduct the bedside review--reenact the event if needed. Ensure care plan accurately reflects resident's needs and room arrangement is appropriate. Discuss event with staff and resident.

Assessment

Perform a thorough assessment of the resident, ask the resident what happened.