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Guide on submitting a Safeguarding Referral in relation to Falls

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Link between Safeguarding and Falls Prevention

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Start the Clock Neurological Observations

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Start the Clock Neurological Observations

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Timeline of Neuro Obs

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Standard Operating Procedure for AFLOAT

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Visual image for AFLOAT

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The Falls Prevention Team;

Led by Rosie Hoyle Practice Development Matron

Sharron Ward Quality Improvement Nurse for Falls

Kristy Costa Falls Prevention Sister

Lisa Manthorpe Falls Prevention Junior Sister

Alison Mower Clinical Falls Educator

Generic email- hyp-tr.fallspreventionteam@nhs.net

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All resources within the Padlet have been approved by the Practice Development Matron (Rosie Hoyle) so are not available to edit, though any alterations you feel may be of value will be gratefully received by the Falls Team (contact details at the  end).

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Falls Prevention Champions roles and responsibilities setting out clear guidelines of roles and responsibilities. Falls Champions support a strong link between Falls Prevention Corporate Nursing Team and nursing teams within clinical areas. The purpose of the role is to support delivery of high quality safe care, empower staff through promotion of best practice.

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For display in clinical area

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Neurological Observations has two primary functions. These functions are the assessment of current neurological function and monitoring for changes in neurological status. The tool used to primarily complete the neurological observation is the Glasgow Coma Scale (GCS).

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Neurological Assessment using the Glasgow Coma Score

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Neurological Assessment using the Glasgow Coma Score

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Neurological and Spinal Observation Chart

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Neurological and Spinal Observation Chart

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Neurological Assessment Using Glasgow Coma Score

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Neurological Assessment Using Glasgow Coma Score

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Medications can increase the risk of patients falling

If your patient has any of the following symptoms you should request a medication review:

History of falls

Syncope (fainting)

Blackout

Dizziness

Polypharmacy: means more than 4 medications, ask for a medication review

Following a fall: re-do the multifactorial falls assessment and MDT review (including medications review)

REMEMBER!

If your patient is on 4 or more medications, request for a medication review

If your patient is on brain or heart medications, they have a higher risk of falls

If your patient had a fall, you have to re-do the multifactorial falls assessment and re-do a medication review. Taking note if the patient is on any brain or heart medications and if they’re on any anticoagulant medicine.

If you are not sure before you omit or administer a medication please discuss with a pharmacist or prescriber.

Lastly, you may visit the PATTIE, “Falls Prevention” page for more information about falls.

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Supporting information for Falls Prevention.

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A guide when completing Datix on levels of harm following a fall.
>Factual
>Actual
>Times/Dates
>Fully completed

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•A Standardised pain assessment tool for patients with communication difficulties and/or dementia/learning disability

•Assessment of pain for those patients who are unable to fully articulate their needs

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Hard copies of Abbey Pain Assessment Paperwork

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Resource to support Butterfly Scheme Education supplied by PDM Karen Harrison

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Presentation to support best practice around Lying and Standing BP

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Padlet Lying and Standing Blood Pressure

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Ward guide for completing falls assessment

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https://padlet.com/amower2/falls-champions-padlet-xxlycn9es4kk056r

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Step by step guide to support completing Falls assessments.

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TAG Support Model for HUTH supporting patients and staff in receiving a positive shared experience.

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Please handout to patient/families/carers whom are at risk

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Deconditioning poster with tips and hints around maintaining independance.

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CP 312-HUTH Patient Falls Prevention and Management Policy

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CP 312-HUTH Patient Falls Prevention and Management Policy

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Currently in the process of being ratified

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World Guidelines for falls prevention and management for older adults a global initiative

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Abstract

Falls in older people are a significant problem causing both injury and loss of independence. New guidance from the National Institute for Clinical Excellence on the assessment and prevention of falls clearly sets out evidence-based practice and is supported by patient and carer information that highlights the need for a patient-centred approach to falls prevention.

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accidental falls / prevention & control*

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national center for biotechnology information

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NICE guidance on preventing and assessing falls in older people - PubMed

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Falls in older people are a significant problem causing both injury and loss of independence. New guidance from the National Institute for Clinical Excellence on the assessment and prevention of falls clearly sets out evidence-based practice and is supported by patient and carer information that hig ...

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All acute admissions 65 years and over or any patient clinically indicated require a lying and standing blood pressure whilst an inpatient at HUTH.

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Full lying and standing blood pressure procedure Guidelines

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Practice Development Matron-Lead for Falls Rosie Hoyle

Email-rosemary.hoyle@nhs.net

Telephone Number-07702175505

Falls Prevention Sister-Kristy Costa

E-mail-kristy.costa@nhs.net

Clinical Falls Educator-Alison Mower
Email-a.mower@nhs.net

Telephone number-07551675307

Quality Improvement Nurse for Medicine Health Group (Falls)-Sharron Ward

Email-sharron.ward@nhs.net

Falls Prevention Junior Sister-Lisa Manthorpe

Email-lisa.manthorpe@nhs.net

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Hull University Teaching Hospitals (HUTH)

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Hull University Teaching Hospitals (HUTH)

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Falls education now forms part of mandatory training. Training is currently 3 yearly with Registered professionals (excluding Midwives and Paediatric Nurses) completing e-learning available through HEY247. Unregistered staff are required to attend face to face sessions, bookings or enrolments are available through HEY247. Details are as below.

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Preventing Falls in Hospital: Fallsafe -mandatory training for Registered Nurses. Available on HEY247. Modules may be completed individually with an opportunity to continue at a later date as long as whole Modules are completed.

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Clinical Skills Update for Non-Registered Staff

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Clinical Skills Update for Non-Registered Staff

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Full day session that includes Falls Education, Infection Control and Practical Moving and Handling -Unregistered Staff. Booking available through HEY247, currently all sessions are in Suite 22 CHH.

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Falls Education-2 Hour stand alone falls sessions for Unregistered members of staff facilitated at Hull Royal Infirmary. Booking is through HEY247.

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| Tom Jacobs
| Patient Care Specialist
| GBUK Banana
| Mobile: +44 (0) 7825 966 327
| DDI: +44 (0) 1757 606 944
|  | Head Office Tel: +44 (0) 1757 288 587
| Email: clair.sharpe@gbukbanana.com

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Flojac is designed and managed in the UK. The design is of high quality, durable and reliable and in line with NICE Guidelines around best practice. Flojac enables patients to be raised from the floor in a safe controlled manner. Flojac has a safe working load of 500kg. A wedge support is featured to support a semi recumbent position and add to patients comfort. Flojac is wipeable using Clinell wipes and has no removable parts. Flojac is easy to inflate and deflate and features handles at the head and feet end to enable close control of the device. Flojac minimise risks and helps prevent injury to users.

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Collaborative update for Housekeepers in regarding to Falls, Tissue Viability, Infection Prevention Control and Medicine Management

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Falls in individuals with cognitive difficulties often result from a combination of factors. Cognitive difficulties can impair a person's abilities to perceive and respond to environmental hazards, maintain balance and recognise potential falls risks. Other important factors include medication side effects, musculoskeletal issues, postural hypotension and sensory impairment. Conducting a thorough and comprehensive falls assessment in patients with cognitive difficulties enables health care professionals to identify specific risks in the patients and develop targeted interventions to reduce these risks. A multifaceted approach to falls is crucial in achieving this.

It is also important that care givers/ family are involved in the care of the patient. We use the Butterfly scheme in this Trust to support people living with dementia. Caregivers can give valuable insights into the patient's behaviour, mobility limitations and specific challenges related to cognitive difficulties. This is especially important when the patient has difficulty expressing their needs.

Dr Nagandran and Karen Harrison

Dementia Care Team

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For ward display