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- Title
Risky Business: Developing an Applicable Falls/Harm Risk Assessment Tool for the Critically Ill.
- Authors
Penstone, Erin; Krouskos, Kendrah; Morgan, Brenda
- Abstract
Purpose/goals: Identify what places a critically ill patient at an increased risk for falls or harm using factors that are more applicable to their environmental, physical, and mental states, so added interventions can be applied beyond the universal precautions in place. Session description: In the critical care environment, all patients can be considered a high risk for falls due to frequent alterations in their neurological and physiological states, creating a need to frequently screen patients to ensure proper safety measures are in place. Existing falls risk assessment tools often fall short in accurately identifying when a critically ill patient is at an increased risk for falls or harm beyond this assumed point, often because criteria within those assessments do not accurately apply to this population. Chapman, Bachand and Hyrkas (2011), recognized that the ideal falls risk assessment tool would have high sensitivity and specificity in its ability to screen a patient. A falls risk assessment tool was developed using already existing assessments, to identify if a patient's cognition, sedation level, motor score, restraint use and invasive monitoring requirements, places them at an increased risk for falls. This screening further prompts an assessment of what preventative measures could be added beyond the baseline precautions already in place. Learning outcomes: 1. Reflect on what current assessment tools are being used within the critical care environment that can add specificity to a falls risk assessment. 2. Identify additional interventions that can be enacted for those patients requiring safety measures beyond universal falls risk precautions. 3. Consider future opportunities to use this tool as not only a falls risk assessment, but one that identifies a patient's risk for self-harm or injury.
- Subjects
ACCIDENTAL fall prevention; CRITICALLY ill; EXPERIMENTAL design; INTENSIVE care nursing; INTENSIVE care units; RESEARCH methodology; PATIENTS; POSTERS; RISK assessment
- Publication
Canadian Journal of Critical Care Nursing, 2017, Vol 28, Issue 2, p58
- ISSN
2368-8653
- Publication type
Article