Author Biographical Info

Savanah Weaver DNP-FNP student

Date of Doctor of Nursing Practice Project Completion

Spring 5-1-2026

Faculty Advisor

Deborah McCrea

Abstract

Purpose

The CDC validated Stay Independent Check Your Risk for Fall (SICRFQ) tool was integrated on a geriatric trauma unit. This initiative sought to improve nurse-driven, individualized fall prevention through the identification of patient-specific fall risk factors among older adults.

Background

Inpatient falls are burdensome on patients and hospitals. The SICRFQ tool can aid in screening for patient specific risk factors. Screening and nurse-led fall prevention strategies can reduce falls in the acute care setting.

Methodology

The PDSA cycle was utilized to guide project implementation. The SICRFQ was assessed at admission and screened every shift by nursing staff. Pre and post implementation nursing surveys were completed by staff nurses to assess fall prevention engagement. Fall rates were documented pre and post implementation. Descriptive statistics was used to assess all data.

Results

During implementation, nurse engagement in fall prevention increased by 19.6% (n=15). Fall rates were sustained at zero during project implementation. Forty-five geriatric patients completed the SICRFQ assessment.

Implications

There was an overall increase in fall prevention engagement by the nursing staff during project implementation. Fall rates were reduced compared to the previous year. Unit strategic focuses potentially influenced fall awareness and prevention during implementation. With minor updates and EMR integration, the SICRFQ can enhance nurse driven fall prevention in acute-care settings.

Keywords

In-patient falls, geriatric patients, fall prevention, fall screening

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