FALLS PREVENTION 
IN HOSPITALS 


For older person aged 65 years or over 

SCREEN Falls Screen on admission 
ASSESS & 
IDENTIFY 
RISKS 
PREVENTION 
Identify at risk patients 
Environmental 
¥ Lighting¥ Bed height¥ Room free of clutter¥ Mobility aids¥ Call bellFalls Assessment to identify risk factors 
Patient specific¥Cognition 
¥Mobility & transfer skills¥ Incontinence¥ Medical conditions¥ Medication review¥ Vision/hearing¥ Footwear & clothingIs patient able to engage in joint planning ofpreventative strategies? 
NO 
(includes those with cognitive 
impairment or dementia) 
YES 
Strategies¥ Medication review 
avoid sedatives, 
hypnotics or anti-
psychotics¥ Regular toileting plan 
¥ Orientation to ward¥ Call bell within easy 
reach¥ Lo/lo beds / bed at 
lowest height and 
brakes on¥ Night lights¥ Mobility aids checkedStrategies¥ Glasses and hearing 
aids within easy reach¥ Use of non-slip footwear 
and mats/flooring 
¥ Area clear of hazards¥ Use of alarm devices¥ Use of Hip protectors¥ Referral to Allied health¥ Involve family Ð education 
and care about the 
seriousness of Falls¥ Provide patient with 
information about FallsStrategies¥ Increase 
observation¥ Move patient 
close to 
the nurseÕs 
station¥ Sitters 
program¥ Supervise 
mobilisation 
and toileting
REASSESS Reassess, document and communicate to staff if patients conditionchanges eg delirium, change of ward etc 
POST FALL 

Reassess, implement, document and communicate to staff post fallassessment and management plan