Inpatient Behavioral Health Policy and Procedure Manual

Inpatient Behavioral Health Policy and Procedure Manual

1047 - Post Fall Assessment Form


Sample Content From 1047 - Post Fall Assessment Form

Snippets are randomly selected, unformatted passages from the Microsoft Word policy template.

Snippet

Origin of the patient fall:
bed, chair, hallway, patio, bathroom, bedroom,
other
Was the patient identified as a potential for fall risk on
admission or later?
If the patient was on fall program, did the patient have:
Armband
Sticker on chart cover
Greaseboard notation
Was the patient confused at the time of the fall?
Was the patient restrained at the time of fall?
If patient fell out of bed, were the siderails up?

Second Snippet

Was there adequate lighting where the patient fell?
Wet floor
Object on floor
Someone else pushing or tripping patient
Dizziness or other medical condition
If other medical condition, please list: