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Action taken Date Name×initials Adapted from tool developed by Lynn Flanagan, NHS Lancashire Also known as Tool 16: Falls prevention monitoring form (walking aids ...
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How to fill out falls prevention monitoring form

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How to fill out falls prevention monitoring form:

01
Begin by gathering all necessary information, such as the patient's personal details, medical history, and any known risk factors for falls.
02
The form will typically require you to record details about the patient's mobility, balance, and muscle strength. Use standardized scales or assessments to accurately measure these factors.
03
Document any recent falls or near falls the patient has experienced, including the date, time, location, and circumstances of each incident.
04
It's important to assess the patient's living environment for potential hazards that may contribute to falls. Note any unsafe conditions, such as cluttered walkways, inadequate lighting, or poorly secured rugs.
05
Evaluate the patient's medication list to identify any medications that may increase fall risk. Record the name, dosage, frequency, and purpose of each medication.
06
If applicable, include information about assistive devices the patient uses, such as walkers or canes. Assess the patient's proficiency in using these devices and note any concerns.
07
Consult with the patient's healthcare provider if you encounter any red flags or need additional guidance on completing the form accurately.
08
Double-check your entries for accuracy and completeness before submitting the falls prevention monitoring form.

Who needs falls prevention monitoring form?

01
Patients who are at a high risk of falls due to age-related factors, medical conditions, or previous falls.
02
Individuals who have recently experienced a fall or near fall incident.
03
Healthcare providers involved in the care of patients at risk of falls, including doctors, nurses, physical therapists, and caregivers.
Remember, falls prevention monitoring forms play a crucial role in identifying and addressing fall risks to enhance patient safety and well-being.
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Falls prevention monitoring form is a document used to track and record any incidents or measures taken to prevent falls within a certain environment.
Healthcare facilities, nursing homes, and other establishments where falls prevention is a priority are required to file falls prevention monitoring forms.
To fill out the falls prevention monitoring form, you need to provide details of any fall incidents, preventive measures implemented, and follow the specific guidelines provided.
The purpose of falls prevention monitoring form is to ensure that proper measures are in place to prevent falls and to document any incidents for further analysis and improvement.
Information such as date of incident, location, details of the fall, preventive measures taken, and follow-up actions must be reported on falls prevention monitoring form.
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