Patient Fall Prevention Assessment Checklist
FREE patient fall risk assessment checklist with Joint Commission and CMS compliance. Covers Morse Fall Scale, environmental hazards, interventions, and care plan. Multi-market standards for US Joint Commission, UK CQC/NICE, India NABH, Brazil ANVISA, Mexico SSA, and Colombia regulations. Download FREE PDF with 40+ assessment points.
- Industry: Healthcare
- Frequency: Admission and Each Shift
- Estimated Time: 10-15 minutes
- Role: Operations Manager
- Total Items: 34
- Compliance: Joint Commission NPSG.09.02.01, CMS CoP Fall Prevention, AHRQ Fall Prevention, UK NICE CG161 (Falls), UK CQC Standards
Morse Fall Scale Assessment
Standardized fall risk assessment.
- History of falling (within 3 months)?
- Secondary diagnosis present?
- Ambulatory aid used?
- IV therapy or heparin lock?
- Gait assessment?
- Mental status?
Environmental Assessment
Room and environment safety check.
- Bed in lowest position?
- Bed/wheelchair brakes locked?
- Call light within reach?
- Personal items within reach?
- Pathway to bathroom clear?
- Non-slip footwear available?
- Adequate lighting in room?
Fall Prevention Interventions
Interventions implemented based on risk level.
- Fall risk identification band applied?
- Fall risk sign on door?
- Hourly rounding implemented?
- Toileting schedule established?
- Bed/chair alarm activated (if appropriate)?
- 1:1 sitter ordered (if needed)?
- PT/OT consult ordered?
Patient/Family Education
Fall prevention education provided.
- Fall risks explained to patient/family?
- Instructed to call for help before getting up?
- Proper footwear discussed?
- Education documented in chart?
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?
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Why Use This Patient Fall Prevention Assessment Checklist?
This patient fall prevention assessment checklist helps healthcare teams maintain compliance and operational excellence. Designed for operations manager professionals, this checklist covers 34 critical inspection points across 6 sections. Recommended frequency: admission and each shift.
Ensures compliance with Joint Commission NPSG.09.02.01, CMS CoP Fall Prevention, AHRQ Fall Prevention, UK NICE CG161 (Falls), UK CQC Standards, India NABH Standards, Brazil ANVISA RDC, Mexico GPC Falls, Colombia MinSalud Guidelines. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the Patient Fall Prevention Assessment Checklist cover?
This checklist covers 34 inspection items across 6 sections: Morse Fall Scale Assessment, Environmental Assessment, Fall Prevention Interventions, Patient/Family Education, 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 admission and each shift. Each completion takes approximately 10-15 minutes.
Who should use this Patient Fall Prevention Assessment Checklist?
This checklist is designed for Operations Manager 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.