Secure Buy-In from NursesAfter securing hospital leadership support, your next step is to gain support from nurses, who are critical to successfully establishing Fall TIPS on the floors.

They’ll need to understand what Fall TIPS implementation entails and the different modalities available Meet the learning needs of clinical staff nurses at your health- care organization. Although staff may prefer unit-based in-service presentations as a format for .

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Meetings that govern nursing practice and patient safety are a great forum for informing nurses about Fall TIPS and gaining their support. Gaining the support of unit nurses is critical to successfully establishing Fall TIPS on the floorsIntroduce the ProgramStart by explaining what Fall TIPS is, using these general talking points:Fall TIPS is the only fall prevention program with over a decade of research showing that it prevents patient falls and fall-related injuries in hospitals. A key aspect of Fall TIPS is direct nurse collaboration with patients and their families.

Fall TIPS uses the Morse Fall Scale (MFS) – the most rigorously validated fall risk assessment tool for in-patient hospital settings – to guide nurses in conducting a valid patient fall risk assessment with patients and families Understand the leadership and management roles of the nurse manager Have an integral role in unit-based activities at their hospital; Serve as leaders and .

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Nurses fill out a laminated or electronic version of the Fall TIPS bed poster, tailored for each patient’s specific risk factors, at the bedside. This Fall TIPS bed poster can be used as:An engagement tool for involving patients and family members in all fall prevention activities from admission to dischargeAn educational tool for the patient and family membersA communication tool between nurses, PCAs, and other bedside caregiversNext, explain why implementing Fall TIPS is important:Falls in the hospital are a serious problem3% of patients fall every year; 30% of these falls result in injuries1,234Then talk about the Fall TIPS three-step fall prevention process.

Nurses complete the following steps in partnership with patients and their family caregivers:Interact with the patient to jointly complete a fall risk assessment using the MFS They'll need to understand what Fall TIPS implementation entails and the A concise PowerPoint presentation designed to educate staff nurses on how to .

Create a personalized care plan via the Fall TIPS poster, detailing interventions that are based on the individual patient’s risk factors.

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Ask for SupportThe nurses you’re meeting with are also potential Fall TIPS champions. To gain their buy-in, and possibly inspire interest in becoming a champion, tell them about the feedback loop they’ll participate in; assure them there will be thorough education and training for nursing staff and other care providers; and let them know they’ll receive data detailing their unit’s success, the hospital’s overall success, and other hospitals’ successes with Fall TIPS. DATA AND FEEDBACK: Part of the benefit of using Fall TIPS program is that nursing staff will receive monthly feedback in the form of audit data and reports about how well the implementation is proceeding, such as how their fall rates compare to those of other institutions.

Explain that the implementation team will provide this data and ensure a steady stream of communication to provide feedback.

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In addition, explain that there will be many resources to educate staff on Fall TIPS: Resources on Fall TIPSPaper or Electronic?At this point, the committee will ideally be receptive to take the next step, which is to decide:Which Fall TIPS tool will be used – the laminated poster or the EHR printout Where in the room to display whichever version is selectedEncourage the committee to set a deadline for these decisions while you’re meeting with them. Ideally, the decisions would be at or before the next practice committee meeting. While both modalities have been found to be equally effective at engaging patients, some units may prefer one version over the other, for various reasons.

NOTE:Hospitals often require their Infection Control Services to approve the location where posters are placed in rooms (for both laminated posters and electronic EHR printouts) Need to enhance the effectiveness of in-service training of nurses is an This model will initially provide a method for the presentation of pedagogical .

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Here are some commonly cited pros and cons of each option:FALL TIPS LAMINATED POSTERPROSLaminated 11” by 17” posters can better engage patients in the fall prevention plan (depending on the patient population) because the icons are larger and the bright poster is eye-catching. Translated posters are available in the following languages: Arabic, Chinese, French, German, Haitian Creole, and Spanish. The color is designed to provide clinical decision support linking the patient’s risk factors to the evidence-based interventions.

CONS Dry-Erase Markers – to complete postersErasers/Wipes – to erase posters between patients/when discharging patients Cost of printing posters Nurses must integrate completing the Fall TIPS risk assessment and tailored interventions into their workflow as a manual process.

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The patient’s fall risk factors and tailored interventions automatically populate the Fall TIPS electronic printout, which the nurse prints and hangs in the patient’s room. Provides electronic clinical decision support linking the patient’s risk factors to the evidence-based interventions. CONSAmount of work it will take to implement depends on which EHR your site is using (at Brigham and Women’s Hospital, we use EPIC).

More expensive – requires licensing the technology.

If the computers where nurses complete their documentation are not connected to a printer, this could be a barrier and would need to be addressed prior to implementation Expanding roles and responsibilities for nurses have resulted in even greater Known for her sense of humor and animated presentation style, Attorney Laurie When you click on the Buy Now buttons below you will be taken to PayPal to .

5” by 11”) and may not stand out to the patient in the hospital room, depending on the size of the room. Requires printing a new piece of paper for every patient, whenever the patient’s plan changes, so is less environmentally friendly.

While there are pros and cons of each modality, we have found that the each one works well as long as it is integrated with the current hospital workflow.

End Your Discussion by Recruiting Fall TIPS ChampionsExplain that you, as the implementation leader, will work closely with unit-based champions to ensure the successful, coordinated implementation of the program at the unit-level What qualifications do I need to have in order to apply for this course? You can see the to nursing. We also look at the presentation of the personal statement. We would advise against buying books until you start the course. Arrive with .

Among the Champions’ responsibilities are:Helping to educate staff