A Comprehensive Stroke Center Status - 1412 Words

Workplace The existing, big competition on healthcare market, where the hospital reimbursement depends partially on the patients’ outcome and satisfaction, forces each hospital to stay on the top of newest evidence-based practices (EBP). This standard applies not only to physicians and the treatments they offer, but also to nursing care provided to the patients. The neurology floor where I work has twenty-five beds. As the Certified Stroke Center, the majority of our patients are stroke patients, but not only limited to this one. Other neurological disorders include altered mental status, spinal surgeries, brain surgeries, Guillain-Barrà © syndrome, myasthenia Gravis, multiple sclerosis; and brain and spinal cord†¦show more content†¦For this reason, the new policy of fall prevention, based on the evidence –based practice, was introduced and a few changes were implemented and are constantly evaluated. The Hendrich II Fall Risk Assessment Tool is used on each patient to assess patient risk for falls and appropriate score is given. Next, the nurse complete and document a fall risk assessment and reassess during each initial assessment, at change in level of care, after any fall occurrence and as needed per nursing judgment. Based on the Hendrich score, each patient and his family are educated about steps to prevent the fall.. Next, patient is oriented to room and instructed to call for assistance. The nurse makes sure that hourly rounding is marked on the patient’s board and assistive equipment is available in patient’s room. The regular nonskid socks are provided for each patient with score from 1-4. If the Hendrich score is above 5 each patient receives a yellow armband, yellow nonskid socks, and fall risk sign is placed outside the door. The door is keep open all the time, and, if room is available, patient is kept close to the nursing station. Bed alarm is utilized and kept activated at all times while patient is in th e bed. If patient is transferred to chair, then the portable chair alarm is provided for the patient. If the patient has a need for toileting, someone from the staffing must be present with patient all