Directions: Structured format to capture the factors which may have influenced the patient’s fall. The post fall huddle should be conducted as soon as possible after the incident and include the patient with the learnings collated and disseminated through the fall team.
Post Fall Huddle
Implement a post fall huddle with staff available at time of fall to complete the assessment
(i.e. patient/witness, charge nurse, primary nurse, nursing assistant, PT, pharmacy, etc)
Date_______________ Time______________ Physician___________________ Time notified____________
Patient Statement __________________________________________________________________________
__________________________________________________________________________________________
Fall witnessed Y or N Injury Y or N Describe injury____________________________________
Pre-fall risk score________ Post fall risk score________
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