Safety/Falls What to Do & When

1. Safety assessment as part of head-to-toe assessment; Identify problems & Plan Interventions; Start Priority Problem if warranted • Morse Falls Risk screen • Safety assessment; Identify problems & Plan Interventions • Document expected Short Term Goals for Safety Priority Problems • Start/End Safety Priority Problems if warranted • Document Short Term goal Status or outcome for Priority Problems • Document Response to all Safety Interventions in Nursing Summary and Plan Priorities • Morse Falls Risk screen • Repeat other Safety Assessment & Revise Planned Interventions as appropriate Safety/Falls What to Do & When Admission Beginning of Shift End of Shift Condition Status Change