Authors (including presenting author) :
Yeung YM(1) Mak CK(1) Lam KW(1) Poon FY(1) WAN HT(1) Siu YT(2)
Affiliation :
(1)TWGHs Wong Tai Sin Hosipital (2)Kwong Wah Hospital
Introduction :
Purposeful rounding is a proactive, systematic and evidence-based intervention. It reduces potential injuries and adverse events, and improves patients’ satisfaction and outcome. Regular Purposeful Rounding (R-PRO) programme aimed increase nurse and supporting staff’s knowledge and awareness on patient safety, timely address patient needs and promptly inform nurses when abnormalities encountered, to promote ward safety culture and improve patient care.
Objectives :
To promote ward safety culture.
To increase supporting staffs' knowledge on R-PRo Programme.
To raised staff awareness of fall prevention.
To improve ward round and improve patient care.
To provide timely needs, and inform nurse as soon as possible when encounter any abnormalities.
Methodology :
Patrol round was performed from January to December 2021. An education board listed objectives and four areas including patient condition, patient care, patient needs, and safety environment. Timeline cards showed schedule of patrol round. Posters and personalized pocket cards contained a QR code, which showed reminders in patrol round while scanning by smartphone. A revision game with different case scenarios was conducted. Data analysis on all fall cases, and staff feedback before and after the programme were conducted.
Result & Outcome :
To promote ward safety culture. To increase supporting staff's knowledge on Patrol Round program. To raise staff awareness of fall prevention. To improve ward round and improve patient care. To provide timely needs, and inform nurse as soon as possible when encounter any abnormalities. In 2021, there were 8 incidence of fall in our ward, which was similar in 2020. Most of them were aged above 80, with high Morse Fall Scale, occurred at bedside, and during staff lunch (12:00-14:00) and dinner (18:00-20:00). But still, it also occurred in patient with full Glasgow Coma Scale (GCS), high Abbreviated Mental Test (AMT) and with different ambulatory status. Loss of balance, lower limb weakness and unsteady gait were most common contributing factors. The severity index of fall was usually low (0 – 2).
