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Fall and Injury Risk Assessment Is More Than a Score

presented by Pat Quigley

Accrediting Body:

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Disclosure Statement:

Financial: Pat Quigley receives compensation from MedBridge for this course. She is also an independent contractor for the following: American Hospital Association, Hospital Research and Education Trust; Washington Hospital Association, Hospital Improvement and Innovation Network; AvaSure, LLC; HD Nursing, LLC.

Non-Financial: Pat Quigley has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact support@medbridgeed.com. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

Accreditation Check:
Rehabilitation nurses have expert clinical knowledge to determine a patient’s fall and injury risk status. This session will build upon current practices and processes to move practice beyond the use of a fall risk score to assessment of multifactorial fall risk factors. Participants will be guided in the assessment of select fall and injury risk factors (postural hypotension, lower extremity sensory neuropathy, fracture risk) as examples of the the difference between a fall risk screening and an assessment as the basis for individualized fall patient care planning. The information will allow the participants to understand the implications of modifying their practice and implementing patient-centered individualized care plans to reduce falls and fall-related injuries.

Meet Your Instructor

Pat Quigley, PhD, MPH, APRN, CRRN, FAAN, FAANP

Dr. Patricia Quigley, PhD, MPH, APRN, CRRN, FAAN, FAANP, Nurse Consultant, is a retired Associate Director of the VISN 8 Patient Safety Research Center of Inquiry and is both a Clinical Nurse Specialist and a Nurse Practitioner in Rehabilitation. Her contributions to patient safety, nursing, and rehabilitation are evident at a national level, with emphasis…

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Chapters & Learning Objectives

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1. Evidence to Support Multifactorial Fall and Injury Risk Factors

Within healthcare organizations, fall risk determination is underestimated because of an over-reliance on the use of fall risk screening tools that generate a score and then universal fall precautions. This chapter builds upon best practice to engage rehabilitation nurses in multifactorial fall and injury risk assessment as the basis for individualized fall and injury prevention plans of care.

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2. Enhancing Clinical Assessment of Fall Risk Factors

National guidelines serve as the foundation to reaffirm rehabilitation nurses’ vital role in using clinical assessment and decision-making skills to determine fall and injury risk factors and integrate findings into interdisciplinary care planning. Select fall risk factors will be featured during this session as examples of the importance of developing nurses’ clinical knowledge and skills.

3. Clinical Practice Demonstration

The examination of clinical practice skills generates opportunities to verify accuracy and competency of care. Often, variations in practice are found that should not occur, or risk factors are omitted from current assessment that deserve priority inclusion in the fall and injury risk assessment policies. This session offers rehabilitation nurses live demonstration of clinical assessment of the fall and injury risk factors in practice: history taking, physical exam, risk factor determination, individualized interdisciplinary care referral, and planning.

More Courses in this Series

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How Effective Is Your Patient Fall Prevention Education?

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Effective education is critical to ensuring that patients have the knowledge and skills to maximize their health, well-being, functional independence, and social integration. Rehabilitation nurses have the unique role to teach, reinforce, and evaluate effective education to promote positive patient outcomes. Health literacy serves as the foundation to increase the probability that patients really learn what they need to as a result of education programs. Effective education is not a one-way process, but rather requires a systems approach and modification for cognitively alert and cognitively impaired patients. During this course, rehabilitation nurses will refresh their knowledge of the domains of learning, health literacy, and tools to examine teaching effectiveness.

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Falls associated with toileting remains one of the top root causes contributing to falls among all adult patients across settings of care. Toilet-related falls occur due to intrinsic risk factors at the patient-level (i.e. impaired gait and balance, muscle weakness, incontinence) and extrinsic risk factors (i.e. toilet height, access to proper grab bars). Universal toileting strategies remain ineffective toileting programs. In this session, rehabilitation nurses will learn strategies to examine current toileting strategies as the opportunity to redesign a population-based approached to scheduled and assisted toileting and create a safer environment for safe toileting.

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All organizations strive for falls to be “never events” in health care. However, falls remain among the top adverse events patients experience in hospitals and nursing homes. When a fall occurs, interventions must be implemented to decrease the chance of reoccurrence. During this course, rehabilitation nurses will: discuss the role of a post-fall huddle as a group consensus approach to determine the immediate/root cause of the fall; differentiate the post-fall huddle from other post-fall management components (incident reports and medical record documentation); and illustrate a post-fall huddle program evaluation model.

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Analysis of fall prevention programs requires more than examination of aggregated fall rates. Program evaluation is a systematic way to evaluate structures and processes that lead to improvement in outcomes. This session informs rehabilitation nurses about structure and process of fall and fall injury program attributes at the organization, unit and patient levels. This level of program assessment leads to opportunities to enhance practice, clinical skills, and program infrastructure and capacity. As a result, rehabilitation nurses are better positioned as clinical leaders to implement and spread interventions to improve patient and program outcomes.

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