Fall Prevention Escape Room Competency

Fall Prevention Escape Room

Competency

Start

Fall Prevention Escape

Complete the activity of each lesson to earn your Competency Certificate

Lesson 01: All in the Knowledge

Lesson 02: It's in the implementation

Lesson 03: Medication Measures

Lesson 06: Chart the best picture of safety

Lesson 05: Can you hear that?

Lesson 04: High Risk Takers

Lesson 01: All in the Knowldege

Question 01

What is the falls scale we use to score the patient’s fall risk level called?

Morse Fall Scale

Braden Fall Scale

Acme’s Fall Scale

01

Question 02

What is the level(s) that require the chair/bed alarm engaged at all times for patients at risk for falls?

High

Low and Moderate

Moderate & High

01

Question 03

Which of the following patients are highest risk for falling?

2 falls in the last 3 weeks, confused, uses a walker, takes anticonvulsives, is wearing SCDs, 2 IV lines, and is admitted with hypotension and seizures

A fall 2 years ago, diabetes, argumentative, and non-compliant with his care

Deaf since birth, uses ASL, ambulatory, with SCDs, taking, IV pain medication for pancreatitis, calls for assistance when she needs to get up

Perfect, you have passed!

Advance to the next lesson

Next

Fall Prevention Escape

Complete the activity of each lesson and get a Competency Certificate

Lesson 01: All in the Knowledge

Lesson 02: It's in the implementation

Lesson 03: Medication Measures

Lesson 06: Chart the best picture of safety

Lesson 05: Can you hear that?

Lesson 04: High Risk Takers

Lesson 02: It's In the Implementation

Question 01

What consists of a patient fall kit?

Yellow non-skid socks, yellow gown, yellow armband, yellow magnet on the door, and an alarm at all times

Yellow non-skid socks, blue gown, bed alarm paused when patient up in the chair

Yellow gown, chair alarm when up in the chair, and yellow armband

02

Question 02

When do you verify the alarm is engaged on your patient?

During bedside shift report, hourly rounding, as needed, after each trip out of bed

Bedside shift report, during shift assessment, as needed

Shift assessment and hourly rounding

02

Question 03

Your patient has a Morse fall scale level of >45. They have called out to use the bathroom. The patient asks for privacy as she wants to have a bowel movement. What steps would you take to ensure her safety and privacy?

Tell the patient you must stay with them even inside the bathroom because you do not trust them.

Assisting to the bathroom, providing the call light cord, and returning to the nursing station to provide privacy

Assist the patient with gait belt to be seated on the toilet, provide the pull cord for call light, and stand outside bathroom door in patient room, checking verbally with the patient on completion, and listening for cues they are finished such as pulling toilet paper from the dispenser.

Perfect, you have passed!

Advance to the next lesson

Next

Fall Prevention Escape

Complete the activity of each lesson and get a Competency Certificate

Lesson 01: All in the Knowledge

Lesson 02: It's in the implementation

Lesson 03: Medication Measures

Lesson 06: Chart the best picture of safety

Lesson 05: Can you hear that?

Lesson 04: High Risk Takers

Lesson 03: Medication Measures

Question 01

A patient who ambulates with a cane and is on blood thinners daily and has a history of dementia should be placed on a bed/chair alarm at all times.

True

False

03

Question 02

It is not ok to multitask and leave your fresh 2 hour post op patient in the bathroom unattended while you gather supplies from the supply room and linens from the cart to provide more efficient care.

True

False

03

Question 03

The patient you are caring for is on precautions and still requiring medication for tremors, anxiety, nausea, and hallucinations. They are agitated and consistently setting off the bed alarm. It is ok to put them up in the chair with no chair alarm to reduce the alarm fatigue.

CIWA

True

False

Perfect, you have passed!

Advance to the next lesson

Next

Fall Prevention Escape

Complete the activity of each lesson and get a Competency Certificate

Lesson 01: All in the Knowledge

Lesson 02: It's in the implementation

Lesson 03: Medication Measures

Lesson 06: Chart the best picture of safety

Lesson 05: Can you hear that?

Lesson 04: High Risk Takers

Lesson 04: High Risk Takers

Question 01

What tool or method should always be used to assist moderate and high risk fall patients during ambulation for safety?

Gait belt

Holding the patient's gown

Allow them to ambulate independently

Holding the patient's arm

Question 02

04

You have an elderly patient with her daughter at the bedside. She lives with her daughter normally. She was admitted with COPD exacerbation yesterday. She has oxygen at 2L per nasal cannula, an IV with fluids running, SCDs, and wears a brief for occasional incontinence. She calls out to use the bathroom but is in a hurry as she really needs to go as evidenced by her climbing out of the bed.

You assist the patient to the bathroom. While she is using the bathroom, you take the opportunity to change her linens. You leave the room to gather your supplies and return and start making the bed.

You ask the daughter if she would mind taking her since you are busy with other patients.

You assist the patient to the bathroom. You turn the bed alarm off. Before leaving the patient to gather supplies, you give her the call light cord. You return and change linens. You assist the patient up to the chair. The daughter will be in the room with her so you do not set up the chair alarm.

Use a gait belt and assist the patient to the bathroom pausing the bed alarm. You disconnect the SCDs before ambulating. The oxygen tubing has been already extended and reaches the bathroom. The IV pole will roll with you to the bathroom. You stay with her until finished and assist her back to the bed. You ensure the bed alarm restarts from the pause.

04

Question 03

Your patient has gotten out of bed without assistance and found on the floor, status post fall. There appear to be no injuries but you follow policy and notify the physician, nurse leader, and assess for injury. What is your next step per policy.

Reassess patient using Morse Fall scale as a status post fall and document in the post fall assessment interventions

It is busy so you will document later after you have had your lunch break

Chart a patient note

Document in the post fall assessment

Perfect, you have passed!

Advance to the next lesson

Next

Fall Prevention Escape

Complete the activity of each lesson and get a Competency Certificate

Lesson 01: All in the Knowledge

Lesson 02: It's in the implementation

Lesson 03: Medication Measures

Lesson 06: Chart the best picture of safety

Lesson 05: Can you hear that?

Lesson 04: High Risk Takers

Lesson 05: Can you hear that?

Question 01

What level(s) require the alarm to be engaged, both chair or bed, at all times during their hospital stay?

Moderate and high

Low

Moderate only

Low and moderate

05

Question 02

Your high risk for falls patient was admitted for the flu and dehydration. The doctor has also ordered a COVID test. Which room set up is most appropriate?

Door open, bed alarm engaged, call light in reach, 3 side rails up, bed wheels locked, bed lowest position, and the falls kit implemented-yellow non-skid socks, yellow armband, yellow gown, and yellow magnet

Bed alarm engaged, door closed for isolation, 3 side rails, wheels locked, yellow gown and socks

Put the patient in “Geri chair” and bring them to sit with you at the nursing station so you can monitor them

Door closed, 3 side rails, yellow socks, yellow armband, wheels locked, bed alarm on

05

Question 03

The patient has been assessed for fall risk using the Morse fall scale. They are a high risk level for falls. The patient has orders to be out of bed for meals x3. It is lunchtime and the trays have been delivered. You enter the patient’s room to get him up for lunch. Which is most appropriate?

He only needs the alarm when in bed

Use the Posey chair alarm to ensure the patient is not getting up without assistance

You cannot locate the seat portion of the Posey chair alarm so you do not bother with the chair alarm for lunch since the trays are here and the patient is hungry

High risk patients do not require alarms

Perfect, you have passed!

Advance to the next lesson

Next

Fall Prevention Escape

Complete the activity of each lesson and get a Competency Certificate

Lesson 01: All in the Knowledge

Lesson 02: It's in the implementation

Lesson 03: Medication Measures

Lesson 06: Chart the best picture of safety

Lesson 05: Can you hear that?

Lesson 04: High Risk Takers

Lesson 06: Chart the best Picture of Safety

Question 01

How often should you assess your patient’s fall risk using the Morse fall scale?

Every shift, level of care transfer changes, changes in patient condition, and as needed

Every shift using the Morse Fall scale

06

Question 02

You are admitting a new patient from the ER and it is nearly change of shift at 0610. How long do you have before you must complete the initial screening for falls?

You have one hour

Within 12 hours / shift

06

Question 03

How do you chart your fall risk assessment in Meditech appropriately?

A patient note

It does not need to be charted

In the teach/educate intervention

It’s charted under “Safety/Risk/Regulatory” under interventions

Perfect, you have passed!

You have completed all the lessons, we are done

All right!

Fall Prevention Escape

Great! You've passed all the lessons...Now, get your diploma

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School of Falls Prevention

Congratulations

Patient Safety Excellence

Provide this printout or screenshot to your director/manager/educator to demonstrate Falls Competency Completion

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