spills, and electric cords.
On admission universal fall precautions are to be initiated on all
patients and a thorough fall risk assessment needs to be conducted, which will determine what
additional precautions and interventions need to be instigated.
In order to implement fall risk and prevention strategies, an action plan is generated.
Polit and Beck (2008) provide guidance for implementation of a fall prevention program in a
First, outcomes need to be identified for evaluation of the plan such as the fall
rate, injuries sustained, and the sensitivity and reliability of the screening process.
settings need to be identified, in this case, acute care hospitals, nursing homes, and rehabilitation
facilities. It is essential to have a committed individual such as an advanced practice nurse or
clinical nurse educator to provide guidance, clinical proficiency, and support throughout the
implementation and evaluation process.
A steering committee comprised of stakeholders and
members needs to be established with a timeline and responsibilities for each individual planned
in detail (Registered Nurses’ Association of Ontario, 2005).