Falls management post fall assessment tool
Falls management post fall assessment tool fall management post fall assessment tool Page 1 of 3 Resident Age Room # Admit Date Admit Dx Current Dx Date of fall Day of Week Time AM PM Assigned caregiver(s) (Name and title) 1. Was this fall observed? Yes No If yes, by whom: (name and title) 2. Was the resident identified as high risk prior to the fall ? Yes No 3. Resident vital signs Usual vital signs before the fall : BP Lying: Pulse: BP Sitting: Pulse: BP Standing: Pulse: Vital signs just after the fall : BP Lying: Pulse: BP Sitting: Pulse: BP Standing: Pulse: 4.
Fall Management – Post Fall Assessment Tool Page Page 2 of 4 9. What was the resident doing at the time of the current fall? Yes No Other:
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