Duddy, Christina, BSN, RN

Kwortnik, Taylor, RN

Snyder, Jenna, RN

Sollott, Tina, BSN, RN

Stanley, Kara, BSN, RN

English

Lehigh Valley Health Network: LVHN Scholarly Works

Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing THE IMPLEMENTATION OF “FALLING STAR” MAGNETS TO REDUCE FALLS ON 7ANS AND 7BP Tina Sollott BSN, RN Christina Duddy BSN, RN Kara Stanley BSN, RN Jenna Snyder RN Taylor Kwortnik RN Follow this and additional works at: https://scholarlyworks.lvhn.org/patient-care-services-nursing  Part of the Nursing Commons This Poster is brought to you for free and open access by LVHN Scholarly Works. It has been accepted for inclusion in LVHN Scholarly Works by an authorized administrator. For more information, please contact LibraryServices@lvhn.org. Lehigh Valley Health Network, Allentown, PennsylvaniaTina Sollott, BSN RN, Christina Duddy, BSN RN, Kara Stanley, BSN RN, Jenna Snyder, RN, Taylor Kwortnik, RNTHE IMPLEMENTATION OF “FALLING STAR” MAGNETSTO REDUCE FALLS ON 7ANS AND 7BP• Increased number of unwitnessed falls on medical-surgical units• Inconsistent use of LVHN fall magnets• Lack of identification of different type of fall risks based off of Hester Davis Fall Score• Project purpose: To impact the number of falls by implementing “falling star” magnets based on patients’ Hester Davis score.REFERENCESBreimaier, H., Halfens, R., & Lohrmann, C. (2015). Effectiveness of multifaceted and tailored strategies to implement a fall-prevention guideline into acute care nursing practice: A before-and-after, mixed-method study using a participatory action research approach. BMC Nursing, 14(1), 1-12.Hester, A. & Davis, D. (2013). Validation of the Hester Davis Scale for fall risk assessment in a neurosciences population. Journal of Neuroscience Nursing, 45(5), 298–305.Silva, K. & Hain, P. (2017). Fall prevention: Breaking apart the cookie cutter approach. MedSurg Nursing, 26(3), 198-213.Vass, C., Sahota, O., Drummond, A., Kendrick, D., Gladman, J., Sach, T…, & Grainge, M. (2009). REFINE (Reducing falls in in-patient elderly) - A randomized controlled trial. Trials Journal, 10(83). • A TLC was assigned to staff members of 7ANS and 7BP• “Falling star” magnets were implemented during the month of January 2020• Data was collected & post surveys were distributed– 37 post surveys completed• Analysis of outcomesP: Adult medical-surgical patients (18+)I: Colored Falling Star magnets based on Hester Davis fall scoreC: LVHN fall magnetsO: Number of fallsBACKGROUNDP I C OOUTCOMES IMPLEMENTATIONNEXT STEPS• “Nurses must help patients and families understand how specific risk factors can contribute to a fall. Patients are more likely to adhere to the care plan if they thoroughly understand their risk factors, action plan, and negative consequences of a fall.” (Silva and Hain, 2017). • “More than half (53%) of all inpatient falls in elderly people in acute care settings occurred at the bedside, during transfers or whilst getting up to go to the toilet.” Elderly in-patient at particular risk of falling with incidence of falls being almost triple that for community-dwelling older people. Several factors contribute to this including: age, history of falling, imparted mobility and special toileting needs.(Vass et al., 2009).  • “Qualitative data revealed an increase in participant awareness of fall prevention, baseline positive attitude towards guidelines of understanding fall preventions improved significantly (Breimaier et al., 2015). • “Validation of Hester David Scale- a score of 10 produced a more desirable sensitivity of 90.9% and specificity of 47.1%” (Hester & Davis, 2013). EVIDENCE01234567Jan-19 Jan-20Comparing Fall Data on 7ANS & 7BP January 2019 with January 20207ANS 7BP0123456789Oct-19 Nov-19 Dec-19 Jan-20Comparing Fall Data on 7ANS & 7BP October 2019-January 20207ANS 7BP• Implementation of “falling star” magnets on more units throughout the hospital for a bigger sample size• Include units with diverse patient populations• Consider pilot use of red star only for high risk patients• Educate all clinical staff via TLC on “falling star” magnets• Analysis of effectiveness of stars based on data and post survey results• The number of falls were reduced on 7BP January 2020 (0) compared to January 2019 (5)• Falls on 7BP were significantly reduced in January 2020 with 0 falls, compared to the previous months: October (1), November (4), and December (4) • 90% of staff were satisfied with the ability of the stars to help reduce falls according to the post surveys completed7BP:     0 Falls!

THE IMPLEMENTATION OF “FALLING STAR” MAGNETS TO REDUCE FALLS ON 7ANS AND 7BP

https://scholarlyworks.lvhn.org/cgi/viewcontent.cgi?article=2250&context=patient-care-services-nursing

THE IMPLEMENTATION OF “FALLING STAR” MAGNETS TO REDUCE FALLS ON 7ANS AND 7BP

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