To identify fall risks in patients undergoing hematopoietic stem cell transplantation (HSCT), the authors reviewed retrospective data on inpatients from April 2010 to March 2011. Among 77 HSCT patient records reviewed, the authors found that 35 patients had experienced at least one fall, including near-miss episodes (fallers). The main location of the falls was a corridor, and the main activity at the time of the fall was going to the toilet. To investigate fall risks along the HSCT time trajectory, the authors divided the time into pre- and post-engraftment periods and investigated the unique characteristics of each.

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improvement initiative was implemented. New graduate RNs were surveyed within the first year of their hire date to evaluate their satisfaction with unit based orientation. The largest deficits were related to preceptor experience and competency (satisfaction¼2.5 out of 5). A core group of preceptors was then established and competency evaluated. Information from this evaluation prompted the task force to work in conjunction with the hospital education department and the department of oncology to develop required competencies, which included online preceptor modules (SWANK Healthcare), Mosby's Preceptor Modules and hospital based basic, advanced and oncology preceptor education. The task force re-surveyed new graduate RN's approximately 1.5 years following the preceptor improvement initiative. Improved satisfaction was noted with the overall orientation process especially related to preceptors (satisfaction¼4.0 out of 5.0; increase from 2.5 out of 5). The unit had also retained ALL new graduate RNs (7 of 7) hired since the preceptor initiative was implemented. We hope that by sharing our initiative others will recognize the importance of investing in the education, development and continuing support of preceptors.