Brandi,
Thank you for bringing these topics to the forefront!
The Fall Prevention and safe patient handling in Ambulatory settings is a concern for our patients as well as. the safety of staff members. Our org. does not have a policy or consistent education pathway for falls in the out -patient setting. Guidance for the various out-patient sites would be welcome. I would be interested in joining team members to create a guide on Fall risk, and help staff recognize SPH techniques.
I will not be at the conference. Will your presentation be recorded for the community?
Best,
Maria
Maria Vecchiet MSN,RN,NPD-BC,CPN
Clinical Education Specialist- Ambulatory Settings
P. 973-754-3403
vecchietm@sjhmc.org
*** Important notice about St. Joseph’s Health emails ***
St. Joseph’s Health is using Proofpoint to encrypt any e-mails containing Protected Health Information (PHI). If you receive an encrypted email from a person at St. Joseph’s Health, the body of the message will indicate that you have a "New Proofpoint secure email from St. Joseph’s Health”.
CONFIDENTIAL COMMUNICATION
THIS TRANSMISSION IS INTENDED ONLY FOR THE INDIVIDUAL OR ENTITY TO WHICH IT IS ADDRESSED AND CONTAINS INFORMATION THAT IS CONFIDENTIAL. IF YOU HAVE RECEIVED THIS COMMUNICATION IN ERROR, PLEASE DELETE THE EMAIL AND CONTACT THE SENDER IMMEDIATELY. THIS INFORMATION MAY HAVE BEEN DISCLOSED TO YOU FROM CONFIDENTIAL RECORDS AND MAY BE PROTECTED BY FEDERAL AND STATE LAW. THIS INFORMATION MAY INCLUDE CONFIDENTIAL MENTAL HEALTH, SUBSTANCE ABUSE, ALCOHOL ABUSE AND/OR HIV-RELATED INFORMATION. FEDERAL AND STATE LAW PROHIBITS YOU FROM MAKING ANY FURTHER DISCLOSURE OF THIS INFORMATION WITHOUT THE SPECIFIC WRITTEN CONSENT OF THE PERSON TO WHOM IT PERTAINS, OR AS OTHERWISE PERMITTED BY LAW. ANY UNAUTHORIZED FURTHER DISCLOSURE IN VIOLATION OF THE LAW MAY RESULT IN A FINE OR JAIL SENTENCE OR BOTH. A GENERAL AUTHORIZATION FOR THE RELEASE OF THIS INFORMATION MAY NOT BE SUFFICIENT AUTHORIZATION FOR FURTHER DISCLOSURE.
Original Message:
Sent: 1/20/2024 11:07:00 AM
From: Kristen Shear
Subject: RE: Fall Prevention in The Ambulatory Setting
I've done work in this space. Here are a few publications that might help. I'm also presenting on this topic at conference this year. Happy to connect and talk in person if you're attending. I'd also recommend looking at the US Preventive Service Task Force recommendations on fall prevention and CDC STEADI resources. If you have access to a librarian they may be able to help pull additional resources to help develop a plan.
Rice, H., Garabedian, P. M., Shear, K., Bjarnadottir, R. I., Burns, Z., Latham, N. K., Schentrup, D., Lucero, R. J., & Dykes, P. C. (2022). Clinical Decision Support for Fall Prevention: Defining End-User Needs. Applied clinical informatics, 13(3), 647–655. https://doi.org/10.1055/s-0042-1750360
Shear, K., Rice, H., Garabedian, P. M., Bjarnadottir, R., Lathum, N., Horgas, A. L., Harle, C. A., Dykes, P. C., & Lucero, R. (2023). Management of Fall Risk Among Older Adults in Diverse Primary Care Settings. Journal of applied gerontology : the official journal of the Southern Gerontological Society, 42(11), 2219–2232. https://doi.org/10.1177/07334648231185757
Shear, K., Rice, H., Garabedian, P. M., Bjarnadottir, R., Lathum, N., Horgas, A. L., Harle, C. A., Dykes, P. C., & Lucero, R. (2023). Usability Testing of an Interoperable Computerized Clinical Decision Support Tool for Fall Risk Management in Primary Care. Applied clinical informatics, 14(2), 212–226. https://doi.org/10.1055/a-2006-4936
Schentrup, D., Middlemas, A., Shear, K., Bjarnadottir, R. I., & Lucero, R. J. (2022). Fall risk management using clinical decision support in a rural nursing-led primary care practice. Journal of the American Association of Nurse Practitioners, 34(8), 1033–1038. https://doi.org/10.1097/JXX.0000000000000751
https://uspreventiveservicestaskforce.org/uspstf/draft-recommendation/falls-prevention-community-dwelling-older-adults-interventions#:~:text=The%20USPSTF%20concludes%20with%20moderate,at%20increased%20risk%20for%20falls.
https://www.cdc.gov/steadi/index.html
------------------------------
Kristen Shear PhD, MSN, RN
Nurse Scientist
------------------------------
Original Message:
Sent: 01-19-2024 16:20
From: Brandi Miller
Subject: Fall Prevention in The Ambulatory Setting
Hello, I am a clinical educator for a very large ambulatory system. We need to standardize education and training across our 600+ care sites within 52 counties regarding Safe Patient Handling and Fall Prevention. We are working on prevention tools & strategies to prevent patient, visitor, and staff falls and injuries.
Has anyone implemented any fall prevention strategies within their ambulatory system? What worked and what didn't?
Does anyone have a policy related to assisting patients to/from their car from their appointment or throughout the office?
Are your Ambulatory staff trained in safe-patient handling methods and assistive devices?
What is your policy if a mobility impaired patient does not have a caregiver or someone to help them with mobility?
Any insight or direction is appreciated!
Thanks,
Brandi Miller BSN, RN, CNOR
Clinical Educator
OhioHealth Physician Group
------------------------------
Brandi Miller BSN, CNOR, RN
Clinical Educator
OhioHealth
Grove City OH
(614)419-6047
------------------------------