Nursing Report 10-11a.indd - Maury Regional Healthcare System

Research & Outcomes: Evidence-basedNurse advocacy symbolizes the nurse working for the bestinterest of the patient. Through the filling of various rolesand duties, nurses keep a watchful focus on the qualityof care being provided. The results are seen in the qualityoutcomes MRMC is known for internally, locally andnationally.Pursuit of excellence in outcomes for every patient, everyday is the goal. Initiatives include fall reduction awarenessin every area, disease-specific care management postdischarge,harm avoidance initiatives and the nationallyrecognized, innovative Progressive Upright MobilityProgram the critical care team developed.Patient falls within a hospital is a national patient safetyissue. Organizations across the country continue to addressthis topic. MRMC nursing has been impacting this metricfor patient safety through staff rounding and awareness,bed alarms, patient and family education, and fallreduction diversion techniques such as seen with the use ofsock monkeys.“You have to understand the ‘why’ inorder to move from task performing tonursing practice.”—Amanda C.During 2010, MRMC nurses reviewed fall assessmenttools and successfully implemented the Morse Scale Fallrisk assessment tool. The tool gives the nurse the abilityto categorize patients into a low, moderate, or high riskcategory and, based on the results, nurses are able toimplement fall reduction strategies.In conjunction with the efforts already in place, MRMCnurses embarked on research findings supportingfurther reduction of fall rates through incorporation ofbedside shift reporting. The graph marks the significantaccomplishments.7654Non-skidfootwearplaced in theadmission kitslate 2004Bed alarmsMarch 2005Fall Reduction TrendsFrontline staffmembership toFall TeamincreasedOct 08SockMonkeyprojectstartedDec 08/Jan 09Morse Scale fallrisk assesmentimplementedDec 09Bedside reportingsummer 2010Fall policyupdatesJan 2011Fall reductioncelebrationApril 201132102003 2004 2005 2006 2007 2008 2009 2010 2011Patient Falls per 1,000 DaysPatient Falls with Injury per 1,000 Days—6—