Name: Care Plan 2 (V 1) CONSIDER: Patient orientation/Nurse Call system. Bedrail NHS Number: FALLS ASSESSMENT AND Assessment. Falls Risk Assessment and Falls Prevention Care Plan. Safety Monitoring. Confusion. SAFETY Ward: Mental Capacity and DOLs assessment FALLS ASSESSMENT: If Yes to any question - the patient is at risk. Complete Falls Care Plan - Place alert sign above bed and on handover sheet. USE YELLOW FIR CHART FOR PATIENTS REQUIRING SAFETY MONITORING Update risk assessment and care plan weekly and after every fall History of falls before admission? Y / N History of falls before admission? Y / N History of before admission? Y / N History of falls before admission? Y / N Fall since admission? Y / N Fall since admission? Y / N Fall since admission? Y / N Fall since admission? Y / N Tries to walk alone but to walk alone but Tries to walk alone but to walk alone but unsteady/unsafe? Y / N unsteady/unsafe? Y / N unsteady/unsafe? Y / N unsteady/unsafe? Y / N Patient or relatives anxious Patient or relatives anxious Patient or relatives anxious Patient or relatives anxious about falls? Y / N about falls? Y / N falls? Y / N about falls? Y / N Patient has cognitive/receptive Patient has cognitive/receptive Patient has cognitive/receptive Patient has cognitive/receptive problems? Y / N problems? Y / N problems? Y / N problems? Y / N Date / Time: Date / Time: Date / Time: Date / Time: Signature: Signature: Signature: Signature: PROBLEM / NEED: Date/Time Signature GOALS The patient will be orientated to the ward environment and feel able to alert staff when they require assistance Risk of falls will be minimised Patient safety will be maximised Name: NHS No: Ward:
Name: NHS Number: Ward: Care Plan 2 (V 1) FALLS ASSESSMENT AND SAFETY CONSIDER: Patient orientation/Nurse Call system. Bedrail Assessment. Falls Risk Assessment and Falls Prevention Care Plan. Safety Monitoring. Confusion. Mental Capacity and DOLs assessment FALLS ASSESSMENT: If Yes to any question - the patient is at risk. Complete Falls Care Plan - Place alert sign above bed and on handover sheet. USE YELLOW FIR CHART FOR PATIENTS REQUIRING SAFETY MONITORING Update risk assessment and care plan weekly and after every fall History of falls before admission? Fall since admission? Tries to walk alone but unsteady/unsafe? Patient or relatives anxious about falls? Patient has cognitive/receptive problems? Y / N Y / N Y / N Y / N Y / N History of falls before admission? Fall since admission? to walk alone but unsteady/unsafe? Patient or relatives anxious about falls? Patient has cognitive/receptive problems? Y / N Y / N Y / N Y / N Y / N History of before admission? Fall since admission? Tries to walk alone but unsteady/unsafe? Patient or relatives anxious falls? Patient has cognitive/receptive problems? Y / N Y / N Y / N Y / N Y / N History of falls before admission? Fall since admission? to walk alone but unsteady/unsafe? Patient or relatives anxious about falls? Patient has cognitive/receptive problems? Y / N Y / N Y / N Y / N Y / N Date / Time: Signature: Date / Time: Signature: Date / Time: Signature: Date / Time: Signature: PROBLEM / NEED: Date/Time Signature GOALS The patient will be orientated to the ward environment and feel able to alert staff when they require assistance Risk of falls will be minimised Patient safety will be maximised Name: NHS No: Ward: