b'FOCUS ON FALLSTransitioning into a zero-restraint home is no small challenge, even with RNAOs Best Practice Guidelines to point theway. At the onset of Burton Manors BPG implementation program, for example, one of the biggest barriers was getting residents family members on board with the idea, particularly those who may have seen their loved ones restrained for their safety in other health care environments. Encouraging outcomesprevent my mother from falling again.practices can pose a challenge. Again, Burton Manor launched its RNAO BPGBurton Manor has done their utmost inBurton Manor benefits from providing initiative with an important question:making sure my mom is comfortableconsistent education and feedback Can resident falls and injuries beand that her quality of life is preserved. sessions for its staff and empowering reduced without the use of restraints? According to data collected throughoutObstacles in every journeyBPG champions to keep those its multi-year journey, the answer is aTransitioning into a zero-restraintpractices in play. confident yes. home is no small challenge, even with"Achieving zero restraints is not easy," For background, the Preventing FallsRNAOs Best Practice Guidelines tosays Martis. "It can be challenging, but and Reducing Injury from Falls BPGpoint the way. At the onset of Burtonreflecting on our success, its clear that implementation results were measuredManors BPG implementation program,it was the collective effort of everyone using the Nursing Quality Indicators forfor example, one of the biggest barriers along with the support of families Reporting and Evaluation (NQuIRE)was getting residents family membersand residentsthat made it possible."data system. This methodologyon board with the idea, particularly enabled the team to track the numberthose who may have seen their lovedThis teamwork has also been key to of restraints used on residents, theones restrained for their safety in othersustaining RNAOs BPGs and driving percentage of residents screened forhealth care environments.ongoing improvements. falls risk, and the percentage of residents who fell in the past 30 days.Some families are understandablyOne year after obtaining its BPSO reluctant, Martis says. "Sometimesstatus in June 2023, the Burton Manor The data speaks for itself. From 2019 tofamilies come to us concerned aboutteam continues to pursue additional 2023, restraint use dropped by 16.5%frequent falls and ask why were notfall prevention strategies, such as (16.83% to 0.33%) and Burton Manorusing restraints, as their loved one wassetting up cameras and an AI system to successfully became a zero-restraintrestrained in the hospital. We respond home as of March 2023. Moreover,by explaining that this is their home,detect and analyze the root cause of the percentage of residents who felland we dont use restraints. Instead, wefalls, reducing the use of antipsychotics in the last 30 days dropped by 6.96%suggest trying alternative approachesamong residents (where appropriate), (from 18.78% to 12.8%) and there was anand evaluating their effectiveness." and exploring various staffing and team increase in the percentage of residentsconfiguration strategies.screened for falls risk. Building trust among family members is key during any resident-care initiative.Reducing the risk of fall injuries is a Burton Manors results resonateFor Burton Manor, this is achievednever-ending mission. If there is one on a provincial level. Program datathrough ongoing communication withlesson Burton Manor has learned indicates that fall rates in all quartersall stakeholders while alternative fallthroughout its Preventing Falls and from 2022 to 2023 were significantlyprevention measures are being used lower than the provincial average, aswhen accidents happen.Reducing Injury from Falls BPG were the percentage of residents whoimplementation, its that there are ways experienced worsening pressure "After each fall, we contact familyto keep residents safe without limiting injuries (PIs).members to inform them and addresstheir movements. Feedback from the BPG implementationany questions they might have. We also review the interventions weveSays Martis: There are alternative has been equally encouraging. Lisaimplemented, so they understand ourapproaches we should explore to Rosenberg, Burton Manors Familyactions and how these measures areensure the best quality of care for our Council President, shared herdesigned to prevent future falls," residents, as this is their home. They experience in a recent presentation:says Martis. deserve to live comfortably and enjoy A few years back, Mom fell a few times [and] the Burton Manor teamAligning home teams with alternativea normal life here, experiencing the implemented many interventions tofall prevention and injury reductionquality of life they deserve." LTCT56 LONG TERM CARE TODAY Fall/Winter 2024'