Page 68 - MALAYSIAN PATIENT SAFETY GOALS
P. 68
NURSING INTERVENTION AFTER INCIDENCE OF FALL
AND SIGNAGE FOR PATIENT FALL
NURSING INTERVENTION AFTER INCIDENCE OF
9 9 FALL
1. Place patient in bed with railing.
9 9 2. Assess patient physical and monitor vital signs.
3. Inform medical officer immediately
4. Inform ward sister or sister on call.
5. Treatment to be given according to injury or doctors order.
9 9
6. Document incident in nursing report.
7. Complete the Incident Reporting form
9 9 8. Conduct investigation on the incident together with
investigation team.
Morse Fall Scale – Medium Risk -
Score 25 - 44
9 9
9 9
9
Morse Fall Scale – High Risk -
Score > 45
9
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