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Falls Risk Assessment Guide for Pediatrics

The document provides guidance on assessing patient falls risk using a scoring system. It lists factors to score like mobility, mental state, toileting needs, fall history, and medications. A score of 3 or more, certain diagnoses, or clinical judgement warrant starting a falls prevention plan including safety discussions.

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Nehal Gamal
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99 views1 page

Falls Risk Assessment Guide for Pediatrics

The document provides guidance on assessing patient falls risk using a scoring system. It lists factors to score like mobility, mental state, toileting needs, fall history, and medications. A score of 3 or more, certain diagnoses, or clinical judgement warrant starting a falls prevention plan including safety discussions.

Uploaded by

Nehal Gamal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Reference Guide

Little Schmidy Falls Risk Assessment

• Document the appropriate score in the Patient Care Record or relevant MR


• Patient risk score should be assessed 1.Daily, 2.When the patient condition changes,
3. When transferred to a new department/unit, and 4. Following a fall incident
• Interventions and actions should be documented on Falls Plan or in Progress Notes

Falls Risk Assessment Score

Mobility
Completely Immobile 0
Ambulant with no gait disturbance 0
Ambulate or transfer with assistive device 1
Ambulate with unsteady gait and no assistive device 1
Mental State

Select one score per section


Coma/unresponsive 0
Developmentally appropriate and alert 0
Developmentally delayed 1
Disorientated 2
Toileting
Nappies 0
Independent 0
Needs assistance with toileting 1
Independent with urinary frequency or diarrhoea 1
History of Falls
No 0
Yes before admission 1
Yes during admission 2
Medication
Anticonvulsants, opiods, diuretics, sedatives, bowel prep 1

Action
Falls score is equal to or greater than 3 or based on patient’s diagnosis or patient’s
condition warrants falls prevention program
1. Commence Falls High Risk Management Plan (refer to Falls Prevention Clinical
Guideline)
2. Discuss prevention strategies with parents/carers and ensure a copy of Falls safety in
hospital – kids health information is given

Colour version (final) – Falls (3) doc. Adapted from the Schmid Fall Score Tool for UCSF Children’s Hospital – United States of America

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