MANAGEMENT OF

PATIENT FALL

By Kumari Uma
Definitions

 Falls

 Unexpected falling down from high position to lower position with or without
injury due to physical or mental effect.

 Near Falls

 Sudden Loss of balance with incomplete fall which include slips and stumbles.
Most causing to Falls

Individual
 Loss of consciousness
 Orthopedic disorders
 Hypoglycemia
 Anemia
 Hypotension
 Drugs actions
 Post Operative (Sedation)
 Aging and sleeping habits
 Paralysis
 CVA
Environmental

 Unsafe higher position

 Beds side rails
 Unlocked wheel chair & bed
 Water in the Floor
 Wire connection
 Steps
 Walker
 Interfering clothes
Patient Fall Injury Level

 None :- No Injury
 Miner- Minor Injury with abrasion treated by dressing, limb elevation, topical
medication
 Moderate – injury lead to suturing treated by bandage, muscle or joint strain
 Major – Which leads for casting, skin, traction and surgery, may need
neurological
 Death – The patient died as a result of serious injury
Policy

 All in patients will be assessed for the risk of fall up on admission

 Reassessment the following conditions
 Post operative
 Procedure sedation
 Offer administer medication
 Transferring patients between two units
 Offer recording incident of fall
 Humpty dumpty scale for pediatrics
 All falls patients should be classified according to level of injury
 High risk of falling age >55
 Medium risk of falling >30 to 55
 Low risk of falling >0 to 25
Post fall Protocol of Care

 First aid
 Ensure that patient is safe from further danger.
 Ask help.
 Don’t reposition the patient, until the patient is ready to do so.
 Move the patient safely with attention to move and handling.
 Complete the post fall assessment form.
 Reporting
 Patient and family education.
 Thank you
Kumari Uma