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Morse fall risk assessment form

Use this morse fall risk assessment form determined from the Morse Fall Scale (MFS) to help evaluate a patient’s probability of falling. Implement this Morse Fall Risk Assessment by answering 6 crucial questions. This template involves a risk rating table which will help you select a fall risk rating (High, Medium, Low) based on your responses to the 6 crucial questions.
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Item
Was there a record of falling? (critical or within the last 3 months)
Was there a secondary diagnosis?
What ambulatory aid was used?
How was the patient's motion or transferring method?
Was there an intravenous apparatus or a heparin device included?
What is the mental situation of the patient right now?
Completion
Risk rating reference: Look at the total score from before and choose the appropriate risk level.
Overall Risk:
Full name and signature of the attending nurse:
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Morse Fall Risk Assessment Form: Evaluating Fall Risk in Healthcare Settings


A morse fall risk assessment form is a standardized tool used in healthcare settings to assess and evaluate the risk of falls in patients. It is designed to identify factors that contribute to increased fall risk and guide healthcare providers in implementing appropriate interventions to prevent falls. The form typically consists of multiple categories or criteria related to the patient’s age, history of falls, gait and mobility, mental status, and use of assistive devices.


The usage of a morse fall risk assessment form is essential in healthcare settings to proactively address fall prevention strategies. By systematically evaluating the patient’s fall risk factors, healthcare providers can tailor interventions to the individual’s needs, such as implementing bed alarms, providing mobility aids, ensuring a safe environment, and educating patients and caregivers about fall prevention measures. This assessment form promotes patient safety, reduces the incidence of falls, and improves overall patient outcomes.


Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.