You are now viewing our public site. Back to Dashboard

Post-Fall Management for Rehabilitation Nurses

presented by Pat Quigley

Accrediting Body:

Target Audience:

Levels:
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.

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 [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

Accreditation Check:
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.

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…

Read full bio

Chapters & Learning Objectives

Download Learning Objectives

1. Conducting the Post-Fall Huddle

When a patient fall occurs, staff members make every effort to immediately respond. They assess the patient’s status upon rescue, uncover the circumstances of the fall, and then decide on appropriate care management. A group of providers struggle to ascertain the immediate or root cause of the fall. Acknowledging that 80% to 90% of falls that happen in hospitals are unwitnessed (Oliver, et al., 2010), patient involvement in the post-fall huddle is essential. This chapter dramatizes the conduct of an actual post fall huddle following a patient fall.

2. Post-Fall Management: The Role of the Post-Fall Huddle

A fall event generates an organizational response to investigate and understand all the contributing circumstances of the fall. This organizational response is observable through various communication systems: huddles, post-fall assessment, incident reports, and hand-off communication. In this chapter, rehabilitation nurses will distinguish the value of each component of post-fall management and the unique purpose of the post-fall huddle as the first action from all other huddles, outline the eight steps of the post-fall huddle process, utilize accident theory to visualize the complexity of immediate/root cause determination.

3. Program Evaluation: Added Precision to Understanding Falls

Program evaluation is a detailed and comprehensive process that includes formative and summative components. Fall rates, as an outcome, are insufficient to examine the effectiveness of fall prevention. Rather, the post-fall huddle should be examined as a program intervention that, when implemented provides increased depth and breadth to understanding patient falls. During this chapter, rehabilitation nurses will learn a detailed program evaluation model applied to post-fall huddle to determine efficiency and effectiveness.

More Courses in this Series

How Effective Is Your Patient Fall Prevention Education?

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

How Effective Is Your Patient Fall Prevention Education?

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
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.

View full course details

Reducing Fall Risks Associated With Toileting

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

Reducing Fall Risks Associated With Toileting

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
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.

View full course details

Fall and Injury Risk Assessment Is More Than a Score

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

Fall and Injury Risk Assessment Is More Than a Score

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
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.

View full course details

Fall Program Assessment, Evaluation, and Spread

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

Fall Program Assessment, Evaluation, and Spread

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
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.

View full course details

Sign up to receive exclusive content from industry leading instructors.

Send us feedback

Email