Risk Factors
Name one common medication that increases fall risk.
What are sedatives, antihypertensives, and opioids?
If a patient isn't high-risk but could benefit from additional safety measures, can you use high-risk interventions?
What is TRUE?
What is the fall risk assessment tool used at MSSN?
What is the Morse Fall Scale?
What is the first action a nurse should take after a patient falls?
What is assess the patient for injuries and call for help?
What is the best position for a fall-risk patient’s bed?
What is the lowest position, locked wheels?
Which of the following is included in patient and family education on fall prevention?
What is reviewing the Fall TIPS document, medications, and instructing to use the call bell?
What color-coded wristband clip is used for fall-risk patients?
What is yellow?
What does the ABCS assessment in the EMR include?
What is the purpose of assessing ABCS factors?
What are Age, Bones, Coagulation, and Surgery?
What is to predict "risk for injury" and determine fall prevention needs?
What document must be completed after a fall occurs?
What is the Safety net report?
What does a red tile on the falls dashboard indicate?
What is bed exit is not armed and a high-risk patient is in bed without the bed alarm on?
True or False: Poor lighting is an extrinsic risk factor for falls.
What is true?
In which zone is a high-risk patient placed?
What is Zone 2 or 3?
What is the first step in assessing a patient’s fall risk?
What is reviewing their history and performing a fall risk screening?
What is a common injury caused by falls in older adults?
What are hip fractures?
What should you do if a patient refuses to use fall precautions?
What is educate them on risks and document refusal?
Name two intrinsic fall risk factors.
What are muscle weakness, balance issues, and vision impairment?
What should you do if you have an iBED Vision issue?
What is email Helpdesk@snch.org and cc your NM, give full details?
True or False: A patient with a history of falls is at lower risk for future falls.
What is false?
True or False: If a patient says they’re fine after a fall, documentation isn’t necessary.
What is false?
You would like your high-risk patient to ambulate. What are 2 ways you can provide this intervention keeping them safe from falling:
What are use a gait belt, and have a staff member assist with ambulation?
What is the most common time of day for falls to occur in hospitals?
What is night or shift change times?
Name three environmental modifications to prevent falls.
What are adequate lighting, clear pathways, and bed at lowest position?
Which of the following patients is at the highest risk of falling?
What is Unsteady gait, confused at times, IV Lasix?
What should you do next if a patient is found on the floor with no apparent injuries?
What is reassess the patient using the Morse Fall Scale and document the post-fall assessment interventions?
A patient is found on the floor but says they didn’t fall. What should you do?
What is assess, document, and report—it’s still a fall risk event?