#NurChat to discuss “Reducing
Falls” - 19/06/2012 at 8pm
“A patient falling is the most
common patient safety incident reported to the National Reporting and
Learning Service (NRLS) from inpatient services. Over 200,000 falls
were reported to the Reporting and Learning System (RLS) in the 12
months from September 2005 to August 2006, with reports of falls
coming from 98 per cent of organisations that provide inpatient
services.” (NSPA 2007) There is no doubt that slips, trips and
falls have a huge impact on patients, nurses and organisations and as
nurses we are all aware of the implications of falls – patient
injury, loss of patient confidence and longer hospital stays are just
a few.
Being able to reduce the incidence of
patients falling is a nursing skill that all nurses need –
identifying those at risk and being able to plan care that ensures
that the patient remains independent yet safe is a key aim for all
nurses. But how can we do this ? What are the key themes that we
need to look out for? What tools are out there to enable us to keep
the safety of our patients at the heart of their care? And what are
the practical steps that we can take to reduce the risk of patients
falling ?
Click on the picture to download a printable / emailable
flyer to share with other nurses
Below are some
links that you may find useful:
Creating protocol for reducing in patient falls - Nursing Times
Clinical practice guideline for the assessment and prevention of falls in older people - RCN
Slips, trips and falls - NPSA
Slips, trips and falls in hospital - NSPA
The 'How to' guide for reducing harm from falls - Patient Safety First
Summary by Teresa Chinn RN
_________________________________________________________
Post Chat Summary
This was a very fast Nurchat with lots
of ideas exchanged about falls and how nurses could reduce the risk
of falls, a read of the transcript is a must … even if you took
part !!
This chat kicked off by Nurchatters
raising the subject of bed rails in relation to falls prevention, the
risk of entrapment, not using the correct type of rails or using too
short bumpers were all identified as key issues.
The chat rapidly moved on to
assessments and the vital part they play in falls prevention. It was
raised that patients conditions change and reassessment is also
vital. Assessment tools were also discussed and tools that were
mentioned were the traffic light system, the Tullamore assessment and
the Cannard assessment.
Medication was discussed as being a key
factor in some falls and sedatives and antihypertensives were agreed
to be major culprits in falls.
It was asked if zero fall was
achievable ? It was generally agreed that zero falls is not
achievable however it was raised that a decrease in the level of harm
or injury was realistically achievable.
A common thread throughout the chat was
that small things matter when reducing falls – glasses, hearing
aids, mobility aids, call bells, toilets, signage and shoes we all
identified as key. Age Uks sloppy slipper campaign was raised and
explained – how Age UK are exchanging ill fitting slippers for well
fitting ones with the aim to reduce falls. Nurchatters were
encouraged to use and follow #sloppyslipper.
Intentional rounding was discussed and
considered to be an important way of reducing falls. However it was
raised that intentional rounding needs to be at appropriate time
intervals and that there are those who require more intervention due
to an increased risk.
Reporting and route cause analysis to
decrease the risk of future falls was debated and was agreed that
this is essential. It was raised that incident reporting may
identify key themes or trends. A project at the Royal, Devon and
Exeter Hospital was cited – where they used ward maps to identify
the locations of each fall with a dot, they were then able to locate
areas where patients were more at risk of falls and make
improvements.
The environment was another key area of
discussion with extra beds in bays, flooring, location of loo roll,
cluttered environments and clear signposting all seen as important
factors to consider when assessing risk of falls by NurChatters.
Finally it was discussed that we must
also consider staff in relation to falls, a few NurChatters told
stories of falls they had and it soon became very clear that we must
not only consider patient falls but also staff falls... all can be
life changing and all need to be reduced.
By Teresa Chinn RN
__________________________________________________________
Chat transcript
[<a href="http://storify.com/nrcuk/19-06-2012-reducing-falls" target="_blank">View the story "19/06/2012 - Reducing falls " on Storify</a>]<h1>19/06/2012 - Reducing falls </h1><h2></h2><p>Storified by nurchat · Tue, Jun 19 2012 16:55:13</p><div>I will be no longer working for Newcross Healthcare Solutions who look after @NurChat after the 5th July #NurChatAgencyNurse #NURCHAT</div><div>Don't panic I will not be leaving twitter & will still be very much driving the #NurChat community #NurChatAgencyNurse #NURCHAT</div><div>Please feel free to tweet or DM me if you have any concerns #NurChatAgencyNurse #NURCHAT</div><div>Now on with tonights chat …... Falls, so what factors are important when considering the risk of falls ? #NurChatAgencyNurse #NURCHAT</div><div>We're sorry to be losing you Tree #NurChat #NurChatNewcross Health</div><div>Evening all #Nurchat I'm Donna Mullikin and look forward to chatting with you all :) #nurchatDonna Mullikin</div><div>@cherylwilson2 thatnks lovely :D #NurChatAgencyNurse #NURCHAT</div><div>Hi everyone, I'm Sarah and I'm on the NewcrossHealth twitter! Looking forward to getting to know you all :) #NurChatNewcross Health</div><div>@cherylwilson2 TY :) #nurchatDonna Mullikin</div><div>@AgencyNurse oh sorry to hear that, but welcome to Sarah and Donna :) #NurChatMichelle Watt</div><div>Where's my tweet? it didn't come through! #Nurchat . testing again :(Delphine Corgie</div><div>RT @AgencyNurse: Now on with tonights chat …... Falls, so what factors are important when considering the risk of falls ? #NurChatNurChat</div><div>@cherylwilson2 Hey Cheryl, thanks for the welcome :) #NurChatNewcross Health</div><div>@NurChat history of previous falls #nurchatcheryl wilson</div><div>@AgencyNurse #nurchat full and thorough assessment to start with!Michelle Mellor</div><div>@NurChat @agencynurse hydration/ nutrition overlooked as a factor way too often!Lorna Jones</div><div>RT @cherylwilson2: @NurChat history of previous falls < agreed !! #NurChatAgencyNurse #NURCHAT</div><div>#NurChat Focus on admission assessment, routine of care, environment, high risk patients, changeDelphine Corgie</div><div>Big issue for nurses, prevention by assessment is the first step #nurchatDonna Mullikin</div><div>#nurchat Hello I'm here but don't seem to be seeing all tweets so forgive me what I miss!Carly blm</div><div>RT @DelphineAtQuest: #NurChat Focus on admission assessment, routine of care, environment, high risk patients, change #NurChatAgencyNurse #NURCHAT</div><div>@AgencyNurse particularly in the elderly and confused I have found #nurchatcheryl wilson</div><div>@AgencyNurse think we need to say a big thank you for all the #NurChat you have organised etc & good luck to you :) xHannah Taylor</div><div>@AgencyNurse ooh, definitely, huge issues for everyone, prevention would save £££'s, time, deaths, everything #NurChatMichelle Watt</div><div>@NurChat @agencynurse symptoms rather than cause treated...Lorna Jones</div><div>@michellemellor3 i have seen all sorts of assessment tools anyone recommend good ones / #NurChatAgencyNurse #NURCHAT</div><div>RT @hannietaylor: @AgencyNurse think we need to say a big thank you for all you have organised etc & good luck to you :) x #nurchatcheryl wilson</div><div>#NurChat Assessment of risk is key.Carly blm</div><div>@AgencyNurse @ianireland huge risk of entrapment with bed rails #patientsafety #nurchatMichelle Mellor</div><div>Medication is another factor, get med's reviewed on a regular basis #nurchatDonna Mullikin</div><div>Whilst I would agree zero falls is an ideal to aim for, is it realistically acheivable? #NurChatIan Ireland</div><div>I am familiar with the use of the tullamore assessment tool #nurchatDonna Mullikin</div><div>@IanIreland i dont think so - there are avoidable and unavoidable falls surely ? #NurChatAgencyNurse #NURCHAT</div><div>@IanIreland probably not, mitigating risk and reduce impact/severity #nurchat #nurchatKaren Tasker</div><div>#NurChat correct footwear is essential for elderly.Michelle Mellor</div><div>RT Absolutely agree @carlylou: #NurChat high risk patients need near continuous observation which is hard to provide in reality #NurChatIan Ireland</div><div>RT @TaskerKaren: full assessment of level of risk then preventional management #nurchat #nurchatNick Chinn</div><div>@michellemellor3 ofetn not correct for type of bed and/ or the bumpers too short #nurchatcheryl wilson</div><div>RT @carlylou: #NurChat high risk patients need near continuous observation which is hard to provide in reality < agree #NurChatAgencyNurse #NURCHAT</div><div>RT @michellemellor3: #NurChat correct footwear is essential for elderly.< agree sometimes small things that make a big difference #NurChatAgencyNurse #NURCHAT</div><div>have developed tools for 2 organisations, need to tweak a bit ti fit in with org's docs #nurchatKaren Tasker</div><div>@AgencyNurse #NurChat It's a multidisciplinary and multifaceted issue. Assess risk, act on what you identify as a problem! DOCUMENT findingsMaria Roberts</div><div>@DonnaNewX medication is one of the biggest issues in the elderly, sedatives and antihypertensives are bad culprits #nurchatMichelle Watt</div><div>@IanIreland think i am using the wrong terminology here lol #NurChatAgencyNurse #NURCHAT</div><div>RT let's not be ageist - essential for all @NRCUK: RT @michellemellor3: #NurChat correct footwear is essential for elderly. #NurChatIan Ireland</div><div>RT @TaskerKaren: have developed tools for 2 organisations, need to tweak a bit ti fit in with org's docs #nurchat <anything you can share?Nick Chinn</div><div>RT @AgencyNurse: RT @michellemellor3: #NurChat correct footwear is essential for elderly.< agree sometimes small things that make a big difference #NurChatmarie charnley</div><div>@IanIreland Obstacles are those frightful things you see when you take your eyes off your goal. Henry Ford - no relation :-) #NurChatDavid Foord</div><div>@AgencyNurse @delphineatquest #NurChat Reassess when things change and record and communicate the changes!Maria Roberts</div><div>RT @IanIreland: RT lets not be ageist - essential for all @michellemellor3: #NurChat correct footwear is essential for elderly. #NurChatAgencyNurse #NURCHAT</div><div>@mikkywatt agree & often not considered esp in elective surg settings #nurchatKaren Tasker</div><div>Probably not - but we do need to agree terminology RT @AgencyNurse: @IanIreland think i am using the wrong terminology here lol #NurChatIan Ireland</div><div>@AgencyNurse @ianireland e.g. Helping some learn to walk again post risk nessitates risk of them falling Need to minimise risk tho #NurChatCarly blm</div><div>@michellemellor3 no slippers!! (The clue is in the name!) #NurChatMichelle Watt</div><div>RT @maria101: @AgencyNurse @delphineatquest #NurChat Reassess when things change and record and communicate the changes! #NurChatAgencyNurse #NURCHAT</div><div>@AgencyNurse agree have taken many tumbles myself due to inappropriate footwear! #nurchatKaren Tasker</div><div>RT @DelphineAtQuest: @AgencyNurse #Nurchat Keep your high risk patient situated in high visibility areas #NurChatAgencyNurse #NURCHAT</div><div>@AgencyNurse @ianireland Zero falls not achievable but reducing level of harm/injury is. #NurChatMaria Roberts</div><div>RT @mikkywatt: @michellemellor3 no slippers!! (The clue is in the name!) #NurChatAgencyNurse #NURCHAT</div><div>A fall takes a second, no matter how hard you look RT #Nurchat Keep your high risk patient situated in high visibility areas #NurChatIan Ireland</div><div>@TaskerKaren me too flip flops a killer !!! #NurChatAgencyNurse #NURCHAT</div><div>RT @maria101: @AgencyNurse @ianireland Zero falls not achievable but reducing level of harm/injury is. #NurChatIan Ireland</div><div>Use of hip savers/protectors. The modern versions are much more user friendly #nurchatDonna Mullikin</div><div>so what prevention strategies can we employ ?? #NurChatAgencyNurse #NURCHAT</div><div>@TaskerKaren wasn't really something I thought of until I gave someone zopiclone and 20 min later I had to hoist them off the floor #nurchatMichelle Watt</div><div>RT @AgencyNurse: so what prevention strategies can we employ ?? #NurChatNurChat</div><div>To every action there is a reaction, think soft floor covering RT @DonnaNewX: Use of hip savers/protectors. #NurChatIan Ireland</div><div>Start with a good falls prevention strategy: @nhsconfed resource http://www.nhsconfed.org/Publications/briefings/Pages/FallsPreventionNewApproaches.aspx also listed on #nurchat blogDavid Foord</div><div>#NurChat effective and thorough risk assessment is vitalLorna Jones</div><div>RT @michellemellor3: @carlylou @agencynurse @ianireland in rehab many falls happen in private. But need to maintain privacy n #dignityNurChat</div><div>RT @AgencyNurse: so what prevention strategies can we employ ?? #NurChatIan Ireland</div><div>awareness/education staff/patients not just in hosp but at home too #nurchatKaren Tasker</div><div>@cherylwilson2 yes i think that is a vary good point ... even th "immobile" can be at risk .. conditions change #NurChatAgencyNurse #NURCHAT</div><div>RT @dgfoord: Start with a good falls prevention strategy: @nhsconfed resource http://www.nhsconfed.org/Publications/briefings/Pages/FallsPreventionNewApproaches.aspx also listed on #nurchat blog #NurChatAgencyNurse #NURCHAT</div><div>@AgencyNurse risk assessment tool in admission doc #nurchatcheryl wilson</div><div>@blondenurse33 don't forget the hashtag :) --> #nurchat thanks for chatting!NurChat</div><div>#nurchat staff education key. People still use cot sides, fail to assess risks, put poorly fitting slippers on people - poor practiceCarly blm</div><div>@AgencyNurse #NurChat Apply intentional rounding and ensure incidents forms are completed and acted uponDelphine Corgie</div><div>Assessment is vital, but so if effective planning #NurChatIan Ireland</div><div>@AgencyNurse #NurChat MDT approach and review. Are meds causing issues? Glasses, hearing aids, mobility aids in place? Call bells?Maria Roberts</div><div>@mikkywatt sedation can have a massive effect and should always be considered #NurChatAgencyNurse #NURCHAT</div><div>RT @carlylou:staff ed key. People still use cot sides, fail to assess risks, put poorly fitting slippers on people - poor practice #NurChatAgencyNurse #NURCHAT</div><div>RT @DelphineAtQuest: @AgencyNurse #NurChat Apply intentional rounding and ensure incidents forms are completed and acted upon #NurChatAgencyNurse #NURCHAT</div><div>RT @DelphineAtQuest: @AgencyNurse #NurChat Apply intentional rounding and ensure incidents forms are completed and acted uponNurChat</div><div>RT @AgencyNurse: @michellemellor3 i have seen all sorts of assessment tools anyone recommend good ones / #NurChatSav Jnr</div><div>RT @AgencyNurse: RT @IanIreland: Whilst I would agree zero falls is an ideal to aim for, is it realistically acheivable? #NurChatSav Jnr</div><div>RT @IanIreland: Assessment is vital, but so if effective planning. then evaluating regularly #nurchatDonna Mullikin</div><div>@IanIreland agree it can happen right in front of you #nurchatMichelle Mellor</div><div>RT @AgencyNurse: RT @TaskerKaren: full assessment of level of risk then preventional management #nurchat #NurChatSav Jnr</div><div>RT @AgencyNurse: RT @carlylou: #NurChat high risk patients need near continuous observation which is hard to provide in reality < agree #NurChatSav Jnr</div><div>@AgencyNurse also ut poorly fitting bed rails on and protectors...the irony ! #nurchatcheryl wilson</div><div>RT @IanIreland: Assessment is vital, but so if effective planning < agree #NurChatAgencyNurse #NURCHAT</div><div>@AgencyNurse is the first thing I think of now when I see them on charts, needed to see it first #NurChatMichelle Watt</div><div>@maria101 @agencynurse long delay in answering call bells can lead some patients to "try" on their own. Big issue #NurChatCarly blm</div><div>RT @AgencyNurse: RT @michellemellor3: #NurChat correct footwear is essential for elderly.< agree sometimes small things that make a big difference #NurChatSav Jnr</div><div>@AgencyNurse @NurChat #NurChat hi all sorry lateSally</div><div>And therin lies the problem RT @michellemellor3: @IanIreland agree it can happen right in front of you #NurChatIan Ireland</div><div>@DelphineAtQuest Good point about reporting. Good root cause analysis of falls can help improve risk reduction of future falls #NurChatDavid Foord</div><div>RT @AgencyNurse: RT @IanIreland: RT lets not be ageist - essential for all @michellemellor3: #NurChat correct footwear is essential for elderly. #NurChatSav Jnr</div><div>RT @AgencyNurse: RT @maria101: @AgencyNurse @delphineatquest #NurChat Reassess when things change and record and communicate the changes! #NurChatSav Jnr</div><div>RT @AgencyNurse: RT @DelphineAtQuest: @AgencyNurse #Nurchat Keep your high risk patient situated in high visibility areas #NurChatSav Jnr</div><div>RT @dgfoord: Good point about reporting. Good root cause analysis of falls can help improve risk reduction of future falls #NurChatAgencyNurse #NURCHAT</div><div>Can building design help falls prevention? #NurChatIan Ireland</div><div>#NurChat its also about working with a&e too. We flag patients who fall so its highlighted if (cont) http://tl.gd/hu2mbvHannah Taylor</div><div>lack of awareness of impact-each fall increases risk of falling again;and not only an issue for elderly-for all #nurchatKaren Tasker</div><div>RT @AgencyNurse: so what prevention strategies can we employ ?? #NurChatSav Jnr</div><div>@carlylou @agencynurse #NurChat Exactly! This is why intentional rounding should helpMaria Roberts</div><div>RT @AgencyNurse: RT @dgfoord: Start with a good falls prevention strategy: @nhsconfed resource http://www.nhsconfed.org/Publications/briefings/Pages/FallsPreventionNewApproaches.aspx also listed on #nurchat blog #NurChatSav Jnr</div><div>@AgencyNurse #NurChat Good strategy, MDT responsibilities, good communication, information for older people and monitoringDelphine Corgie</div><div>@dgfoord yes analysis of falls data even on a small scale can help id issues, worked in place where falls happened at handover #NurChatAgencyNurse #NURCHAT</div><div>@nursemaiden @agencynurse @nurchat How is your dad and mum Sally?Maria Roberts</div><div>What about engagement with the patient/family? Could we have patient-led risk assessments, where appropriate to their situation? #NurChatDavid Foord</div><div>@dgfoord it was easy to reduce by ensuring more staff on floor at that time #NurChatAgencyNurse #NURCHAT</div><div>risk assessment at pre-op assessment & education to get patient to look at any risks in their home environ to reduce risk at home #nurchatKaren Tasker</div><div>RT @AgencyNurse: RT @carlylou:staff ed key. People still use cot sides, fail to assess risks, put poorly fitting slippers on people - poor practice #NurChatSav Jnr</div><div>RT @AgencyNurse: RT @DelphineAtQuest: @AgencyNurse #NurChat Apply intentional rounding and ensure incidents forms are completed and acted upon #NurChatSav Jnr</div><div>@DelphineAtQuest @AgencyNurse #NurChat I worry about interpretation of intentional rounding. Elderly care was 2hrs! 50% had dementiaSally</div><div>RT @DelphineAtQuest: @AgencyNurse #NurChat Apply intentional rounding and ensure incidents forms are completed and acted uponSav Jnr</div><div>RT @dgfoord: What about engagement with the patient/family? Could we have patient-led risk assessments, where appropriate to their situation? #NurChatNurChat</div><div>RT @maria101: @carlylou @agencynurse #NurChat Exactly! This is why intentional rounding should help < agree #NurChatAgencyNurse #NURCHAT</div><div>RT @AgencyNurse: RT @IanIreland: Assessment is vital, but so if effective planning < agree #NurChatSav Jnr</div><div>RT @nursemaiden: @AgencyNurse @NurChat #NurChat hi all sorry lateSav Jnr</div><div>Question: are you using the Nursing Diagnoses from @Nanda_int in your system? "Risk for falls" (code 00155) #NurChatFriso Raemaekers</div><div>RT @AgencyNurse: RT @dgfoord: Good point about reporting. Good root cause analysis of falls can help improve risk reduction of future falls #NurChatSav Jnr</div><div>@EffyJnr @AgencyNurse falls prevention groups are great, ot and physio lead with nurse input #NurChatMichelle Watt</div><div>An article in Nursing Mirror, anaylsis of falls showed if over 60 on a surgical ward and asked for a commode at 6am you would fall #NurChatIan Ireland</div><div>@dgfoord #NurChat Where I work we ate actively trying to improve that including d/w pt & family post fall how it could be avoidedMaria Roberts</div><div>@dgfoord @delphineatquest incident reporting may identify themes or trends #nurchatMichelle Mellor</div><div>@dgfoord great idea about patient centered assessment #nurchatDonna Mullikin</div><div>RT @dgfoord: What about engagement with the patient/family? Could we have patient-led risk assessments, where appropriate to their situation? #NurChatSav Jnr</div><div>@nursemaiden there is no doubt that some people need more nursing input than others comprehensive assessment is always key #NurChatAgencyNurse #NURCHAT</div><div>RT @AgencyNurse: RT @dgfoord: What about engagement with the pt/family? Could we have pt-led risk assessments, where appropriate to their situation? #NurChatSav Jnr</div><div>RT @mikkywatt: @EffyJnr @AgencyNurse falls prevention groups are great, ot and physio lead with nurse input < sounds interesting ? #NurChatAgencyNurse #NURCHAT</div><div>RT there is no doubt that some people need more nursing input than others comprehensive assessment is always key #NurChatIan Ireland</div><div>RT @AgencyNurse: @nursemaiden there is no doubt that some people need more nursing input than others comprehensive assessment is always key #NurChatSav Jnr</div><div>@nursemaiden @delphineatquest @agencynurse #NurChat Agree - its not meant to exclude other care interventionsMaria Roberts</div><div>@AgencyNurse #Nurchat Measuring falls and falls after introducing a change is a MUST. Target high risk wards and try something new.Delphine Corgie</div><div>@maria101 Can pt & family be involved in risk assessment pre-fall too? #NurChatDavid Foord</div><div>@maria101 @dgfoord yes pts and family should be involved in all care not just falls, but all too often are not #NurChatAgencyNurse #NURCHAT</div><div>#NurChat be alert for new signs of neurological disturbance ..Grace Phiri</div><div>RT @dgfoord: @maria101 Can pt & family be involved in risk assessment pre-fall too? < yes, as often know strategies to reduce risk #NurChatAgencyNurse #NURCHAT</div><div>more often than not, preventative measures are put in place following a fall. When it is too late #nurchatDonna Mullikin</div><div>@michellemellor3 @delphineatquest Tweet from @SuzetteWoodward earlier about Patient Safety First resources http://bit.ly/L1QKk9 #NurChatDavid Foord</div><div>@AgencyNurse @EffyJnr was something done at a rehab hospital, group of 6ish patients, taught prevention strategies #NurChat tbc...Michelle Watt</div><div>@AgencyNurse #NurChat The French match is really boring!Delphine Corgie</div><div>RT @DelphineAtQuest: Measuring falls and falls after introducing a change is a MUST. Target high risk wards and try something new. #NurChatAgencyNurse #NURCHAT</div><div>@dgfoord #NurChat Definitely - working on that tooMaria Roberts</div><div>@AgencyNurse @mikkywatt @EffyJnr Agree, multi-disciplinary approach. With patient and family included. #NurChatAndrea Pardoe</div><div>@AgencyNurse @EffyJnr and what to do to minimise harm if they did fall, also using walking aids and standing properly #NurChatMichelle Watt</div><div>RT @justgracephiri: #NurChat be alert for new signs of neurological disturbance .. < yes they can be missed & so important #NurChatAgencyNurse #NURCHAT</div><div>RT @maria101: @dgfoord #NurChat Definitely - working on that too #NurChatDavid Foord</div><div>RT @blondenurse33: @AgencyNurse @mikkywatt @EffyJnr Agree, multi-disciplinary approach. With patient and family included. < exactly #NurChatAgencyNurse #NURCHAT</div><div>#NurChat introduce or re-evaluate falls risk assessmentGrace Phiri</div><div>RT @AgencyNurse: RT @DelphineAtQuest: Measuring falls and falls after introducing a change is a MUST. Target high risk wards and try something new. #NurChatSav Jnr</div><div>RT @AgencyNurse: RT @justgracephiri: #NurChat be alert for new signs of neurological disturbance .. < yes they can be missed & so important #NurChatSav Jnr</div><div>so what about strategies to minimise harm ? #NurChatAgencyNurse #NURCHAT</div><div>Does Tai Chi help with long term residents? #NurChatIan Ireland</div><div>@maria101 @delphineatquest @agencynurse #NurChat But that was a response I got given that patients checked 2 hourly!Sally</div><div>RT @AgencyNurse: so what about strategies to minimise harm ? #NurChatNurChat</div><div>RT @AgencyNurse: so what about strategies to minimise harm ? #NurChatSav Jnr</div><div>RT @IanIreland: Does Tai Chi help with long term residents? < that sounds interesting .. would love to know if it does ? #NurChatAgencyNurse #NURCHAT</div><div>@IanIreland could help with balance and therefore help stability #nurchatcheryl wilson</div><div>health promotion at every opportunity to educate on risks & simple strategy pt & family can implement to prevent #nurchatKaren Tasker</div><div>RT @AgencyNurse: RT @IanIreland: Does Tai Chi help with long term residents? < that sounds interesting .. would love to know if it does ? #NurChatSav Jnr</div><div>@cherylwilson2 @ianireland yes i agree with cheryl it may be a useful approach in some pts #NurChatAgencyNurse #NURCHAT</div><div>Risk for Falls (NANDA-I): 55 Risk fators >> Adult(6), Children(8), Cognitive(1), Environment(8), Medications(9), Physiological(23) #NurChatFriso Raemaekers</div><div>coupled with education/awareness for health care professionals so think of it with every patient encounter #nurchatKaren Tasker</div><div>@TaskerKaren agree often it is the simple things that can help to reduce the risk, footwear, glasses, things within reach etc #NurChatAgencyNurse #NURCHAT</div><div>@AgencyNurse #NurChat Strategy: referral to falls services, good assessment, standardised documentation, staff training, patient info, auditDelphine Corgie</div><div>@AgencyNurse basic things like lowering beds, patient education on how to get up safely & use mobility aids properly #NurChatCarly blm</div><div>TaskerKaren I agree health promotion should be a major part in prevention #nurchatDonna Mullikin</div><div>#NurChat Surely this is an example where nurses and AHPs should work together to reduce the risk?Karen Evans</div><div>@nursemaiden @delphineatquest @agencynurse #NurChat Oh dear. Someone didn't quite get it did they!Maria Roberts</div><div>on a personal note I am at risk of falls in the dark as my balance is damaged due to my brain surgry rely on eyes nt ears 4 balance #nurchatcheryl wilson</div><div>@DelphineAtQuest is there a falls service in all areas ? #NurChatAgencyNurse #NURCHAT</div><div>RT @karenmanning_1: #NurChat Surely this is an example where nurses and AHPs should work together to reduce the risk?NurChat</div><div>@AgencyNurse & teaching everyone (inc) patients on what to do when someone falls #NurChatCarly blm</div><div>RT @carlylou: @AgencyNurse basic things like lowering beds, patient education on how to get up safely & use mobility aids properly #NurChatAgencyNurse #NURCHAT</div><div>How often does unmanaged incontinence lead to a fall? Can't get to the loo? #NurChatIan Ireland</div><div>@NurChat thanksCarly blm</div><div>@carlylou yes it really is back to basics with this one #NurChatAgencyNurse #NURCHAT</div><div>RT @IanIreland: How often does unmanaged incontinence lead to a fall? Cant get to the loo? #NurChatAgencyNurse #NURCHAT</div><div>@karenmanning_1 agree MDT neccesary-gait assessment/simple exercises/correct fitting & use of mobility aids #nurchatKaren Tasker</div><div>@maria101 @delphineatquest @agencynurse #NurChat exactly and that is my concern.Sally</div><div>@IanIreland or even cant find the loo #NurChatAgencyNurse #NURCHAT</div><div>RT @karenmanning_1: #NurChat Surely this is an example where nurses and AHPs should work together to reduce the risk?Sav Jnr</div><div>@nursemaiden @maria101 @delphineatquest @agencynurse facepalm! I do worry is sometimes used as replacement for individualised care #NurChatCarly blm</div><div>RT @AgencyNurse: RT @carlylou: @AgencyNurse basic things like lowering beds, patient education on how to get up safely & use mobility aids properly #NurChatSav Jnr</div><div>@AgencyNurse @carlylou yes start the prevention of #sloppyslipper campaign #nurchatMichelle Mellor</div><div>RT @michellemellor3: @AgencyNurse @carlylou yes start the prevention of #sloppyslipper campaign #NurChatAgencyNurse #NURCHAT</div><div>@AgencyNurse #NurChat How about removing the extra beds squeezed into bays? More roomKaren Evans</div><div>@michellemellor3 #sloppyslipper campaign ... a great idea :) #NurChatAgencyNurse #NURCHAT</div><div>@michellemellor3 tell us more about #sloppyslipper please :) #nurchatNurChat</div><div>RT @karenmanning_1: @AgencyNurse #NurChat How about removing the extra beds squeezed into bays? More room < environment gd point #NurChatAgencyNurse #NURCHAT</div><div>What if client choice comes into play? I want to wear these slippers? #NurChatIan Ireland</div><div>RT @NurChat: @michellemellor3 tell us more about #sloppyslipper please :) #NurChatAgencyNurse #NURCHAT</div><div>Anne Marie here. First #NurChat so hello! Work in older peoples rehab. Use 'traffic light' assessment tool on admission v effective.AnneMarie Jackson</div><div>RT @AgencyNurse: RT @karenmanning_1: @AgencyNurse #NurChat How about removing the extra beds squeezed into bays? More room < environment gd point #NurChatSav Jnr</div><div>@IanIreland thats a tricky situation and can lead to difficulties, wud always point out the risks #NurChatAgencyNurse #NURCHAT</div><div>@IanIreland quite we can only advise they may not be ideal #ptchoice #nurchatcheryl wilson</div><div>@1stSteps1stAid traffic light system certainly helps embed into practice #nurchatKaren Tasker</div><div>@1stSteps1stAid welcome and pls tell us more about 'traffic light' #NurChatAgencyNurse #NURCHAT</div><div>@DelphineAtQuest don't forget your hashtag :) --> #nurchatNurChat</div><div>RT @IanIreland: What if client choice comes into play? I want to wear these slippers? big factor and why not? #nurchatDonna Mullikin</div><div>Sorry been distracted. We reduced falls by assessing areas like bathrooms and where shelves and mirrors etc were. #nurchatAnne Cooper</div><div>@IanIreland I think if you insist you need to be informed of risks and that discussion documented #NurChatCarly blm</div><div>@IanIreland need to explain the risk v benefits #patientsafety #choice #nurchatMichelle Mellor</div><div>Also where toilet paper holders were. The flooring too. #nurchatAnne Cooper</div><div>@TaskerKaren @1stSteps1stAid any links to this tool #NurChatAgencyNurse #NURCHAT</div><div>@anniecoops Environment is important and also key to effective #dementia care. #NurChatDavid Foord</div><div>@anniecoops i think you are right environment plays a major part in fall reduction #NurChatAgencyNurse #NURCHAT</div><div>Hi Anne - floor covering is important RT @anniecoops: Also where toilet paper holders were. The flooring too. #NurChatIan Ireland</div><div>@anniecoops not acceptable!! #nurchat, please concentrate :)NurChat</div><div>#nurchat think ward layout can have a big impact, visibility, patients finding their way, hidden obstaclesCarly blm</div><div>@EffyJnr @AgencyNurse @karenmanning_1 environment is very important, uncluttered, preferably non slip flooring, clear signposting #NurChatMichelle Watt</div><div>@anniecoops agree toilet paper rolls positioned out of reach #patientsafety #nurchatMichelle Mellor</div><div>@IanIreland clear documentation also to explain the patients choice and that you have explained ther risks #nurchatDonna Mullikin</div><div>#nurchat some wards are awful & it all looks the same & is confusing to new staff! How must patients feel?Carly blm</div><div>RT @NurChat: @anniecoops not acceptable!! #nurchat, please concentrate :) < sorry matron .. feel free to b distracted #sttwitters #NurChatAgencyNurse #NURCHAT</div><div>traffic light as in green/amber/red, allows easily identification of risk level by colour #nurchatKaren Tasker</div><div>RT @mikkywatt: environment is very important, uncluttered, preferably non slip flooring, clear signposting #NurChatAgencyNurse #NURCHAT</div><div>A colleague of mine analysed falls and then changed staff work patterns, reduced falls by around 50% #NurChatIan Ireland</div><div>RT @IanIreland: A colleague of mine analysed falls and then changed staff work patterns, reduced falls by around 50% #NurChatNurChat</div><div>@DonnaNewX @ianireland good communication n documentation #nurchatMichelle Mellor</div><div>@agencynurse @michellemellor3 @carlylou Sorry forgot my #NurChat Karen Evans</div><div>RT @TaskerKaren: traffic light as in green/amber/red, allows easily identification of risk level by colour #NurChatAgencyNurse #NURCHAT</div><div>#NurChat Royal Devon & Exeter created a "fall map" showing a dot where a patient fell on a ward and identified high risk areas that way.Delphine Corgie</div><div>RT @TaskerKaren: traffic light as in green/amber/red, allows easily identification of risk level by colour #nurchatNurChat</div><div>@TaskerKaren this is a great and simple system that i have often used with great effect #NurChatAgencyNurse #NURCHAT</div><div>@IanIreland what changes did they make? #NurChatMichelle Watt</div><div>@IanIreland Interesting! What was it about the old shift patterns that increased the risk? #NurChatDavid Foord</div><div>RT @DelphineAtQuest: #NurChat Royal Devon & Exeter created a "fall map" showing a dot where a patient fell on a ward and identified high risk areas that way.NurChat</div><div>#NurChat falls occur in probateMichelle Mellor</div><div>@AgencyNurse have used this in acute stroke for mealtime assistance was great #nurchatcheryl wilson</div><div>@DelphineAtQuest wow that sounds like an amazing project ... what a great idea to create a map, great for prevention #NurChatAgencyNurse #NURCHAT</div><div>When there us staff visible around the unit/ward pts can ask for help instead of taking chances. #nurchatCiara H</div><div>Putting resident to bed leaving lounge unattended RT Interesting! What was it about the old shift patterns that increased the risk? #NurChatIan Ireland</div><div>@carlylou not just wards, same in care homes, but with added doors and chairs! #nurchatMichelle Watt</div><div>RT @cherylwilson2: @AgencyNurse have used this in acute stroke for mealtime assistance was great #NurChatAgencyNurse #NURCHAT</div><div>#NurChat falls occur in private. Maintain privacy n dignity!! Promoting independenceMichelle Mellor</div><div>@AgencyNurse @ianireland #NurChat Mental capacity needs to be consideredMaria Roberts</div><div>@cherylwilson2 have never used in that way but that would work amazingly well ... will start to recommend #NurChatAgencyNurse #NURCHAT</div><div>RT @maria101: @AgencyNurse @ianireland #NurChat Mental capacity needs to be considered #NurChatAgencyNurse #NURCHAT</div><div>RT @AgencyNurse: RT @NurChat: @anniecoops not acceptable!! #nurchat, please concentrate :) < sorry matron .. feel free to b distracted #sttwitters #NurChatSav Jnr</div><div>RT @AgencyNurse: RT @mikkywatt: environment is very important, uncluttered, preferably non slip flooring, clear signposting #NurChatSav Jnr</div><div>RT @AgencyNurse: RT @TaskerKaren: traffic light as in green/amber/red, allows easily identification of risk level by colour #NurChatSav Jnr</div><div>@mikkywatt Agh yes! Took me months of visiting to learn way around my nan's care home! #NurChatCarly blm</div><div>@AgencyNurse can recommend MDT input ie SALT also #nurchatcheryl wilson</div><div>@maria101 What's the evidence-base around impact of dementia on falls? Presume high causal relationship? #NurChatDavid Foord</div><div>RT @AgencyNurse: RT @cherylwilson2: @AgencyNurse have used this in acute stroke for mealtime assistance was great #NurChatSav Jnr</div><div>RT @cherylwilson2: @AgencyNurse can recommend MDT input ie SALT also #nurchatNurChat</div><div>RT @michellemellor3: #NurChat falls occur in private. Maintain privacy n dignity!! Promoting independenceSav Jnr</div><div>RT @cherylwilson2: @AgencyNurse can recommend MDT input ie SALT also < agree :) #NurChatAgencyNurse #NURCHAT</div><div>RT @dgfoord: @maria101 Whats the evidence-base around impact of dementia on falls? Presume high causal relationship? #NurChatAgencyNurse #NURCHAT</div><div>#nurchat @AgencyNurse @ianireland have a listen to my story on the @sntpodcast. Puddle on the floor!Tracey</div><div>RT @StudentNurseTT: #nurchat @AgencyNurse @ianireland have a listen to my story on the @sntpodcast. Puddle on the floor!NurChat</div><div>RT @dgfoord: @maria101 Whats evidence-base around impact of dementia on falls? Presume high causal relationship? < @nursemaiden? #NurChatAgencyNurse #NURCHAT</div><div>@IanIreland interesting, we have more falls in bedrooms rather than lounge, is that because the lounge is monitored I wonder? #NurChatMichelle Watt</div><div>RT @StudentNurseTT: #nurchat @AgencyNurse @ianireland have a listen to my story on the @sntpodcast. Puddle on the floor!SNT Podcast</div><div>RT @maria101: @AgencyNurse @delphineatquest What were the risky areas? Anywhere unexpected? #NurChatNurChat</div><div>RT @AgencyNurse: RT @dgfoord: @maria101 Whats the evidence-base around impact of dementia on falls? Presume high causal relationship? #NurChatSav Jnr</div><div>RT @AgencyNurse: RT @cherylwilson2: @AgencyNurse can recommend MDT input ie SALT also < agree :) #NurChatSav Jnr</div><div>@StudentNurseTT ooh will do ... do you have a link ?? #NurChatAgencyNurse #NURCHAT</div><div>@StudentNurseTT will have a listen after the chat :) #nurchatDonna Mullikin</div><div>When is a fall not a fall? How many are actually a clinical 'collapse'? #NurChatIan Ireland</div><div>RT @IanIreland: When is a fall not a fall? How many are actually a clinical 'collapse'? #NurChatNurChat</div><div>@AgencyNurse Orientation to the area, be it ward/department #NurChat #theolddaysKaren Evans</div><div>@carlylou have worked in mine for 6 months, still get lost, no wonder they can't find the toilet when confused! #NurChatMichelle Watt</div><div>@AgencyNurse I fell as a pupil in a puddle slopped from commode and ward below rang to see what the noise was #ouch lol #nurchatcheryl wilson</div><div>RT @michellemellor3: #NurChat #sloppyslipper campaign great initiative by physio & @age_uk Swap old slippers 4 new fitting slippers #innovation #harmfreecareNurChat</div><div>@AgencyNurse @dgfoord #NurChat Our incident data indicates a correlationMaria Roberts</div><div>Sorry, not al tweets are coming through on my timeline. Can't keep up. Next time perhaps. #nurchatCiara H</div><div>RT @michellemellor3: #sloppyslipper campaign gr8 initiative by physio & @age_uk Swap old slippers 4 new fitting slippers < fab #NurChatAgencyNurse #NURCHAT</div><div>@IanIreland arguable though that could still be prevented, adequate hydration, observations etc #nurchatDonna Mullikin</div><div>#NurChat Red, yellow or green circle put above patients bed following assessment on admission to identify who is high risk asapAnneMarie Jackson</div><div>@cherylwilson2 goodness me !!!! #NurChatAgencyNurse #NURCHAT</div><div>@IanIreland important to observe BP if px anti hypertensives #nurchatMichelle Mellor</div><div>RT @mikkywatt: @carlylou have worked in mine for 6 months, still get lost, no wonder they cant find the toilet when confused! #NurChatIan Ireland</div><div>“@IanIreland: When is a fall not a fall? How many are actually a clinical 'collapse'? #NurChat” >very good point! #NurChatKaren Evans</div><div>@CiHarb its a very fast chat tonight - but we will post the transcript later for you :)) #NurChatAgencyNurse #NURCHAT</div><div>#NurChat I wouldn't know the exact correlation between dementia and falls but I imagine it's high. Again falls assessment is needed thereDelphine Corgie</div><div>It's not just adults who fall & it's #childsafetyweek this week: http://www.capt.org.uk/shop/look-whos-falling-dvd-pack #NurChatDavid Foord</div><div>@AgencyNurse I shook the whole of level 7 ! #nurchatcheryl wilson</div><div>a fall is a fall, regardless of cause #nurchatDonna Mullikin</div><div>RT @dgfoord: Its not just adults who fall & its #childsafetyweek this week: http://www.capt.org.uk/shop/look-whos-falling-dvd-pack #NurChatAgencyNurse #NURCHAT</div><div>Just in and catching up on #nurchat. Hello!Katie Anderson</div><div>RT @dgfoord: It's not just adults who fall & it's #childsafetyweek this week: http://www.capt.org.uk/shop/look-whos-falling-dvd-pack #NurChatNurChat</div><div>Not sure about labelling RT Red, yellow or green circle above patients bed following assessment on admission to identify high risk #NurChatIan Ireland</div><div>@dgfoord couldn't find an equivalent child falls risk assessment when did most recent search for available tools-why is this?? #nurchatKaren Tasker</div><div>@katieandersonHD hi and welcome :) #nurchatNurChat</div><div>@cherylwilson2 OMG !! so not just pt safety we need to consider but also staff safety #NurChatAgencyNurse #NURCHAT</div><div>@katieandersonHD Hi :) #nurchatDonna Mullikin</div><div>Disagree - cause and solution diferent RT @DonnaNewX: a fall is a fall, regardless of cause #NurChatIan Ireland</div><div>@katieandersonHD hi katie :) #NurChatAgencyNurse #NURCHAT</div><div>@IanIreland yes could breach confidentiality-we are trying to find non visual way to highlight & embed into practice #nurchatKaren Tasker</div><div>#NurChat @IanIreland we use the definition where a person ends up on floor apart from if having MI, (cont) http://tl.gd/hu2s4tHannah Taylor</div><div>so as we come to the end of the chat what measures will you take away to your own healthcare environments? #NurChatAgencyNurse #NURCHAT</div><div>RT @AgencyNurse: so as we come to the end of the chat what measures will you take away to your own healthcare environments? #NurChatNurChat</div><div>@AgencyNurse of course and as I tweeted earlier I am wobbly in the dark thanks to brain surgery #imbalance #nurchatcheryl wilson</div><div>#NurChat Fall prevention: check fall history, strength / balance, hazard assessment, medication (psychotropic)Delphine Corgie</div><div>@michellemellor3 @IanIreland would times of falls help to identify this? Antihypertensives are often given in the am = am falls? #nurchatMichelle Watt</div><div>You can tell the passion for nursing when England playing and score and chat continues about Falls prevention Great!:) #NurChatAndrea Pardoe</div><div>@AgencyNurse Thanks. I'm interested in the topic. #nurchatCiara H</div><div>RT @hannietaylor: #NurChat @IanIreland we use the definition where a person ends up on floor apart from if having MI, (cont) http://tl.gd/hu2s4tNurChat</div><div>education & awareness #nurchatKaren Tasker</div><div>@cherylwilson2 @agencynurse oh no! I once slipped on hand gel while carrying a jug & landed on yellow bin #ouch #NurChatCarly blm</div><div>Yes !RT @mikkywatt:would times of falls help to identify this? Antihypertensives are often given in the am = am falls? #NurChatIan Ireland</div><div>RT @AgencyNurse: @cherylwilson2 OMG !! so not just pt safety we need to consider but also staff safety #NurChatDebbie McKinnon</div><div>@IanIreland the cause and solution can be different i agree, we need to individualise every assessment #nurchatDonna Mullikin</div><div>RT @blondenurse33: u can tell the passion for nursing when England playing & score and chat continues about Falls prevention Great #NurChatAgencyNurse #NURCHAT</div><div>RT @TaskerKaren: @dgfoord couldn't find an equivalent child falls risk assessment when did most recent search for available tools-why is this?? #nurchatDavid Foord</div><div>RT @TaskerKaren: @dgfoord couldn't find an equivalent child falls risk assessment when did most recent search for available tools-why is this?? #nurchatDavid Foord</div><div>@blondenurse33 :-) #NurChatIan Ireland</div><div>@blondenurse33 naturally ... but tweet us the score anyway ... #NurChatAgencyNurse #NURCHAT</div><div>@AgencyNurse #nurchat cont to raise awareness. Multidisciplinary approach. Full assessment. Everyone's business!Michelle Mellor</div><div>@NurChat It was a simple fall at work that robbed me of my mobility and the profession I love. Not just pts at rishk #nurchatDebbie McKinnon</div><div>#NurChat Involve Patients in programme, informative and understandable. Address barriers and encourage activity, how to cope with a fall ..Delphine Corgie</div><div>@carlylou ouch !!! that sounds painful ! #NurChatAgencyNurse #NURCHAT</div><div>RT @blondenurse33: You can tell the passion for nursing when England playing and score and chat continues about Falls prevention Great!:) #NurChatMichelle Watt</div><div>RT @anniecoops: Sorry been distracted. We reduced falls by assessing areas like bathrooms and where shelves and mirrors etc were. #nurchatAnneMarie Cunningham</div><div>RT @michellemellor3: @AgencyNurse #nurchat cont to raise awareness. Multidisciplinary approach. Full assessment. Everyone's business!NurChat</div><div>RT @nursiedeb: @NurChat It was a simple fall at work that robbed me of my mobility and the profession I love. Not just pts at rishk #NurChatAgencyNurse #NURCHAT</div><div>RT @nursiedeb: @NurChat It was a simple fall at work that robbed me of my mobility and the profession I love. Not just pts at rishk #nurchatNurChat</div><div>Eng 1 - 0 UKR #NurChatIan Ireland</div><div>@AgencyNurse importance of monitoring falls & looking at basics, sloppy slippers, clear floors, all the stuff we know we need to do #NurChatCarly blm</div><div>#nurchat My "true fall" story is at the end of episode 2 of the @sntpodcast. After the really long song. I'd love to hear what you think!Tracey</div><div>RT @DelphineAtQuest: #NurChat Involve Patients in programme, informative and understandable. Address barriers and encourage activity, how to cope with a fall ..David Foord</div><div>#NurChat assessment includes previous falls, ?pt aware of limitations, confirmed confusion, conditions eg Postural hypotension, gaitAnneMarie Jackson</div><div>individualised assessment, thorough risk assessment of the environment #nurchatDonna Mullikin</div><div>@nursiedeb falls are a serious issue for patients AND staff, we should all be super aware that falls can have massive impact #NurChatAgencyNurse #NURCHAT</div><div>RT @DonnaNewX: individualised assessment, thorough risk assessment of the environment #nurchatNurChat</div><div>@michellemellor3 @AgencyNurse #NurChat I agree, also being more proactive in looking for trends in falls.Andrea Pardoe</div><div>If pt admitted to us after a fall or post surgery after a fall they have 3 days of lying and standing BP #NurChatAnneMarie Jackson</div><div>RT @AgencyNurse: @nursiedeb falls are a serious issue for patients AND staff, we should all be super aware that falls can have massive impact #NurChatAndrea Pardoe</div><div>We can involve patients/family more in risk assessment - put them at the centre of the process (but include staff risk) #NurChatDavid Foord</div><div>RT @AgencyNurse: RT @blondenurse33: u can tell the passion for nursing when England playing & score and chat continues about Falls prevention Great #NurChatTracey</div><div>RT @carlylou: importance of monitoring falls & looking at basics,sloppy slippers, clear floors, all the stuff we know we need to do #NurChatAgencyNurse #NURCHAT</div><div>RT @blondenurse33: @michellemellor3 @AgencyNurse #NurChat I agree, also being more proactive in looking for trends in falls. #NurChatIan Ireland</div><div>RT @1stSteps1stAid: If pt admitted to us after a fall or post surgery after a fall they have 3 days of lying and standing BP #NurChatNurChat</div><div>RT @1stSteps1stAid: If pt admitted to us after a fall or post surgery after a fall they have 3 days of lying and standing BP #NurChatAgencyNurse #NURCHAT</div><div>I don't know if this has been said, but I think falls and manual handling planning are very interconnected #nurchatKatie Anderson</div><div>RT @dgfoord: We can involve patients/family more in risk assessment -put them at the centre of the process (but include staff risk) #NurChatAgencyNurse #NURCHAT</div><div>RT @DonnaNewX: individualised assessment, thorough risk assessment of the environment #NurChatAgencyNurse #NURCHAT</div><div>@DonnaNewX essential patient assessed by physio for correct equipment. Zimmer frame correct hight #nurchatMichelle Mellor</div><div>RT @katieandersonHD: I dont know if this has been said, but I think falls and manual handling planning are very interconnected #NurChatAgencyNurse #NURCHAT</div><div>@katieandersonHD I agree #nurchatCiara H</div><div>RT @michellemellor3: @AgencyNurse #nurchat cont to raise awareness. Multidisciplinary approach. Full assessment. Everyone's business!Karen Evans</div><div>Trending falls (informatics) is key in falls prevention #nnist #NurChatIan Ireland</div><div>RT @blondenurse33: @michellemellor3 @AgencyNurse #NurChat I agree, also being more proactive in looking for trends in falls. #NurChatAgencyNurse #NURCHAT</div><div>RT @IanIreland: Trending falls (informatics) is key in falls prevention < agree, agree, agree #NurChatAgencyNurse #NURCHAT</div><div>#NurChat health promotion as well, teaching patients how to reduce the risks...Grace Phiri</div><div>@AgencyNurse painful but no serious injury thankfully #NurChatCarly blm</div><div>@anniecoops #nurchat Stirling Dementia Centre have audit tool for longer care areas & just intro'd dementia environment audit tool for DGHsdtbarron</div><div>@michellemellor3 agree! MDT approach is essential #nurchatDonna Mullikin</div><div>@carlylou thank goodness #NurChatAgencyNurse #NURCHAT</div><div>@AgencyNurse #nurchat Is the Cannard assessment only used in Scotland?Lyn_Marie</div><div>@justgracephiri yes, that's so important #NurChatCarly blm</div><div>RT @Lyn_Marie: @AgencyNurse #nurchat Is the Cannard assessment only used in Scotland?NurChat</div><div>@AgencyNurse @katieandersonhd #nurchat agree they come hand in hand. Risk assessment and manual handling. #nurchatMichelle Mellor</div><div>RT @dtbarron: Stirling Dementia Centre have audit tool for longer care areas & just introd dementia environment audit tool for DGHs #NurChatAgencyNurse #NURCHAT</div><div>RT @Lyn_Marie: @AgencyNurse #nurchat Is the Cannard assessment only used in Scotland? < not heard of it ? #NurChatAgencyNurse #NURCHAT</div><div>We have handling codes ontop of falls & MH assmts, tho I'm on ICU/HDU so don't get many falls. Tend to over handle pts if anything #nurchatKatie Anderson</div><div>@AgencyNurse and don't forget give your patients time to sit and get their balance before setting off walking after lying long #nurchatcheryl wilson</div><div>@AgencyNurse @taskerkaren #NurChat just been googling to find it. Think my manager at the time found it after piloted at another hospital.AnneMarie Jackson</div><div>@dtbarron any details, any links? #NurChatAgencyNurse #NURCHAT</div><div>RT @cherylwilson2: and dont forget give your patients time to sit and get their balance before setting off walking after lying long #NurChatAgencyNurse #NURCHAT</div><div>@cherylwilson2 agree very important #nurchatDonna Mullikin</div><div>@Lyn_Marie We use Frase #nurchatKatie Anderson</div><div>@dgfoord @blondenurse33 @agencynurse #innovation massive task but would b v useful in mapping trends. #nurchatMichelle Mellor</div><div>Well that's all fortnight folks ... Please feel free to keep nurchatting .. Busy chat we will post the transcript ASAP #NurChatNurChat</div><div>@michellemellor3 @blondenurse33 @agencynurse ?role for son/duaghter of NPSA? #NurChatDavid Foord</div><div>@AgencyNurse #nurchat I'm a student and have used it in every placement I've been on. Falls risk assessment tool completed for all patients.Lyn_Marie</div><div>Thanks all for yr great comments tonight :)) #NurChatNurChat</div><div>Au revoir peeps - or should that be tweeps #NurChatIan Ireland</div><div>@NurChat and thanks to you :-) #nurchatcheryl wilson</div><div>RT @michellemellor3: @dgfoord @blondenurse33 @agencynurse #innovation massive task but would b v useful in mapping trends. #nurchatAndrea Pardoe</div><div>Nice to chat with you all, look forward to chatting again soon! #nurchatDonna Mullikin</div><div>@dgfoord @blondenurse33 @agencynurse #nurchat could it be incorporated into NHS safety thermometer tool?? #harmfreecareMichelle Mellor</div><div>RT @NurChat: Well thats all fortnight folks ... Please feel free to keep nurchatting .. Busy chat we will post the transcript ASAP #NurChatAgencyNurse #NURCHAT</div><div>#NurChat Anybody using the Cryer tool?Delphine Corgie</div><div>@katieandersonHD #nurchat I think they might be the same thing. Trying to find out on Google now! Looks like FRASE was developed by Cannard.Lyn_Marie</div><div>Thanks Donna for joining us for your first twitter chat :) @DonnaNewX #nurchatNurChat</div><div>the next chat is on Tues 3/7 ... see you all then #NurChatAgencyNurse #NURCHAT</div><div>We use sensor pad and alarms on high risk patients which greatly reduce falls, result of incident reporting #NurChatAnneMarie Jackson</div><div>RT @1stSteps1stAid: We use sensor pad and alarms on high risk patients which greatly reduce falls, result of incident reporting #NurChatNurChat</div><div>well done @DonnaNewX for keeping up :) #NurChatAgencyNurse #NURCHAT</div><div>@dgfoord @michellemellor3 @blondenurse33 @agencynurse YES! My head nearly exploded when NPSA closed. Such a useful resource. #NurChatCarly blm</div><div>@dgfoord @blondenurse33 @agencynurse definitely something to think about #nurchatMichelle Mellor</div><div>@AgencyNurse @nurchat #NurChat Another great chat. Thanks for all your input to the chats!Maria Roberts</div><div>RT @michellemellor3: @dgfoord @blondenurse33 @agencynurse #nurchat could it be incorporated into NHS safety thermometer tool?? #harmfreecareDavid Foord</div><div>RT @DelphineAtQuest: #NurChat Anybody using the Cryer tool?< no, any good ? #NurChatAgencyNurse #NURCHAT</div><div>@AgencyNurse #nurchat. http://dementia.stir.ac.uk/search/node/Environment+auditdtbarron</div><div>RT @carlylou: YES! My head nearly exploded when NPSA closed. Such a useful resource. < agree there !!!! #NurChatAgencyNurse #NURCHAT</div><div>@NurChat looking forward to the next one :) #nurchatDonna Mullikin</div><div>@AgencyNurse #Nurchat I don't actually know but it is recommended by NICE and Royal College of Nursing.Delphine Corgie</div><div>RT @dtbarron: @AgencyNurse #nurchat. http://bit.ly/Pmr1Yd < uni of Stirling workNurChat</div><div>@carlylou @dgfoord @michellemellor3 @blondenurse33 @agencynurse #NurChat True re NPSA but NRLS continues. Keep reporting! @SuzetteWoodwardMaria Roberts</div><div>RT @dtbarron: @anniecoops #nurchat Stirling Dementia Centre have audit tool for longer care areas & just intro'd dementia environment audit tool for DGHsAnne Cooper</div><div>@AgencyNurse #nurchat I think we're one of the first areas @nhsaaa piloting the new DGH dementia environment audit tooldtbarron</div><div>@michellemellor3 @dgfoord @agencynurse Yes I think it possibly could!! #NurChatAndrea Pardoe</div><div>@DonnaNewX hope you enjoyed it and Tweet you next time #nurchatcheryl wilson</div><div>RT @maria101: @carlylou @dgfoord @michellemellor3 @blondenurse33 @agencynurse #NurChat True re NPSA but NRLS continues. Keep reporting! @SuzetteWoodwardDavid Foord</div><div>RT @nursiedeb: @NurChat It was a simple fall at work that robbed me of my mobility and the profession I love. Not just pts at rishk #nurchatC</div><div>RT @AgencyNurse: RT @dtbarron: Stirling Dementia Centre have audit tool for longer care areas & just introd dementia environment audit tool for DGHs #NurChatSally</div><div>@GraceWall @agencynurse #nurchat agree health & safety advisors key to environmental assessmentsMichelle Mellor</div><div>Missed @NurChat again! Read through the # though, some good advice there.C</div><div>@AgencyNurse #NurChat, Thanks for chat.Andrea Pardoe</div><div>@iclaire83 transcript on its way :)NurChat</div><div>@AgencyNurse #nurchat really enjoyed tonight's chat. Hard to keep up when typing on iPhone. Think I will use laptop next time.Michelle Mellor</div><div>RT @AgencyNurse: RT @cherylwilson2: and dont forget give your patients time to sit and get their balance before setting off walking after lying long #NurChatLiz Martin</div>
