Resident Fall Tracking Log : Closeout Item

Briggs Resident Fall Tracking Log is utilized to track falls for the Long-Term Care resident.

Includes identification of:

•Date, time & location of fall

•Potential Internal Risk Factors associated with the fall

•Potential External Risk Factors associated with the fall

•Potential Environmental Hazards associated with the fall

•Resident Activity at the time of the fall

Summary/Conclusion/Plan text area provides for summation of findings, conclusions and plans to minimize/reduce falls.

Nurse initials and Signature area identifies clinician recording the fall information.

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