Implementing Fall Prevention Protocols in the Emergency Department Setting

The content discusses the challenges faced in implementing measures to reduce the risk of falls in emergency care settings, particularly for elderly patients like Betty. The main barriers identified include insufficient space and patient-to-bed ratios, which hinder the implementation of systematic mechanisms for controlling the risk of traumatic episodes. To overcome these barriers, it is recommended that healthcare teams understand social networks, transportation matters, and individual perceptions and culture of treated patients to prevent patterned traumatic episodes in emergency care settings. Furthermore, healthcare education sessions should be administered to patients like Betty to reduce misconceptions about healthcare barriers and infectious conditions, thereby promoting compliance with infection prevention approaches and other preventive interventions.

Section – 1 (Planning)
Topic and Objectives
Healthcare topic attributes to the systematic implementation of healthcare safety
standards across the emergency department settings. The safety standard – 3 focuses on the
development of proactive strategies and systematic interventions for preventing the
establishment of healthcare associated infections in the treated patients (ACSQHC, 2012).
This safety standard advocates the requirement of utilizing aseptic techniques and
antimicrobial interventions for reducing Mrs. Betty’s risk of developing a nosocomial
infection. The safety standard – 4 emphasizes the requirement of safe prescription and
dispensing of medicines with the systematic utilization of an efficient medication
management system (ACSQHC, 2012). The implementation of this evidence-based standard
would prevent the inappropriate administration of medication to Mrs Betty that might result
in the development of clinical complications.
Audience
The hospital quality and safety committee members include the chief medical officer,
patient safety officer, registered head nurses, administrative heads, chief operating officer and
department heads of emergency medicine, infectious diseases, pathology, surgery, medicine,
pharmacy, obstetrics/gynaecology, radiology, psychiatry and ancillary services.
Outline for Audience
• The hospital administration requires stringently undertaking protective measures in
the context of safeguarding the health and wellbeing of the treated patient in the
emergency care setting.
• The healthcare teams must regularly administer the organizational performance of the
entire hospital with the objective of ascertaining the appropriate implementation of

the National Health and Safety Standards for reducing the risk of traumatic events
with the treated patients in the emergency care settings.
• The healthcare teams in concordance with the hospital administration should
undertake appropriate infection control strategies for reducing the predisposition of
the treated patients towards acquiring the pattern of nosocomial infections and
associated health adversities. Utilization of environmental disinfection methods and
safe disposal practices by the healthcare teams would reduce the frequency of
occurrence of infectious conditions across the hospital environment.
• The healthcare teams require undertaking proactive measures with the objective of
monitoring the incidents of patient falls in the hospital settings. The systematic
utilization of various tools, techniques and medical equipment for reducing the risk of
patient falls and resultant injuries would suffice the requirement of protecting the
somatic health of the treated patients in the emergency care settings. Nurse
professionals must require accessing the pattern of mental health of the treated
patients in the context of reducing their risk of experiencing falls and associated
injuries.
• Nurse professionals should also record the therapeutic regimen of the treated patients
in the context of avoiding the risk of missing therapeutic dosages or inappropriate
administration of medication regimen in the emergency care settings.
Presentation Format
The presentation format requires the systematic utilization of power point intervention
for the effective display of the healthcare safety concerns in front of the selected audience
(Murray, 2010). A systematic power point presentation is a recommended methodology
deployed for capturing the attention of the viewers. The presentation notes prove to be an

effective means of conveying the healthcare safety and quality concerns for retrieving the
desirable outcomes (Murray, 2010).
Methodology
The methodology (requiring deployment) for the assessment of the level of
understanding (regarding health and safety concerns) of the target audience attributes to the
systematic administration of questionnaires. Indeed, the medical community utilizes
questionnaires on a wide scale for retrieving the answers of various research questions. The
results obtained from questionnaires prove to be sensitive in relation to the target population
(Artino, Rochelle, Dezee, & Gehlbach, 2014).
Section – 3 (Seeking Feedback)
Interview Schedule (Focussed Questions)
1. To what extent do you think the requirement of undertaking protective measures for
the treated patients in the emergency care setting is justified?
2. In your opinion what evidence-based measures require implementation while treating
the vulnerable elderly patients in the context of reducing their risk of falls and
associated injuries?
3. Do you think the existing emergency care settings are well equipped in terms of
effectively undertaking the treatment and care of the elderly patients?
4. What proactive measures in your opinion require administration while handling the
medical emergencies with the mentally challenged elderly patients?
5. Systematic partnering of the nurse professional with the family members of the
treated patient is necessarily warranted for reducing the risk of patient’s traumatic
episodes. Do you really agree with this statement?

6. To what degree the implementation of National Safety and Quality Health Service
Standards can streamline the healthcare process and associated outcomes in the
emergency care settings?
7. The healthcare teams in the emergency department remain overburdened due to
additional workload in the context of shortage of staff. Do you really agree with the
feasibility of placing vulnerable patients at accessible locations in emergency care
settings?
8. The systematic recording of patient’s medication information substantially reduces
the risk of occurrence of healthcare adversities. Do you favour this statement?
Section – 4 (Literature Review)
Barriers to the change in clinical practice
The absence of an evidence-based healthcare system is considered as the greatest
barrier to the establishment of a positive change in the clinical practice management. An
effective control over the medical interventions is necessarily required in the context of
safeguarding the health and wellness of the treated patients (Baradaran-Seyed, Nedjat,
Yazdizadeh, Nedjat, & Majdzadeh, 2013). The group thought culture proves to be another
significant barrier that hinders the safe and effective medical management across the
emergency care settings. Medical practitioners resultantly fail to follow the clinical guidelines
under the influence of patient’s recommendation of continuing the previously prescribed
treatment regimen (Austad, Hetlevik, Mjølstad, & Helvik, 2016). This substantially increases
the risk of the patient towards experiencing clinical complications following the treatment
administration. The absence of an efficient electronic healthcare record system in the
emergency care settings substantially reduces the quantity of evidence required for
undertaking the process of medical decision-making (Keiffer, 2015). This resultantly hinders
the integration of medical practice guidelines with the emergency care patient encounter. The

absence of well-defined disease specific protocols leads restricts the customization of
healthcare interventions in accordance with the disease manifestations experienced by the
patient population (Taba, et al., 2012). This substantially elevates the length of patient’s stay
in the emergency care settings that reciprocally increases the work burden of the healthcare
teams. The absence of familiarity of the nursing professionals with healthcare guidelines and
ethical conventions reduces the effectiveness of healthcare interventions that reciprocally lead
to the development of adverse patient outcomes (Fischer, Lange, Klose, Greiner, & Kraemer,
2016). The increased workload of the nurse professionals considerably reduces their self-
efficacy and motivation towards the systematic establishment of elevated healthcare
outcomes in the emergency department settings. The non-utilization of patient-centred and
holistic healthcare interventions in the emergency care setting increases the risk of
development of co-morbid states and associated clinical complications among the treated
patients (Austad, Hetlevik, Mjølstad, & Helvik, 2016). The absence of thorough
understanding of the treatment challenges and medication history of the treated patients (by
the nurse professionals) elevates their risk of experiencing adverse healthcare outcomes in the
emergency care settings. The absence of training sessions and educational interventions for
the registered nurse professionals in the context of promoting the pattern of their clinical
reasoning, critical thinking as well as meaningful assessment of the complex patient scenarios
elevates the risk of occurrence of patient fatalities in the emergency care setting
(Papathanasiou, Kleisiaris, Fradelos, Kakou, & Kourkouta, 2014).
Facilitators to the change in clinical practice
The greater understanding of the roles and responsibilities of nursing professionals in
the treated patients increases their trust and confidence on the clinical interventions
administered by the treating nurses in the emergency care setting (Doetzel, Rankin, & Then,
2016). This increases the scope of enhancement of medical decision-making by the nurse

professionals (in coordination with the treated patients) in the context of effectively dealing
with complex medical emergencies. The pattern of optimism in the registered nurse
professionals despite the existence of the additional work load is another significant attribute
that effectively facilitates the enhancement of healthcare outcomes in emergency department
settings (Kirk, Sivertsen, Petersen, Nilsen, & Petersen, 2016). The pre-configuration of
patient care goals substantially facilitates the reduction in patient admissions to the inpatient
wards from the emergency department settings (Hullick, et al., 2016). These patient care
goals require formulation while evaluating the risks of the treated patients in terms of
experiencing falls/injuries and infections during their length of their stay in the emergency
care settings. The establishment of an effective feedback mechanism for recording the
concerns and opinions of the healthcare professionals as well as the treated patients and their
family members assists in reducing the frequency of healthcare adversities in emergency
department (Reddy, Zegarek, Fromme, Ryan, & Schumann, 2015). The feedback system
generates a rational requirement for improving the efficiency of the healthcare system in the
context of reducing the risk of acquisition of nosocomial infections, post-treatment
complications and traumatic episodes among the treated patients.
Influence of barriers/facilitators on the recommended change in Betty’s Healthcare
The absence of appropriate fall prevention protocols in the emergency department
setting would substantially hinder the implementation of measures warranted for reducing the
risk of Betty’s falls in the emergency care setting (Loganathan, Ng, Tan, & Low, 2015). The
deficient space in the emergency care setting and inappropriate patient to beds ratio further
constraints the rational implementation of systematic mechanisms for controlling the risk of
Betty’s traumatic episodes during the length of her stay in the emergency care facility. The
nurse professional as well as the healthcare team require understanding the social networks,
transportation matters and individual perceptions and culture of the treated patient in the

context of preventing the pattern of her traumatic episodes in the emergency care setting
(Calhoun, et al., 2011). Betty’s healthcare change would require systematic customization of
medical interventions in accordance with her individualized treatment needs and the level of
mental wellness. The administration of healthcare education sessions to the Mrs Betty in the
emergency department would substantially reduce the pattern of her misconception of
healthcare barriers and infectious conditions (Yousafzai, Janjua, Siddiqui, & Rozi, 2015). She
will resultantly comply with the infection prevention approaches and other preventive
interventions thereby reducing the risk of development of contagious conditions in the
emergency care setting. The hospital administration therefore, requires configuring effective
healthcare policies and conventions while considering the barriers and facilitators that could
effectively hinder or promote the recommended modification in Betty’s healthcare. The
healthcare conventions should be constructed in a manner to systematically enhance the
willingness of the healthcare teams in terms of responding to the critical healthcare
requirements of the elderly patient in the healthcare setting (Rutkow, Taylor, Paul, & Barnett,
2017). These conventions must promote the development of a supportive environment for
effectively facilitating the administration of evidence-based healthcare interventions in the
context of safeguarding the pattern of health and wellness of the critically ill elderly patient in
the emergency care setting. This will eventually decrease the length of patient’s stay in the
emergency care facility and concomitantly reduce the risk of occurrence of post-treatment
complications.

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