Fall Prevention Assessment
Complete on admission and reassess as needed.
- Industry: Healthcare
- Frequency: Admission / Daily / Per Shift
- Estimated Time: 10-15 minutes
- Role: Nurse
- Total Items: 32
- Compliance: Joint Commission NPSG, CDC Fall Prevention, Nursing Best Practices
Risk Factors
Identify risk factors.
- History of falls (past 3 months)?
- Mobility impairment?
- High-risk medications (sedatives, diuretics)?
- Altered mental status/confusion?
- Frequent toileting needs?
Prevention Interventions
Interventions in place.
- Bed in lowest position?
- Call light within reach?
- Non-slip footwear provided?
- Fall risk signage posted?
- Toileting schedule implemented?
Pre-Assessment Information
Initial assessment documentation and patient/facility identification
- Assessor Name / Credentials
- Assessment Date
- Department / Unit
- Assessment Type (Routine/Annual/Complaint)
- Previous assessment findings reviewed?
Infection Prevention & Control
Verify infection control practices per CDC and Joint Commission standards
- Hand hygiene compliance observed?
- Appropriate PPE available and properly used?
- Isolation precautions properly implemented?
- Sharps containers available and not overfilled?
- High-touch surfaces properly disinfected?
Patient Safety & Identification
Verify patient safety protocols and identification procedures
- Two patient identifiers used before procedures?
- Fall risk assessment completed?
- Call light within patient reach?
- Bed in lowest position with brakes locked?
Medication Safety & Management
Verify medication handling and administration practices
- Medications stored securely and at proper temperature?
- Controlled substances properly secured and counted?
- No expired medications in stock?
- High-alert medications properly labeled?
Environment of Care & Safety
Verify facility environment meets safety standards
- Fire exits clear and unobstructed?
- Emergency equipment functional and accessible?
- Spill kits available and stocked?
- Electrical cords and outlets in safe condition?
Related Healthcare Checklists
- Hand Hygiene Compliance
- Medication Safety Check
- Surgical Safety Checklist
- Joint Commission Readiness
- HIPAA Compliance Audit
- OSHA Healthcare Compliance