Alarm Reduction Tool Date and Room # Name Date Alarm Date Reason Set off of Plan Shift to and Unit of Type/Location Alarm for Alarm Resultant Trial Last Initiated Alarm Tracked? of Reduction Today’s Fall Tracking Date Example: E.N. 8/2014 Pressure alarm 12/25/15 Yes. Toilet at 2/20/16 Rm#000 in wheelchair 2:15 PM PM Shift with and Snack Re-eval in 2/15/16 Falls at 4:15 one week PM, walk to dining room at 5:45 PM
Alarm Reduction Tool Room # and Unit Today’s Date Name Date of Last Fall Alarm Type/Location Date Alarm Initiated Reason for Alarm Set off of Alarm Tracked? Plan Resultant of Tracking Date and Shift to Trial Reduction Example: Rm#000 2/15/16 E.N. 8/2014 Pressure alarm in wheelchair 12/25/15 with Falls Yes. Toilet at 2:15 PM and Snack at 4:15 PM, walk to dining room at 5:45 PM 2/20/16 PM Shift Re-eval in one week