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TriStar Fall Prevention Escape Room Competency

Kelly SeiderLesher

Created on February 18, 2025

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Transcript

Fall Prevention Escape Room

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 should be used for assessing fall risk?

Fall risk assessment tool for patient population (i.e. Morse, CHAMPS, etc.)

Daily Nursing Assessment

Clinical Judgment Tool

01

Question 02

All patient's should have universal fall precautions in place. What are the care process precautions?

Five P's, fall risk bundle, and bed alarm

Door open, door signage, bed and chair alarms on

Safety rounding (Five P's), communication of fall risk and interventions during bedside shift report and all interdisciplinary handoffs

Question 03

01

Question 04

01

01

Question 05

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 fall risk bundle?

Yellow non-skid socks, yellow armband, yellow gown (if applicable), and door signage

Yellow non-skid socks, yellow armband, bed alarm paused when patient up in the chair

Door signage, chair alarm when up in the chair, and call light

02

Question 02

When should 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 is a high fall risk. 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 02: It's in the implementation

Lesson 03: Medication Measures

Lesson 01: All in the Knowledge

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, is on blood thinners, and has a history of dementia should have high fall risk interventions in place including a bed/chair alarm on at all times.

True

False

03

Question 02

Your high fall risk patient is 2 hours out of surgery. You provide them privacy in the bathroom, and run to grab bed linens to ensure efficiency. Does this meet high risk interventions that are expected?

Yes

No

03

Question 03

The patient you are caring for is on CIWA precautions and still requiring medication for tremors, anxiety, nausea, and hallucinations. They are agitated and consistently setting off the bed alarm. To reduce alarm fatigue, you place them in the chair with no chair alarm. Does this meet the high fall risk intervention expectations?

Yes

No

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?

Holding the patient's gown

Gait belt

Holding the patient's arm

Allow them to ambulate independently

Question 02

04

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 assess for injury, notify the physician, nurse leader, and patient's legal representative . What is your next step per policy.

Document the notifications in the EHR and complete a Post Fall Assessment Intervention in the EHR.

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

Chart a patient note

Complete a serious safety event report

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 02: It's in the implementation

Lesson 03: Medication Measures

Lesson 01: All in the Knowledge

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?

High

Low

Moderate

Low and moderate

05

Question 02

Your high fall risk patient was admitted for the flu and dehydration. Which room set up is most appropriate?

Door open, bed alarm ON, call light in reach, 2 side rails up, bed wheels locked, bed lowest position, gait belt in room and the fall risk bundle implemented (yellow non-skid socks, yellow armband, and door signage)

Bed alarm engaged, door closed for isolation, 3 side rails, wheels locked, door signage 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

Your high fall risk 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

Place a chair alarm in the chair with patient, leave call light within reach, and instruct to call before getting out of the chair.

Leave the patient with a call light and instruct to call before they get up.

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 03: Medication Measures

Lesson 02: It's in the implementation

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 appropriate fall assessment tool?

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

Every shift and as needed

06

Question 02

All applicable fall prevention measures should be documented where?

Patient's hourly rounding board

The EHR

SBAR sheet

Vigilanz

06

Question 03

How do you chart your fall risk assessment in the EHR 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 ESCAPE CODE

Go!

Falls Prevention Escape Room

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SAFETY

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