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their own fall assessment tool that they use, which makes it difficult to compare across the board
at a national level (Perell et al., 2001).
Bed and chair alarms are used widely in the hospital setting. They not only signal the
healthcare workers to a patient that is trying to sit up or get out of bed, but they also warn the
patient that they are doing something that they should be waiting for assistance with. Not having
the bed or chair alarms properly used is a major reason for any ineffectiveness. Staff training
and education with equipment such as with bed and chair alarms will maximize success in fall
prevention.
Hourly rounding is an intentional tactic to make a visual and verbal check with the
patient. With this method, the patient will then expect someone to be in checking on them. The
healthcare worker will ask if the patient needs anything, to use they toilet, then when returning to
bed or chair, be sure that they patient has their call light and if needed make sure that the bed or
chair alarm is hooked up properly. By using intentional hourly rounding, the goal is to limit the
patients need for wanting to get up alone knowing that someone will be back in to check on
them within the hour. If a patient were impulsive or confused, moving their room closer to the
nurses station would increase visibility for workers to maintain the patients safety.
There is no one right way to prevent patient falls. However, there are many techniques
that can be beneficial in reducing occurrences. Each patient requires a different approach and a
specialized plan of care in their fall prevention once admitted to the hospital. It is the nurses
responsibility for the safety of the patients and to make sure that the appropriate measures and
techniques are being taken to reduce patient falls.