Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Fall Precautions Audits
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Falls Risk Assessment Completed on Admission?
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Fall risk sign on the patient door
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Is Fall risk arm band on patient
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Is the patient bed in lowest position
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Is the bed locked
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Is the Side rails in upright position
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Is the patient Call bell within reach
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Fall risk Care plan activated in Meditech
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Marianjoy Falls Risk Assessment Tool Completed?
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What is the Marianjoy Falls Risk Total Score?
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Was the patient reassessed each shift for falls risk?
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Is purposeful rounding being done? For 5Ps
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Is the Patient Care Attendant Provided or Present in the patient room?
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Did the patient sustain a fall on this shift or previous shift?
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In the event of a fall, was a Post Fall Huddle Completed?
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Was Riskonnect completed?