Completed Projects

While the official projects have been completed, our team continues to monitor and maintain our standards in these areas

Falls Prevention & Reducing Injury from Falls

• Post-fall assessments completed by a multidisciplinary team after each fall to assess risk factors and reduce risk of future falls and serious injury
• Ensuring patients are remaining physically active while in hospital through the MOVE (Mobilization of Vulnerable Elderly) program
• Patient and family education about fall risks and actions which can be taken to minimize the risk of falls

Minimization of Restraints

• Review and revise policies and practices related to the use of restraints
• Incorporate education and training into orientation and annual education on best practices with regards to the use of restraints and alternative interventions.
• Develop a process to monitor the use of restraints and ongoing engagement to promote alternate strategies to reduce restraint use

Prevention of Pressure Injuries

• Standardization and implementation of Braden Risk Assessment Tool
• Development and implementation of wound assessment documentation
• Interdisciplinary process to identify patients at risk of pressure injury
• Referral of at-risk patients to Rehab Services and Nutritionists

Pain Assessment and Management

• Standardization of Pain Assessment and Education for post-operative patients
• Incorporate education and training on pain assessment and management best practices into orientation and annual education
• Opioid risk screening for pre-operative patients and interventions in place to support at-risk patients.

End-of-Life Care

• Review Palliative and Hospice order sets to include a community care pathway component
• Education and training during orientation and annual education around End-of-Life care
• Incorporate cultural, values-based and social preference assessments for end of life care to ensure the needs of patients and their families are met.