Page 38 - Clinical workbook July
P. 38

Weekly Fall Analysis Log             Week of: 07 /14-0720/2017







 Resident   Date of Fall  Fall with injury   Fall   Fall   BIMS Score   Root Cause   Intervention   Intervention
 without  Assessment                                                               Appropriate
 injury   Score
 Estes, Brenda   07/15/2017   X   15-High  03-Severe  Resident found sitting on  Resident placed in   Yes
 @1400   Risk  Impairment  floor in her room.  Root  wheelchair and put at

             cause: anxiety, wanders           nurses station for 1:1
                                               monitoring until anxiety
                                               decreased.
   33   34   35   36   37   38   39   40   41   42   43