{"id":395,"date":"2024-08-23T13:53:00","date_gmt":"2024-08-23T12:53:00","guid":{"rendered":"https:\/\/staff.nhslothian.scot\/falls\/post-falls-care\/"},"modified":"2024-08-23T13:55:00","modified_gmt":"2024-08-23T12:55:00","slug":"draft-post-falls-care","status":"publish","type":"page","link":"https:\/\/staff.nhslothian.scot\/falls\/draft-post-falls-care\/","title":{"rendered":"Post Falls Care"},"content":{"rendered":"\n<div class=\"wp-block-kevinbatdorf-animate-in-view\"><div class=\"gb-container gb-container-e195acc3\">\n<div class=\"gb-container gb-container-d033f9b4\">\n<style>.wp-block-kadence-column.kb-section-dir-horizontal > .kt-inside-inner-col > .kt-info-box395_331255-cd .kt-blocks-info-box-link-wrap{max-width:unset;}.kt-info-box395_331255-cd .kt-blocks-info-box-link-wrap{padding-top:var(--global-kb-spacing-xs, 1rem);padding-right:var(--global-kb-spacing-xs, 1rem);padding-bottom:var(--global-kb-spacing-xs, 1rem);padding-left:var(--global-kb-spacing-xs, 1rem);}.kt-info-box395_331255-cd .kadence-info-box-icon-container .kt-info-svg-icon, .kt-info-box395_331255-cd .kt-info-svg-icon-flip, .kt-info-box395_331255-cd .kt-blocks-info-box-number{font-size:50px;}.kt-info-box395_331255-cd .kt-blocks-info-box-media{border-top-width:0px;border-right-width:0px;border-bottom-width:0px;border-left-width:0px;padding-top:10px;padding-right:10px;padding-bottom:10px;padding-left:10px;}.kt-info-box395_331255-cd .kt-blocks-info-box-media-container{margin-top:0px;margin-right:15px;margin-bottom:0px;margin-left:15px;}.kt-info-box395_331255-cd .kt-blocks-info-box-learnmore{background:transparent;border-width:0px 0px 0px 0px;padding-top:4px;padding-right:8px;padding-bottom:4px;padding-left:8px;margin-top:10px;margin-right:0px;margin-bottom:10px;margin-left:0px;}<\/style>\n<div class=\"wp-block-kadence-infobox kt-info-box395_331255-cd\"><span class=\"kt-blocks-info-box-link-wrap info-box-link kt-blocks-info-box-media-align-top kt-info-halign-left\"><div class=\"kt-blocks-info-box-media-container\"><div class=\"kt-blocks-info-box-media kt-info-media-animate-none\"><div class=\"kadence-info-box-icon-container kt-info-icon-animate-none\"><div class=\"kadence-info-box-icon-inner-container\"><span class=\"kb-svg-icon-wrap kb-svg-icon-fe_alertTriangle kt-info-svg-icon\"><svg viewBox=\"0 0 24 24\"  fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"  aria-hidden=\"true\"><path d=\"M10.29 3.86L1.82 18a2 2 0 0 0 1.71 3h16.94a2 2 0 0 0 1.71-3L13.71 3.86a2 2 0 0 0-3.42 0z\"\/><line x1=\"12\" y1=\"9\" x2=\"12\" y2=\"13\"\/><line x1=\"12\" y1=\"17\" x2=\"12\" y2=\"17\"\/><\/svg><\/span><\/div><\/div><\/div><\/div><div class=\"kt-infobox-textcontent\"><h2 class=\"kt-blocks-info-box-title\">What to do if a Patient falls<br><\/h2><p class=\"kt-blocks-info-box-text\">Please follow the guidelines set out in the<strong><em> Falls Prevention Management of Adult Inpatients policy <\/em><\/strong>and <strong><em>procedure<\/em><\/strong> guidance found <a href=\"https:\/\/policyonline.nhslothian.scot\/policy_page\/falls-policy\/\">&nbsp;here<\/a>.&nbsp; Detailed information on post falls management is found in the procedure document <a href=\"https:\/\/policyonline.nhslothian.scot\/wp-content\/uploads\/2023\/03\/Falls%20Prevention%20Management%20for%20Adult%20Inpatients%20Procedure.pdf\">here<\/a>.<\/p><\/div><\/span><\/div>\n\n<\/div>\n<\/div><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Top to Toe Assessment<\/h2>\n\n\n\n<p>A top to toe assessment should be carried out by staff to confirm signs of injury following a fall. This assessment should be documented in full in the patients\u2019 unitary notes.<\/p>\n\n\n\n<p>An example of what this looks like on TRAK is below:<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"497\" height=\"411\" src=\"https:\/\/staff.nhslothian.scot\/falls\/wp-content\/uploads\/sites\/27\/2024\/02\/PostFallsCare.png\" alt=\"Screenshot of the TRAK System.\" class=\"wp-image-569\" srcset=\"https:\/\/staff.nhslothian.scot\/falls\/wp-content\/uploads\/sites\/27\/2024\/02\/PostFallsCare.png 497w, https:\/\/staff.nhslothian.scot\/falls\/wp-content\/uploads\/sites\/27\/2024\/02\/PostFallsCare-300x248.png 300w\" sizes=\"auto, (max-width: 497px) 100vw, 497px\" \/><\/figure>\n\n\n\n<p><strong><u>As good practice, please follow the post fall bundle summary:<\/u><\/strong><\/p>\n\n\n\n<p><strong><u>Post fall bundle<\/u><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Assess for signs and symptoms of fracture or potential spinal injury before the patient is moved<\/li>\n\n\n\n<li>Safe manual handling methods for patients with signs and symptoms of fracture or potential for spinal injury<\/li>\n\n\n\n<li>Frequency and duration of neurological observations for all patients where head injury has occurred or cannot be excluded (e.g. un-witnessed falls) based on guidance<\/li>\n\n\n\n<li>Adhere to agreed timescales for medical examination following a fall or high vulnerability to injury, or who have been immobilised<\/li>\n\n\n\n<li>Conduct a post fall review \/ rapid root cause analysis (to learn how further falls can be prevented for the patient and annotate during report of incident for wider learning).<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Datix<\/h2>\n\n\n\n<p>All staff must ensure that the Incident Management Policy is followed and the incident recorded on DATIX, ensuring that the rating of severity of harm follows the definitions as defined in the policy.<\/p>\n\n\n\n<p>Information on how to raise a Datix can be found <a href=\"http:\/\/intranet.lothian.scot.nhs.uk\/Directory\/ClinicalGovernance\/QualityAssuranceandAccreditation\/Datix\/Pages\/Support-with-Reporting.aspx\">here<\/a>.<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Top to Toe Assessment A top to toe assessment should be carried out by staff to confirm signs of injury following a fall. This assessment should be documented in full<\/p>\n","protected":false},"author":5,"featured_media":0,"parent":0,"menu_order":29,"comment_status":"closed","ping_status":"closed","template":"page-templates\/widewidth.php","meta":{"_searchwp_excluded":"","footnotes":""},"categories":[],"class_list":["post-395","page","type-page","status-publish","hentry"],"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"davidmcbain","author_link":"https:\/\/staff.nhslothian.scot\/falls\/author\/davidmcbain\/"},"rttpg_comment":0,"rttpg_category":false,"rttpg_excerpt":"Top to Toe Assessment A top to toe assessment should be carried out by staff to confirm signs of injury following a fall. This assessment should be documented in full","_links":{"self":[{"href":"https:\/\/staff.nhslothian.scot\/falls\/wp-json\/wp\/v2\/pages\/395","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/staff.nhslothian.scot\/falls\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/staff.nhslothian.scot\/falls\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/staff.nhslothian.scot\/falls\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/staff.nhslothian.scot\/falls\/wp-json\/wp\/v2\/comments?post=395"}],"version-history":[{"count":3,"href":"https:\/\/staff.nhslothian.scot\/falls\/wp-json\/wp\/v2\/pages\/395\/revisions"}],"predecessor-version":[{"id":925,"href":"https:\/\/staff.nhslothian.scot\/falls\/wp-json\/wp\/v2\/pages\/395\/revisions\/925"}],"wp:attachment":[{"href":"https:\/\/staff.nhslothian.scot\/falls\/wp-json\/wp\/v2\/media?parent=395"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/staff.nhslothian.scot\/falls\/wp-json\/wp\/v2\/categories?post=395"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}