Safety/Falls What to Do & When
Admission
Beginning
of Shift
• Safety assessment as part of head-to-toe assessment; Identify
problems & Plan Interventions; Start Priority Problem if
warranted
• Morse Falls Risk screen
• Safety assessment; Identify problems & Plan Interventions
• Document expected Short Term Goals for Safety Priority
Problems
End of
Shift
Condition
Status
Change
•
•
•
Start/End Safety Priority Problems if warranted
Document Short Term goal Status or outcome for Priority Problems
Document Response to all Safety Interventions in Nursing
Summary and Plan Priorities
• Morse Falls Risk screen
• Repeat other Safety Assessment & Revise Planned
Interventions as appropriate