 You may copy, translate, distribute and present the following SAFE from FALLS Tool Kit items as long as you reference the Minnesota Hospital Association as the source of this material. If the tool is hospital-specific, please also cite the hospital as a source.
AFETY COORDINATION - FALLS PREVENTION PROGRAM
- NCPS Falls Policy: [DOC] and [PDF]
- Inpatient Fall Prevention Policy: [DOC]
- Fall Prevention Policy: [DOC]
- Falls Prevention Program Sample Charter: [DOC]
- Fall Prevention Steering Committee: [DOC]
- Fall Prevention Subcommittee: [DOC]
- Falls Prevention Best Practices resources [visit]
CCURATE AND CONCURRENT REPORTING
- Fall Rate Definitions: [DOC]
- NCPS Fall Incident Report: [DOC]
- Fall Variance Tool: [DOC]
- NCPS Measuring Success: [DOC] and [PDF]
ACILITY EXPECTATIONS, STAFF EDUCATION AND ACCOUNTABILITY
- Patient Sitter Check-off: [DOC]
- Patient Sitter Job Description: [DOC]
- Patient Sitter Skills Checklist: [DOC]
- "Falls in Radiology: Establishing a Unit-Specific Prevention Program" article: [PDF]
- Falls Risk Guide - RN/LPN: [DOC]
- Falls Risk Guide - NAR: [DOC]
- Falls Transport Guide - Transport Team: [DOC]
- Self Learning Packet: [DOC]
DUCATION FOR PATIENTS AND FAMILIES
- FROM-
ALL RISK SCREENING
- Falls Prevention Policy - including E.D.: [DOC]
- Cardiopulmonary Falls Prevention: [DOC]
- E.D. Falls Prevention: [DOC]
- Perinatal Falls Prevention: [DOC]
- Rehabilitation Services Falls Prevention: [DOC]
- Surgical Falls Prevention: [DOC]
- Fall Risk for Injury: [DOC]
- NCPS Assessment Information: [DOC]
- Morse Fall Scale Assessment: [DOC]
- John Hopkins Hospital Fall Risk Assessment: [DOC]
- Falls Prevention Program (Pediatrics) - "Little Schmidy" Fall Score: [PDF]
- Miami Children's Hospital Humpty Dumpty Falls Scale and Prevention Program: [PDF]
SSESSMENT OF RISK FACTORS
- Falls Assessment: [PDF]
- Mobility Assessment Algorithm: [PDF]
- Actions for Personal Risk Factors: [PDF]
- Identifying Patients at Risk for Injury: [DOC]
- Fall Risk Magnets: [PDF]
- Hand-Off Communication Policy: [DOC]
- Hand-Off Communication Worksheet: [DOC]
- Lakeview Patient Pass Sample: [PDF]
- NEECHAM Tool for Acute Delerium/Confusion: [PDF]
INKED INTERVENTIONS
- Falls Risk Protocol: [PDF]
- Protocol Orderset: [PDF]
- Bedside Report: [DOC]
- Bedside Report - Work Standard: [DOC]
- Steps for Bed Report: [DOC]
- Staying Within Arm's Reach: [DOC]
- Using Assistive Devices to Prevent Falls and Fall Injuries: [PDF]
- Tab Alarm and Posey Sitter II Alarm Criteria: [DOC]
- "Help Prevent Inpatient Falls, Link Risks to Interventions": [DOC]
- NCPS Interventions: [PDF]
- Falls: Prevention and Intervention: [DOC]
- Interventions Based on Morse Score: [DOC]
- Falls Risk Interventions: [DOC]
- Nursing Rounds: [DOC]
EARN FROM EVENTS
- Team Action Plan for Post-Fall Huddles: [PDF]
- Post-Fall Huddle Template: [PDF]
- Post-Fall Template: [DOC]
- After Action Review: [PDF]
- Post-Fall Evaluation: [PDF]
- Post Fall Huddle: [PDF]
- Falls Prevention Program (Post Fall - Page 4): [DOC]
- Injury Assessment Flow Sheet: [PDF]
AFE ENVIRONMENT
- Neonatal Falls/Drops Presentation, 6/20/11: [PDF]
- CPS Environmental Interventions: [PDF]
- General and Individual Environmental Checklist, p. 62-73: [PDF]
- General Environmental Rounds Checklist: [DOC]
- General Enviromental Rounds Checklist - ER: [DOC]
- Individual Room Environmental Assessment: [DOC]
- Individual Environmental Checklist Example: [DOC]
- Tips and Tricks for Selecting a Bedside Floor Mat: [DOC]
- Low Bed and Floor Mat Criteria: [DOC]
- Falls Team Environmental Rounds Calendar: [DOC]
- Creating a Safe Environment: [DOC]
- NCPS Equipment Safety Checklist: [PDF]
- Environmental Rounds Presentation: [PPT]
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