Geraldton HospitalNarelle Dennett
Senior Occupational Therapist
SAFER TOOLFRAMP Minimum Interventions
The Concept – How Could We Do This Better?
Aim of Project
Present FRAMP minimum interventions as an easy to
understand pictorial tool.
Improve delivery of falls risk education to patients and ALL
members of the care team.
Reduce falls risk for inpatients.
First Step – Rally The Team!
Snr Occupational Therapist & Snr Physiotherapist (Hospital Allied Health)
Staff Development Team (Nursing)
Senior Health Professional (Older Patient Initiative)
With support from:
Nursing Management
Patient Support Services
Geraldton Hospital Allied Health Team
Safety & Quality Team
Geraldton Hospital Cognitive Impairment Working Group
Geraldton Hospital Falls Prevention Working Group
The “SAFER” Acronym
S Show
A Aids
F Facilitate Activities
E Educate
R Remove
Develop
the
Tool
Next….. Education
Incorporating the WHOLE team
Nursing staff
Allied health staff
Patient Support Services (PSA) staff
Medical staff
Patients and families
Education Format
Pre-education surveys (Allied Health, PSA, Nursing)
Toolbox education sessions (Allied Health, PSA, Nursing)
Education session to Medical team
Display boards
Educational
Displays
Ward
Educational
Displays
Staff Dining
Bedside Position
SAFER Tool displayed
bedside at 56 General
Ward beds
A3 size
Laminated
Removable
SAFER Tool Use
Education with inpatients identified as falls risk
Bedside prompt to nursing, medical, allied health, PSA staff
Discussion tool with patients and family
Post “Falls Huddle” - patient education tool
SAFER Tool Evaluation
Post education patient surveys
Post education staff surveys – nursing, allied health,
medical team, patient service assistants (PSA’s).
Review against patient safety data
Post Education Survey - Staff
Seven questions
Rated as Strongly Disagree through to Strongly Agree
Questions pertained to
Ease of use
Presentation
Confidence
Application
RESULTS - Staff Evaluation
100% of staff rated the SAFER Tool
is easy to understand
felt confident using it
reinforces practical examples of how to reduce falls
is easy to use with patients
Post Education Survey - Patients
Five questions
Rated as Strongly Disagree through to Strongly Agree
Questions pertained to
Ease of understanding the tool
Awareness of falls risk
Confidence in discussing tool with family
RESULTS – Patient Evaluation
RESULTS - Comparison to Patient Safety Data
Where to next?
Continued SAFER TOOL Initiatives
Now in use Day Surgery Ward –Geraldton Hospital
Continued patient education
Continued staff education
Continued review against patient safety data
Now being trialled at several other WACHS sites
SAFER SPOT Audits
Commenced May 2019
Daily nursing task
Random audit of 10 beds
Issues rectified on the SPOT!
Audit recorded and for further
evaluation
Acknowledgements
• Karen Zayco (Staff Development)
• Kirra Pallant (Older Person Initiative)
• Liza Doble (Snr Physiotherapist)
• Shannon McAullay (Safety & Quality)
Thank [email protected]