It also connects to US 50/SR 89 via Sawmill Road.įallen Leaf Road continues south past privately owned homes following the lakeshore. Two miles south of State Route 89, Angora Road provides access to Angora Lookout, a Forest Service fire lookout on the east side of the lake and approximately 1,000 feet (300 m) above the lake's surface, and to Angora Lakes Resort. The road passes the Fallen Leaf Lake Campground, operated by the Forest Service, and then past privately owned meadows. The road runs generally to the south, is one lane wide and paved, and has turnouts to allow cars to pass each other. The road intersects the highway approximately half a mile (800 m) west of Camp Richardson, a resort and campground on the southern shore of Lake Tahoe. Like some areas where the Forest Service has leased land intermingled with private land, the two land types appear in a mosaic or checkerboard pattern.įallen Leaf Road is approximately 5 miles (8 km) long, and begins at State Route 89, which runs along the south shore of Lake Tahoe. Forest Service, and part of the Lake Tahoe Basin Management Unit. The land surrounding the lake is privately owned, leased from the U.S. A terminal moraine is visible at the north end of the lake on the northeast edge.įallen Leaf Lake is located within the National Forest System lands managed by the Lake Tahoe Basin Management Unit, adjacent to El Dorado County. If the glacier had continued instead of stopping, Fallen Leaf Lake would be a bay of Lake Tahoe, similar to nearby Emerald Bay. The lake was created by at least two glaciers that traveled northward down the Glen Alpine Valley. It is approximately aligned north-to-south and oval in shape, measuring approximately 2.9 miles (4.6 km) on the long axis and 0.9 miles (1.4 km) on the short axis. Additionally, we have recently started involving our pharmacy representative in fall meetings to assist with medication reviews to further decrease potential falls.38★5′N 120☀4′W / 38.92°N 120.06°W / 38.92 -120.06 Coordinates: 38★5′N 120☀4′W / 38.92°N 120.06°W / 38.92 -120.06įallen Leaf Lake is a mountain lake located in El Dorado County, California, near the California– Nevada state border, about one mile south west of the much larger Lake Tahoe. Some of our initial future plans include weekly reviews to assess for residents who can be removed from the program as well as any additional identified high-fall-risk residents who need to be added to the program. The implementation of this program at our facility is still in its early stages as we continue to work out any issues that arise. Only three Falling Leaf Program participants had more than one fall in May, demonstrating some effectiveness of our program in decreasing the number of falls of these “high risk” individuals.Of the 22 falls in May, 14 were sustained by Falling Leaf Program participants, indicating a need for further interventions in this population.After one month of implementation, there was a decrease in the number of falls, number of residents falling and number of repeat offenders. May 2016: 22 falls, 16 residents, five repeat offenders.28/99 residents were identified as “high risk” and placed on the Falling Leaf Program in beginning of May.Many falls occur within first week of admission.Majority of falls related to toileting needs and unsupervised transfers.Over 50 percent of falls during PM/NOC shifts.Visual symbol means all staff members check in on resident when passing the room to make sure all needs have been met.Nursing staff identified causes of falls: toileting needs, ADL routines, timing of medications, environmental hazards, etc.Reassessment of residents on effectiveness of interventions.Spacing out Falling Leaf residents among CNAs.A visual symbol of a leaf is placed outside the patient’s door and is used as a way for team members to intervene more quickly and better meet their needs. The program works to monitor these specific residents and determine the underlying reasons for these falls. In contrast, the Falling Leaf Program identifies the residents who are at the highest risk of falls. The identified problem with the Falling Star Program is that it identifies patients at any risk of falls and results in a large number of patients in the program, thus decreasing the effectiveness. This program was developed by Carolyn Spradlin as an adaptation to the Falling Star Program. *Repeat offenders refers to residents who sustained more than one fall in a one-month span ![]() ![]() April 2016: 40 falls, 29 residents, 13 repeat offenders*.March 2016: 29 falls, 21 residents, eight repeat offenders*.After noticing a recent increase in falls and fall-related injuries at our building, we wanted to better understand the mechanisms of the falls and implement a comprehensive, interdisciplinary fall prevention program.
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