ENVIRONMENTAL ROUNDS

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ENVIRONMENTAL ROUNDS

• FAIRVIEW NORTHLAND MEDICAL CENTER

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CURRENT BEST PRACTICE RECOMMENDATIONS

• Safe Environment
• 1) Perform hospital-wide environmental safety
  rounds.
• 1a) The facility has a process in place to
  perform environmental rounds to assess
  environmental safety across the hospital related
  to falls.

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GUIDELINES

• Departmental and Northland environmental rounding
  will be accomplished by team members during the
  months when team meetings are scheduled.
• Departmental rounds will occur bi-annually during
  a portion of the scheduled team meeting.
• Departments will be rotated as the focus for
  rounding
• Team members will be assigned to NL Environmental
  rounds and will rotate responsibility for
  accompanying EOC team bi-annually (June/December)
• Annually, this will result in the EOC being
  assessed by falls team members four times/year

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CALENDAR
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OCTOBER DEPARTMENT ROUNDS

• Emergency Department
• Notification of Department Director Clinical
  Nurse Supervisor ? Department Charge Nurse
• Falls Team brief huddle
• Review of Rounding checklist
• Determine a leader
• Review timeframe and desired outcomes
• Three team members participated- Social worker, 2
  RNs one from Surgery/one from Inpatient MedSurg

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RESULTS
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OUTCOMES

• Summary drafted by rounds leader
• Formatted into the General Environmental
  checklist form
• Sent via e-mail to Emergency Services Director,
  Emergency Services Clinical Nurse Supervisor and
  to Facilities Director
• Reviewed at Fall Prevention Team meeting in
  December
• Reviewed at Environment of Care Committee meeting
  in December

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LEARNINGS

• Direct feedback to staff in the moment
• Remove any equipment assessed to be a safety risk
  out of service
• Identify if any high priority/safety issues with
  the EOC and communicate immediately to Facilities
  Director
• Offer assistance to departmental staff (i.e.
  maintenance requests)

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NEW Best Practice RECOMMENDATIONS

• 1a) The facility has a standardized process in
  place for fall team member(s) to participate in
  environment of care rounds, at least quarterly,
  to assess environmental safety across the
  hospital related to falls.
• 1b) The facility has a process in place to
  implement recommendations resulting from
  environment of care rounds.

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PARTNERING WITH EOC

• FAIRVIEW NORTHLAND MEDICAL CENTER
• Fall Prevention Team
• Facility/EOC Support
•  
• Purpose Play more active role in supporting
  work of Fall Prevention Team
• Strategy Prioritize facility-related
  suggestions to reduce fall incidents and either
  fund to completion in 2010 or request financial
  support to complete in 2011
• Team input Update list of facility-related
  suggestions for improvement
• Review suggestions and prioritize.
• Establish feedback methods (Participate in
  meetings or provide written report.)

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HISTORY TO DATE

• Inpatient MedSurg unit
• Princeton Medical Clinic
• Emergency Department
• Bi-annual environmental rounds

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• Beginning steps and certainly a work in progress!
• QUESTIONS FOR US??