Get the free 11-03 Pediatric Falls Collaborative 2 - PRERECORDED WEBINAR 2

DATE: Nov. 3, 2010 TO: Physicians, Nurses FROM: Mary Dmitri Director, Professional Practice, NJ HA SUBJECT: Pediatric Falls Benchmarking Collaborative Prerecorded Webinar The New Jersey Hospital Association

How to fill out 11-03 pediatric falls collaborative

How to fill out 11-03 pediatric falls collaborative:

1. Obtain the necessary documentation and forms from the appropriate healthcare organization or department.
2. Review the instructions provided with the form to understand the specific information required.
3. Begin by entering the date and relevant identifying information, such as the patient's name and medical record number.
4. Provide details about the fall incident, including the date, time, and location of the event.
5. Describe the circumstances leading up to the fall, such as any contributing factors or activities being performed by the pediatric patient.
6. Document any injuries sustained as a result of the fall, including the body parts affected and the severity of the injuries.
7. Note any immediate actions taken following the fall, such as administering first aid or contacting medical personnel.
8. If applicable, document any follow-up care or treatments provided to address the fall or subsequent injuries.
9. Sign and date the form to certify its accuracy and completeness.
10. Submit the completed 11-03 pediatric falls collaborative to the designated healthcare personnel or department.

Who needs 11-03 pediatric falls collaborative:

1. Healthcare organizations or departments that specialize in pediatric care.
2. Medical professionals, such as pediatricians, nurses, and therapists, who treat and care for pediatric patients.
3. Researchers or institutions conducting studies or analyses related to pediatric falls and their prevention.

For pdfFiller’s FAQs

What is 11-03 pediatric falls collaborative?

The 11-03 pediatric falls collaborative is a reporting mechanism for healthcare facilities to track and share data on pediatric falls.

Who is required to file 11-03 pediatric falls collaborative?

Healthcare facilities are required to file 11-03 pediatric falls collaborative.

How to fill out 11-03 pediatric falls collaborative?

To fill out the 11-03 pediatric falls collaborative, healthcare facilities must input data on pediatric falls incidents following the guidelines provided.

What is the purpose of 11-03 pediatric falls collaborative?

The purpose of 11-03 pediatric falls collaborative is to improve patient safety by identifying trends and implementing prevention strategies for pediatric falls.

What information must be reported on 11-03 pediatric falls collaborative?

Healthcare facilities must report data on the number of pediatric falls incidents, patient demographics, fall risk assessment results, and interventions taken to prevent falls.

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