close
lumiform
LumiformMobile audits & inspections
Get AppGet App

Morse Fall Risk Assessment Form

Use this Morse Fall Risk Assessment Tool 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.
Rated 5/5 stars on Capterra

Say goodbye to paper checklists!

Lumiform enables you to conduct digital inspections via app easier than ever before
  • Cut inspection time by 50%
  • Uncover more issues and solve them 4x faster
  • Select from over 5,000 expert-proofed templates

Digitalize this paper form now

Register for free on lumiformapp.com and conduct inspections via our mobile app

  • Cut inspection time by 50%
  • Uncover more issues and solve them 4x faster
  • Select from over 4000 expert-proofed templates
Rated 5/5 stars on Capterra
App StorePlay Store

Morse Fall Risk Assessment Form

(page name not set)

Audit

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:

Share this template:
This template is also available in: