Identify and record the time and place of the fall incident
2
Identify the individual involved in the fall
3
Evaluate immediate physical state of the individual post fall
4
Observe and record any perceived injuries
5
Identify potential causes of the fall
6
Approval: Clinician for immediate medical intervention if required
7
Gather and document details of the incident using a fall assessment form
8
Conduct a cognitive and behavioral assessment of the individual
9
Review individual's medication and medical history
10
Approval: Pharmacist for medication review and possible interaction
11
Check individual's daily living aids, footwear, and clothes for potential fall hazards
12
Perform a safety assessment of the fall environment
13
Approval: Safety officer for environment safety assessment measures
14
Communicate fall incident to the individual's family or caregiver
15
Develop a Fall Risk Management plan with the help of the healthcare team
16
Approval: Healthcare Team for the Fall Risk Management plan
17
Implement fall risk reduction strategies
18
Organize follow-up appointments
19
Monitor and review the effectiveness of the strategies implemented
20
Document all findings, actions, and follow-ups
Identify and record the time and place of the fall incident
Record the exact time and location of the fall incident. This information is crucial for accurately assessing the situation and determining any patterns or contributing factors. Make sure to document any relevant details related to the surroundings or circumstances of the fall. Use the form fields below to input the necessary information.
Identify the individual involved in the fall
Identify the person who experienced the fall. This information is necessary to ensure proper assessment and follow-up. Use the form field below to input the individual's name.
Evaluate immediate physical state of the individual post fall
Assess the individual's physical condition immediately after the fall. Look for any signs of injury or distress. Use the form field below to document the observations.
Observe and record any perceived injuries
Carefully observe the individual for any visible injuries or discomfort following the fall. Document any findings using the form field below.
Identify potential causes of the fall
Identify the potential causes or factors that may have contributed to the fall. This will help in developing a comprehensive fall risk management plan. Use the form field below to list the potential causes.
1
Uneven surface
2
Poor lighting
3
Slippery floor
4
Tripping hazard
5
Inadequate footwear
Approval: Clinician for immediate medical intervention if required
Will be submitted for approval:
Evaluate immediate physical state of the individual post fall
Will be submitted
Gather and document details of the incident using a fall assessment form
Collect detailed information about the fall incident using a fall assessment form. Ensure that you accurately record the details of the fall to inform further assessment and preventive measures. Use the form field below to upload the fall assessment form.
Conduct a cognitive and behavioral assessment of the individual
Assess the individual's cognitive and behavioral functioning after the fall. Observe for any changes in behavior, memory, or mood that may indicate a need for further evaluation or interventions. Use the form field below to document your observations.
Review individual's medication and medical history
Review the individual's medication and medical history to identify any potential factors that may have contributed to the fall. Consider factors such as medication side effects, previous falls, or medical conditions. Use the form field below to document your findings.
Approval: Pharmacist for medication review and possible interaction
Will be submitted for approval:
Review individual's medication and medical history
Will be submitted
Check individual's daily living aids, footwear, and clothes for potential fall hazards
Inspect the individual's daily living aids, footwear, and clothing for any potential fall hazards. Identify any items that may need to be modified or replaced to reduce the risk of falls. Use the form field below to record your observations.
Perform a safety assessment of the fall environment
Assess the safety of the environment where the fall occurred. Look for any hazards or conditions that may have contributed to the fall and make recommendations for improvements. Use the form field below to document your safety assessment findings.
Approval: Safety officer for environment safety assessment measures
Will be submitted for approval:
Perform a safety assessment of the fall environment
Will be submitted
Communicate fall incident to the individual's family or caregiver
Inform the individual's family or caregiver about the fall incident. Provide them with relevant information and instructions for any necessary follow-up actions. Use the form field below to enter the contact details of the family or caregiver.
Develop a Fall Risk Management plan with the help of the healthcare team
Collaborate with the healthcare team to develop a comprehensive Fall Risk Management plan for the individual. Consider the individual's specific needs and risk factors to create an effective plan. Use the form field below to document the key components of the plan.
Approval: Healthcare Team for the Fall Risk Management plan
Will be submitted for approval:
Develop a Fall Risk Management plan with the help of the healthcare team
Will be submitted
Implement fall risk reduction strategies
Implement the fall risk reduction strategies outlined in the Fall Risk Management plan. Ensure that all necessary precautions and interventions are carried out to minimize the risk of future falls. Use the form field below to document the strategies implemented.
Organize follow-up appointments
Schedule and organize follow-up appointments with the necessary healthcare professionals to monitor the individual's progress and make any necessary adjustments to the Fall Risk Management plan. Use the form field below to enter the details of the follow-up appointments.
Monitor and review the effectiveness of the strategies implemented
Regularly monitor and review the effectiveness of the fall risk reduction strategies implemented. Assess any changes in the individual's fall risk and make adjustments to the strategies as needed. Use the form field below to document your observations and evaluations.
Document all findings, actions, and follow-ups
Maintain thorough documentation of all findings, actions, and follow-ups related to the fall incident and fall risk management. This documentation will serve as a reference for future assessments and provide a comprehensive record of the individual's fall history. Use the form field below to upload any relevant documents or records.
