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