California Home For The Aged

between the resident's problem areas and their causes, and relevant clinical decision making.

The interdisciplinary team reviews and updates the care plan: a. when there has been a significant change in the resident's condition; b. when the desired outcome is not met.During a review of the facility's P&P titled, Falls-Clinical Protocol, dated March 2018, the P&P indicated, .Based on the preceding assessment, the staff and physician will identify pertinent interventions to try to prevent subsequent falls and to address the risks of clinically significant consequences of falling.If underlying causes cannot be readily identified or corrected, staff will try various relevant interventions.The staff and physician will monitor and document the individual's response to interventions intended to reduce falling or the consequences of falling.During a review of the facility's P&P titled, Fall Risk Assessment, dated March 2018, the P&P indicated, .The nursing staff, in conjunction with the attending physician, consultant pharmacist, therapy staff and others, will seek to identify and document resident risk factors for falls and establish a resident-centered falls prevention plan based on relevant assessment information.

The staff and attending physician will collaborate to identify and address modifiable fall risk factors and interventions to try to minimize the consequences of risk factors that are not modifiable.During a review of the facility's P&P titled, Fall and Fall Risk , Managing dated March 2018, the P&P indicated, .Staff will identify interventions related to the resident's specific risks and causes to try to prevent the resident from falling and to try to minimize complications from falling.

Managing Falls and Fall Risk.

Staff, with the input of the attending physician, will implement a resident-centered fall prevention plan to reduce the specific risk factor(s) of falls for each resident at risk or with a history of falls.

If falling recurs despite initial interventions, staff will implement additional or different interventions, or indicate why the current approach remains relevant.

Staff will monitor and document each resident's response to interventions intended to reduce falling or the risks of falling.If the resident continues to fall, staff will re-evaluate the situation and whether it is appropriate to continue or change current interventions.The attending physician will help the staff reconsider possible causes that may not previously have been identified.During a review of the facility's P&P titled, Assessing Falls and Their Causes dated March 2018, the P&P indicated, .Provide guidelines for assessing a resident after a fall and to assist staff in identifying causes of the fall.

Performing a Post Fall-Fall Evaluation.

The IDT will conduct a root cause analysis and initiate interventions accordingly.

When a resident fall.

Information should be recorded in the resident's medical record regarding incident.

Appropriate interventions taken to prevent falls.

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