Fall Prevention

Fall Prevention

With Nurse Call

Recently the North Carolina Assisted Living Advisory newsletter highlighted the following:


There has been a marked increase in violations cited by adult care licensure in 10A NCAC 13F .0901, PERSONAL CARE AND SUPERVISION: (b) Staff shall provide supervision of residents in accordance with each resident’s assessed needs, care plan and current symptoms.

The Division of Health Service Regulation/Adult Care Licensure Section is looking very closely at resident falls with and without injury. There have been a number of resident fractures and resident deaths as a result of injuries from falls. The expectation of the department is that the community will prevent residents from falling.

What can your community do?


One of the contributing factors of falls is noise. Noise from:

  • Chair Sensors
  • Bed Sensors
  • Pull Cords
  • Doors
  • Wander Management
  • Medical Equipment
  • and the list goes on.
Does it sound noisy to you?  Have you ever spent a night in a nursing home?  These were the questions asked of me recently while discussing concept and idea planning with a community administrator.  As we went further into our discussions we dug deeper into the alarm factors and part of that was to figure out how many alarms go off in a typical day from the various items listed above.  We came to an average of 54 on a normal day.  Now, break that out over a 24 hour period and that comes to 2 alarms an hour.  Think about that at night.  It would be like your alarm clock randomly going off 2 times each hour while you are trying to sleep.  I can only speak for myself but I am pretty sure that I would be angry, I would be restless, I would get out of bed at least 3 or 4 times out of frustration and the next day I would be exhausted, irritated and my mental capacity would be at 0.  This is just the effect of noise at night.
What effect does it have on your residents?  Do they now feel unstable during the day from the lack of sleep, have a loss of appetite, do they get easily irritated, do they feel embarrassed, do they feel a loss of privacy?

Where do we start?

System Evaluation

The next thing asked is how do we eliminate this noise without sacrificing our residents care and safety?

My answer is NURSE CALL!  Why you ask?  One of the things that all nursing homes are required to have is a nurse call.  What does a typical nurse call generate?  Noise!
OK, if the nurse call can eliminate our nurse call noise what about all the other noise contributing devices we identified earlier?   That is where selecting and investing in the right nurse call comes into play!
The nurse call you select should be able to:
  • Provide silent chair sensor alerting
  • Provide silent bed pad/sensor alerting
  • Provide silent door alerting
  • Provide silent pull cord alerting
  • Provide silent mobile pendant alerting
  • Provide silent medical equipment alerting
  • Provide robust documentation for all alerts
  • Provide robust reporting on alerts
  • Provide escalating alerts
  • Deliver those alerts directly to the caregiver by the means you choose: Phones, Pagers, Computer, Email, Text, Consoles all while providing an escalation feature to insure no alerts go past your unacceptable response time

To find out more on a nurse call system that can help you with your fall prevention program, eliminate noise, provide detailed reporting and plan for tomorrow contact us.

Working with you to create a community for tomorrow!