Patient Fall Prevention and Safety
Falls are a major cause of injury in hospitals. Nurses assess fall risk and implement environmental and patient-centred safety measures.
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What you must know about Fall Prevention
Assess every patient for fall risk on admission and regularly thereafter.
High-risk groups include the elderly, confused, sedated, and those with mobility problems.
Keep the bed in the lowest position with brakes on and the call bell within reach.
Ensure adequate lighting and keep the floor free of clutter and spills.
Provide non-slip footwear and assist with mobilisation as needed.
Respond promptly to call bells and answer toileting needs to reduce unassisted movement.
NMCN Exam Tips
How this topic appears in the NMCN exam
Keep the bed low with the call bell within reach — a common safety answer.
The elderly and confused are the highest fall-risk groups.
A clutter-free, well-lit environment prevents falls.
Fall risk assessment should be done on admission.
Practice Question
Test yourself
Which nursing action is MOST appropriate to prevent falls in a confused elderly patient?
Explanation
Keeping the bed in the lowest position, using side rails appropriately, ensuring the call bell is within reach, and maintaining a well-lit, clutter-free environment reduce the risk of falls in a confused elderly patient.
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