Ross Payant Nursing Home

1. Ross Payant Nursing Home Sask Falls Collaborative

2. Ross Payant is a 38 bed long term care facility located in Assiniboia. 12 of our beds are on a secured special needs unit. WHO WE ARE Saskatchewan Falls Collaborative

3. Aim, purpose, scope, boundaries, objectives and goals. Reduce the number of falls in our facility by 20% by march 2012 . Implement the FHHR falls prevention policy for all staff and residents. Goals/Objectives Educate residents, staff and families. Increase use of Vit D and Calcium for residents Saskatchewan Falls Collaborative

4. Goals/objectives (cont) • Decrease injury from falls. • Implement exercise program for mobile residents • Implement the FHHR falls prevention policy, Falls assessment and screening Post fall problem solving document • Boundaries- Limited access to resources and time

5. Team Members Jynelle Walters, SCA Lisa Jordison, SCA Eva Dombowsky, LPN Janice Cayer, RN Georgia Thul, Administrator Saskatchewan Falls Collaborative

6. Results Saskatchewan Falls Collaborative

7. Results Number Of Residents On Vit-D Number of residents that have Scott Fall Risk Assessment completed July 0/38=0% November 38/38=100% July 4/38=10% Nov 14/38=37% Number of Nursing staff aware of FHHR falls policy May- 0/45=0% July 44/48=92%

8. Changes Tested Appropriate footwear Check the special needs unit and discover that residents (out of 12) where wearing the appropriate footwear Saskatchewan Falls Collaborative

9. Changes Tested Nursing staff reading the FHHR policy Initial findings- 42% staff read policy. Took actions by using calendars and talking to staff in person to read the policy, these actions led up to the 92% of all staff knowing/reading the FHHR policy.

10. Changes Tested We piloted a q-30min check of the residents on special needs wing. Duration was June 24th-July 24th, we discovered this was the highest month of falls. Staff did not like the added documentation. We will re-look at this project.

11. Lessons Learned It is difficult to work as a team when all members work rotating shift work. The more that staff are involved and educated, the more progress we make. We need to have a look at the results of what we have already done to determine what we do next. We appreciate being a part of this group. Saskatchewan Falls Collaborative

12. Next Steps We are going to continue to follow the FHHR fall prevention policy. Contact doctors re Vit D A mail out to families of our fall prevention pamphlet and Vit D info sheet Work to establish an exercise program Saskatchewan Falls Collaborative