Patient Fall Prevention Assessment Checklist [FREE PDF]
Nurses and patient safety officers use this checklist to implement fall prevention interventions per Joint Commission NPSG.09.02.01 fall reduction program requirements and CMS Conditions of Participation.
- Industry: Healthcare
- Frequency: Per Shift
- Estimated Time: 10-15 minutes
- Role: Registered Nurse
- Total Items: 8
- Compliance: Joint Commission NPSG.09.02.01, CMS Conditions of Participation
Fall Risk Assessment
Evaluate and document patient fall risk factors.
- Has a validated fall risk assessment (Morse, Hendrich) been completed this shift?
- Is the fall risk score documented and communicated to the care team?
- Have medications contributing to fall risk been reviewed?
- Risk assessment notes
Fall Prevention Interventions
Verify implementation of patient-specific fall prevention measures.
- Is the call light within patient's reach and patient instructed on use?
- Is the bed in the lowest position with brakes locked?
- Is the fall risk identifier (wristband, signage) in place for high-risk patients?
- Intervention notes
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Why Use This Patient Fall Prevention Assessment Checklist [FREE PDF]?
This patient fall prevention assessment checklist [free pdf] helps healthcare teams maintain compliance and operational excellence. Designed for registered nurse professionals, this checklist covers 8 critical inspection points across 2 sections. Recommended frequency: per shift.
Ensures compliance with Joint Commission NPSG.09.02.01, CMS Conditions of Participation. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Patient Fall Prevention Assessment Checklist [FREE PDF] cover?
This checklist covers 8 inspection items across 2 sections: Fall Risk Assessment, Fall Prevention Interventions. It is designed for healthcare operations and compliance.
How often should this checklist be completed?
This checklist should be completed per shift. Each completion takes approximately 10-15 minutes.
Who should use this Patient Fall Prevention Assessment Checklist [FREE PDF]?
This checklist is designed for Registered Nurse professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.
Can I download this checklist as a PDF?
Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.