Morse Fall Risk Assessment Tool Fall Risk is based upon Fall Risk Factors and it is more than a Total Score. Determine Fall Risk Factors and Target Interventions to Reduce Risks. Complete on all patients at admission, at change of condition; transfer to a new unit, and after a fall. Admission Review Review Review Morse Fall Risk Date: Date: Date: Date: Assessment Tool Score NO 0 History of Falling YES 25 NO 0 Secondary Diagnosis YES 25 None/bedrest/nurse assist 0 Crutches/cane/walker 15 Aid Furniture 30 Ambulatory NO 0 IV or IV access YES 25 Normal/bedrest/wheelchair 0 Weak 10 Gait Impaired 20 Knows own limits 0 Overestimates or forgets limits 15 Mental Status Total Initial To obtain the Morse Fall Score add the score from each category Morse Fall Score High Risk 45 and higher Moderate Risk 25-44 Low Risk 0-24
Morse Fall Risk Assessment Tool Fall Risk is based upon Fall Risk Factors and it is more than a Total Score. Determine Fall Risk Factors and Target Interventions to Reduce Risks. Complete on all patients at admission, at change of condition; transfer to a new unit, and after a fall. Morse Fall Risk Assessment Tool Score Admission Date: Review Date: Review Date: Review Date: History of Falling NO YES 0 25 Secondary Diagnosis NO YES 0 25 Ambulatory Aid None/bedrest/nurse assist 0 Crutches/cane/walker 15 Furniture 30 IV or IV access NO YES 0 25 Gait Normal/bedrest/wheelchair 0 Weak 10 Impaired 20 Mental Status Knows own limits 0 Overestimates or forgets limits 15 Total Initial To obtain the Morse Fall Score add the score from each category Morse Fall Score High Risk 45 and higher Moderate Risk 25-44 Low Risk 0-24
Shift%20Assessment%20Worksheet%202016.docx