ENVIRONMENTAL ROUNDS
FAIRVIEW NORTHLAND MEDICAL CENTER
CURRENT BEST PRACTICE
RECOMMENDATIONS
Safe Environment
1) Perform hospital-wide
environmental safety rounds.
1a) The facility has a process in place
to perform environmental rounds to
assess environmental safety across
the hospital related to falls.
GUIDELINES
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Departmental and Northland environmental rounding
will be accomplished by team members during the
months when team meetings are scheduled.
Departmental rounds will occur bi-annually during a
portion of the scheduled team meeting.
Departments will be rotated as the focus for
rounding
Team members will be assigned to NL Environmental
rounds and will rotate responsibility for
accompanying EOC team bi-annually
(June/December)
Annually, this will result in the EOC being assessed by
falls team members four times/year
CALENDAR
OCTOBER DEPARTMENT
ROUNDS
Emergency Department
 Notification of Department Director &
Clinical Nurse Supervisor → Department
Charge Nurse
 Falls Team brief “huddle”
◦ Review of Rounding checklist
◦ Determine a “leader”
◦ Review timeframe and desired outcomes
Three team members participated- Social worker, 2
RN’s – one from Surgery/one from Inpatient
MedSurg
RESULTS
OUTCOMES
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Summary drafted by rounds “leader”
Formatted into the General Environmental
checklist form
Sent via e-mail to Emergency Services
Director, Emergency Services Clinical Nurse
Supervisor and to Facilities Director
Reviewed at Fall Prevention Team meeting in
December
Reviewed at Environment of Care
Committee meeting in December
LEARNINGS
Direct feedback to staff “in the moment”
 Remove any equipment assessed to be a
safety risk out of service
 Identify if any high priority/safety issues
with the EOC and communicate
immediately to Facilities Director
 Offer assistance to departmental staff (i.e.
maintenance requests)
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NEW Best Practice
RECOMMENDATIONS
1a) The facility has a standardized process
in place for fall team member(s) to
participate in environment of care rounds,
at least quarterly, to assess environmental
safety across the hospital related to falls.
1b) The facility has a process in place to
implement recommendations resulting
from environment of care rounds.
PARTNERING WITH EOC
FAIRVIEW NORTHLAND MEDICAL CENTER
Fall Prevention Team
Facility/EOC Support
Purpose: Play more active role in supporting work of Fall
Prevention Team
Strategy: Prioritize facility-related suggestions to reduce fall
incidents and either fund to completion in 2010 or request
financial support to complete in 2011
Team input: Update list of facility-related suggestions for
improvement
Review suggestions and prioritize.
Establish feedback methods (Participate in meetings or provide
written report.)
HISTORY TO DATE
Inpatient MedSurg unit
Princeton Medical Clinic
Emergency Department
Bi-annual environmental rounds
Beginning steps and certainly a
work in progress!
QUESTIONS FOR
US??