Morse Fall Scale
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 admission, at change of condition,
transfer to new unit,
and after a fall.
Name: _____________________________________________
History of
Falling
Secondary
Diagnosis
Ambulatory
Aid
IV or IV Access
Gait
Mental Status
Variables
No
Yes
No
yes
None/Bed Rest
/Nurse Assist
Crutches/Cane/
Walker
Furniture
No
Yes
Normal/Bed Rest/
Wheelchair
Weak
Date: ____________
Score
0
25
0
15
0
15
30
0
20
0
10
Impaired
20
Knows Own Limits
Overestimates or Forgets
Limits
0
15
Total
Interventions Needed: Y
See Nurses Narrative Notes:
N