Patient Fall Risk Hourly Rounding Checklist
Conduct purposeful hourly rounding to proactively address patient needs and prevent falls using the 4Ps framework: Pain, Potty, Position, Possessions.
- Industry: Healthcare
- Frequency: Every hour
- Estimated Time: 3-5 minutes
- Role: Nurse/CNA
- Total Items: 29
- Compliance: Joint Commission Fall Prevention, CMS HAPU Prevention, Studer Group Hourly Rounding
Pain Assessment
Address pain needs
- Pain level assessed?
- Pain needs addressed?
- PRN medication offered if needed?
Potty/Toileting
Toileting assistance
- Toileting assistance offered?
- Incontinence checked if applicable?
- Bedside commode available if needed?
Position/Comfort
Positioning and comfort
- Patient in comfortable position?
- Repositioned if needed?
- Bed in lowest position?
- Side rails as ordered?
Possessions/Environment
Environmental safety
- Call light within reach?
- Phone within reach?
- Water/personal items within reach?
- Floor clear of clutter?
- Non-skid footwear available?
Safety Check
Additional safety verification
- Fall precautions in place?
- Bed/chair alarm active (if ordered)?
- Lighting adequate?
- Pathway to bathroom clear?
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?
Related Healthcare Checklists
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Why Use This Patient Fall Risk Hourly Rounding Checklist?
This patient fall risk hourly rounding checklist helps healthcare teams maintain compliance and operational excellence. Designed for nurse/cna professionals, this checklist covers 29 critical inspection points across 7 sections. Recommended frequency: every hour.
Ensures compliance with Joint Commission Fall Prevention, CMS HAPU Prevention, Studer Group Hourly Rounding. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Patient Fall Risk Hourly Rounding Checklist cover?
This checklist covers 29 inspection items across 7 sections: Pain Assessment, Potty/Toileting, Position/Comfort, Possessions/Environment, Safety Check, Pre-Assessment Information, Infection Prevention & Control. It is designed for healthcare operations and compliance.
How often should this checklist be completed?
This checklist should be completed every hour. Each completion takes approximately 3-5 minutes.
Who should use this Patient Fall Risk Hourly Rounding Checklist?
This checklist is designed for Nurse/CNA 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.