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Krauss et al. (2007) report that 82% of hospital falls occur in the patient's room, 85% are unassisted, and 47% are associated with toileting-related activities.
If a resident in a nursing home or assisted living facility falls, it's vital for staff to act swiftly in transporting the resident for emergency medical care or to provide the necessary care themselves. After care has been rendered, they should immediately notify the resident's family.
When a resident is found on the floor, the facility is obligated to investigate and try to determine how he/she got there, and to put into place an intervention to prevent this from happening again. Unless there is evidence suggesting otherwise, the most logical conclusion is that a fall has occurred.
Stay with the patient and call for help. Check the patient's breathing, pulse, and blood pressure. If the patient is unconscious, not breathing, or does not have a pulse, call a hospital emergency code and start CPR. Check for injury, such as cuts, scrapes, bruises, and broken bones.
Postfall Assessment, Clinical Review Assess immediate danger to all involved. ... Call for assistance. ... Do not move the patient until he/she has been assessed for safety to be moved. ... Identify all visible injuries and initiate first aid; for example, cover wounds. Assist patient to move using safe handling practices.
Call ambulance/ GP/NHS 24 ? Do not move the person (unless in immediate danger of further injury). Call for assistance/alert senior staff. Keep person warm and note any changes. Assess level of injury, provide reassurance and take appropriate action (eg call ambulance/GP/NHS 24).