Date of Graduation
Summer 8-9-2024
Document Access
Project/Capstone - Global access
Degree Name
Master of Science in Nursing (MSN)
College/School
School of Nursing and Health Professions
Program
MSN project
First Advisor
Susan Mortell DNP, RN, CNL
Abstract
Problem: Falls are a preventable type of trauma that may lead to serious injury, prolonged hospital stays, and non-reimbursable costs to the organization. While there are established fall prevention policies for ambulatory patients, infants dropped by their caregivers are largely excluded.
Context: This quality improvement project aims to decrease newborn drops by implementing the “Baby Drop Bundle”. The bundle allows caregivers and bedside providers to partner in creating a safe environment for the patient.
Interventions: The Clinical Nurse Leader (CNL) will provide a brief in-service during the morning safety huddle to introduce the bundle to staff. The bundle includes educational handouts, a supportive device for caregivers to utilize while holding the patient, and increased rounding by the nurse and certified nurse assistant (CNA) when the patient is outside their crib.
Measures: The CNL will partner with the charge nurses to ensure staff compliance in real-time and through chart audits. Staff will record any near-misses and newborn falls in the hospital Safety Reporting System (SRS).
Results: According to data collected from the SRS, one newborn fall was reported in the medical unit as of April 2024.
Conclusions: Although there was a reported newborn fall despite the appropriate utilization of the “Baby Drop Bundle,” the project has shown to be a valuable addition to fall prevention practices. An investigation of the event determined that the drop could not have been prevented.
Recommended Citation
Aguirre, Natalie, "Implementing the "Baby Drop Bundle"" (2024). Master's Projects and Capstones. 1779.
https://repository.usfca.edu/capstone/1779
