How to prevent falls, and falls-related injuries

C – Create a safe environment

  1. Ensure patient accessities are within easy reach
  2. Check that the bed is at the correct height
  3. Assign patients to beds that allow them to exit on their stronger side
  4. Ensure that rooms are free from unnecessary chatter and electrical cords
  5. Patients wheelchairs, walkers or canes should be within easy reach
  6. Clean up floor spills immediately


A – Assess a patient’s risk

  1. Use organization’s fall scale to assess a patient’s risk of falling
  2. Assess risk on admission, transfer, change of status, and after a fall
  3. Consider the effect of the patient’s medications and treatments that may put them at risk for a fall


R – Reduce the patient’s risk

  1. Ensure that the patient has slip free slippers or shoes
  2. Assist weak patients in standing, walking and transfers
  3. Implement toileting schedules for incontinent patients
  4. Move high risk patients to rooms near the nurses’ station
  5. Use bed alarms to alert staff when high-risk patients attempt to get out of bed unassisted


E - Evaluate interventions

Complete a post fall assessment and incident report to allow the patient’s fall, and the effectiveness of your interventions, to be evaluated by the falls prevention team