Template

Morse Fall Risk Assessment

by jassin isabelle, from the Community

Use the Morse Fall Risk Assessment, adapted from the Morse Fall Scale, to quickly evaluate a patient’s likelihood of falling. The checklist guides clinicians through six factors: recent fall history, secondary diagnosis, ambulatory aid, IV or heparin lock, gait or transfer status, and mental status. Scores roll up to an overall Low, Medium, or High risk rating, helping nurses prioritize interventions and document patient safety. Includes fields for patient and nurse details, date and location, and signature capture, with a reference table for interpreting scores.

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Confirm accountability and compliance with a digital log

With SafetyCulture you can

Digitize any process, procedure or policy

Eliminate mistakes made by paper-based processes

Create and share professional reports instantly

Confirm accountability and compliance with a digital log

About author

Community

This community page makes available free workplace checklists and templates created by other users within the SafetyCulture community. SafetyCulture has re-published this content and where possible, has credited the original author. SafetyCulture has not verified the accuracy, reliability or suitability of any community content. You agree that your use of any of this content is in accordance with SafetyCulture’s Terms and Conditions.

Template
Morse Fall Risk Assessment
This Morse Fall Risk Assessment Tool derived from the Morse Fall Scale (MFS) was converted using SafetyCulture and is used to help assess a patient's likelihood of falling. Perform this Morse Fall Risk Assessment by answering 6 essential questions. This template includes a risk rating table which will help you assign a fall risk rating (High, Medium, Low) based on the responses to the 6 essential questions.
by SafetyCulture
Downloads: 200+
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Template
General Patient Fall Risk Assessment Template
This fall risk assessment template is used to evaluate a patient's probability of falling. It includes fields to record a patient's fall history, current medication, and medical test results (vision, peripheral sensation, and mobility). Record the patient's fall risk rating depending on the number of accumulated risk factors. If a patient gets 1-2 risk factors patient has a Low risk probability of falling, a Medium risk for 3-5 risk factors and High risk for 6 risk factors and above.
by SafetyCulture
Downloads: 100+
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Template
Fall Risk Assessment Audit Checklist
Use this hospital-focused audit to check the accuracy and compliance of fall risk assessments at admission and every shift. Verify patient and clinical factors, mental status, gait, ambulatory aids, and defined risk levels. Review environment hazards, patient participation, and staff education on prevention. Capture findings, spot teaching, staff involved, and signatures to ensure documentation is complete and standards are met.
by Ega Vinolia Santha Kumari.B, from the Community
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Template
Risk Management Plan - Mental Health
Healthcare practitioners can use this template to prepare a risk management plan for a patient. Identify mental health related risk factors and document actions to minimize risks and desired outcomes. Agree the risk management plan with the patient and get sign-off from both patient and practitioner.
by SafetyCulture
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Morse Fall Risk Assessment

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