Fall Risk Factors
The universal color for fall risk.
What is yellow
An audible alert that should be placed on all patient to alert the healthcare team that the patient is getting out of bed or chair.
What is bed/chair alarm?
A sturdy strap placed all WOMC patients before they are mobilized.
What is a gait belt.
Overhead device in each ICU room that is used to safely transfer and reposition patients with limited mobility.
What is ceiling lift.
If you administer IV lasix in a patient who is alert and awake, you should consider applying this containment device.
What is PrimoFit/PrimaFit?
It is the tool used by RN to assess fall risk.
What Morse scale?
Any unplanned descend to the floor.
What is a fall?
On 2N-ICU each room should have this two assistive devices.
What is a walker and a commode.
The three layers to set up the bed for a patient with limited mobility,
What is a white sheet, lift sheet and large Chux pad
You are doing a single person transfer and you notice the patient knees begin to bend, the single word you should shout.
What is HELP!
Fall prevention is the responsibility of which team member.
Who is all staff?
Falls are a ________ Event and prevention is a high priority for the organization.
What is Never?
Name the 5 Ps
What is potty, position, pain, pump and possession,
Use mechanical assistance early
Keep load close, maintain neutral spine, avoid twisting
Get help, communicate, clear role assignments
This list represent strategies for
What is safe patient lifting?
Two yellow accessary nurses place on patients that are high risk for falls.
What are yellow socks and wrist-band?
- Bed alarm turned on at appropriate levels; Call bell, telephone, eye glass and all personal items within reach; Purposeful hourly rounding/prompt response to calls
Listed are examples of.
What is Fall prevention strategies?
The frequency of fall risk assessment is completed how often.
What is every shift?
The non-powered sit-to-stand transfer device designed for nurses to help patients stand up and move between surfaces.
What is Sara Stedy?
Twisting while holding load, inappropriate bed height, Sara Stedy for non-weight bearing patients are example of what.
What is unsafe patient lifting?
The number of required huddles after each fall.
What is four?
History of falls, older, medication side effects, walking aid use, unsteady gait, may forget or choose not to call for help are all forms of this.
What is fall risks?
Review of Pain, Position, Potty, Possession and Pump are all elements of this fall prevention measure.
What is Purposeful Hourly Rounding?
The practice of taking patients to the bathroom at the time of rounding, as many patients fall trying to get to the bathroom.
What is No One Toilet Alone (NOTA)?
Safe Patient Handling and Mobility technology can reduce what category of injury in healthcare workers.
What is musculoskeletal disorders (MSDs)
The number of recorded falls in in the ICU in 2025.
What is zero?