Exam & Evaluation (Evidence Based Fall Prevention )
Questions: Please respond to following statements.
Ten falls per 1,000 patient days is the average patient fall rate in hospitals.
Select the True response regarding Medicare/Medicaid reimbursement for the treatment of a hospital acquired conditions (HAC)?
Medicare will only reimburse hospitals for necessary care.
Medicare will not reimburse hospitals for care associated with an HAC.
Medicare reimburses hospitals at a reduced rate for care associated with an HAC.
There is a universally accepted definition of patient falls.
An assisted fall occurs when a healthcare worker eases a patientís descent to the floor.
Which organization now requires the level of injury be reported along with the number of falls?
The Joint Commission
SENSITIVITY is a measure of a tests ability to correctly identify positives, in this case, patients that will fall.
SPECIFICITY is a measure of a tests ability to correctly identify negatives, in this case, patients that will not fall.
The Morse Fall Scale (MFS) measures which of the following patient characterisitics?
History of falling, secondary diagnosis, ambulation aids, IV therapy, gait and mental status
Confusion, disorientation and impulsivity
Depression, altered elimination, dizziness or vertigo, gender, antiepileptics
Benzodiazepines and difficulty rising in the Get-Up and Go Test
When should a fall risk assessment be completed for a hospital inpatient?
After a fall occurs
When a significant change in patient condition or medication occurs
When a patient is transferred to a new area or service
As early as possible after admission to the hospital
All of the above
Which patient characteristics are common in patients at high risk for falls?
Age above 65
History of falling and diminished ambulation ability
Confusion, disorientation brought on by disease states or medication
All of the above
Close to 50% of all patient falls are elimination related.
A number of studies have reported more falls occurring on hospital units that had high patient to nurse ratios.
A patientís family member asks if restraints and sedation at night would make the patient safer from falls. Your best response would be
I'll check with the doctor for an order.
Restraints and sedation have been associated with more serious fall injuries.
Sedation at night only is recommended.
Restraints are only used on patients with intravenous infusions.
Which of the following would you describe when explaining a fall prevention program to a patient and/or family member?
Use of a reliable fall assessment tool.
Education of everyone involved with the patient.
Posting signs in the room indicating fall risk.
All of the above.
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