I have decided to do this project on patients that are at Risk for Falls. You will find a lot of information about the subject of falls in the healthcare setting, specifically hospitals, because there are so many conditions that would place a patient in the hospital at risk for a fall. Some of the most common things are receiving pain medicine, receiving anesthesia, IV lines, oxygen lines, altered mental status or confusion, and fractures (i.e. femur, hip, ankle fractures). You will also find that the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). My idea for the change is to develop a “bundle” of items that will be for each patient that would be at risk for falling. The bundle will include a yellow wrist band that says FALLS, non-skid yellow socks, and a yellow sign outside the room that says FALL RISK or HAS FALLEN. It is also important to include that bed alarms and chair alarms are used at all times, and equipment such as a walker and a bed-side commode (BSC). Please follow that items below to guide the flow of the paper.

A. Develop a written proposal by doing the following:

1. Identify a problem or issue related to practice, policy, population, or education that aligns with the organizational priorities you seek to solve.

a. Explain the problem or issue, including why it is applicable to the area of practice you chose and the healthcare environment.

2. Discuss your investigation of the problem or issue.

a. Provide evidence to substantiate the problem or issue (e.g., organizational assessment, national source documents, evidence from a stakeholder).

3. Analyze the state of the situation using current data.

a. Analyze areas that might be contributing to the problem or issue.

4. Propose a solution or innovation for the problem or issue.

a. Justify your proposed solution or innovation based on the results of your investigation and analysis.

5. Recommend resources to implement your proposed solution or innovation. Include a cost-benefit analysis of your proposed solution or innovation.

6. Provide a timeline for implementation based on your proposal.

7. Discuss why each key stakeholder or partner is important for the implementation of the solution or innovation.

a. Summarize your engagement with the key stakeholders or partners, including the input and feedback you received.

b. Discuss how you intend to work with those key stakeholders or partners in order to achieve success.

8. Discuss how your proposed solution or innovation could be implemented, including how the implementation could be evaluated for success.

B. Explain how you fulfilled the following roles during your process of investigation and proposal development:

1. scientist (meaning using data)

2. detective (gathering the information)

3. manager of the healing environment

D. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

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