Table 1

Characteristics of the two wards from which the licensed practical nurses were selected
Geriatric rehabilitation ward Orthopedic ward
Ward layout - Single and double rooms. - Single, double and triple rooms.
- 24-bed ward, extra beds when needed. - 24-bed ward, extra beds when needed.
Patients - 65 years or older, many with multiple diseases, the majority with osteoporotic fractures such as hip fractures. Admitted acutely or referred from another clinic. - Mixed ages, patients with different diagnoses. Any type of fractures, including osteoporotic and high energy fractures, patients with tumors and arthritis. Admitted acutely or planned admissions.
Mean inpatient stay - 24 days - 6 days
Teamwork and individual care planning - Reports at the start and end of shifts with nurses and licensed practical nurses. - Reports at the start and end of shifts with nurses and licensed practical nurses.
- Systematic assessment of the patient by all team members (registered nurses, licensed practical nurses, physical therapists, occupational therapists, dietician and geriatricians) as soon as possible after admittance. - No team conferences or individual care planning on a routine basis.
- Team conferences twice a week to monitor patient rehabilitation process and goals. - Geriatric consults.
- Orthopedic consults
Prevention and treatment of complications - Actions to prevent falls and fractures implemented including global ratings and screening tools. - No systematic routines to prevent falls.
- Systematic prevention, detection and treatment of postoperative complications. - No systematic check-ups for postoperative complications.

Häggqvist et al.

Häggqvist et al. BMC Geriatrics 2012 12:62   doi:10.1186/1471-2318-12-62

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