Printable Morse Fall Scale

Printable Morse Fall Scale Background This tool can be used to identify risk factors for falls in hospitalized patients The total score may be used to predict future falls but it is more important to identify risk factors using the scale and then plan care to address those risk factors Reference Adapted from Morse JM Morse RM Tylko SJ

Morse Fall Scale Fall Risk is based upon Fall Risk Factors and it is more than a Total Score Determine Fall Risk Factors and Target Interventions to Reduce Risks Complete on admission at change of condition transfer to new unit and after a fall Variables Score History of Falling no 0 yes 25 Secondary Diagnosis no The Morse Falls Scale is a Fall Risk Assessment tool that predicts the likelihood that a patient will fall Should be done at least once a day and with change in patient status Provides the information needed to tailor interventions to prevent falls What are the areas of fall risk that are identified by the MFS

Printable Morse Fall Scale

morse-fall-scale-mfs

Printable Morse Fall Scale
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Printable Morse Fall Scale Printable Word Searches
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Moderate Morse Fall Scale 25 44 High Morse Fall Scale 45 and above Morse Fall Risk Assessment Score Risk Factor History of Falls Secondary Diagnosis Ambulatory Aid IV Heparin Lock Gait Transferring Mental Status Scale Yes No Yes No Furniture s Cane Walker None Bed Rest lmmobile Yes No Impaired 3H Morse Fall Scale for Identifying Fall Risk Factors Background This tool can be used to identify risk factors for falls in hospitalized patients The total score may be used to predict future falls but it is more important to identify risk factors using the scale and then plan care to address those risk factors Reference

SafetyCulture Checklists Fall Risk Assessment Fall Risk Assessment Identify common fall risk factors assign a fall risk rating and implement risk interventions using fall risk assessment tools Morse Fall Risk Assessment Tool Start using template Eliminate paperwork with digital checklists Generate reports from completed checklists MORSE FALL SCALE Item Score 1 History of falling during or immediately prior to present hospital admission NO 0 YES 25 2 Secondary diagnosis more than one medical diagnosis listed on chart NO 0 YES 15 3 Ambulatory aid None bed rest nurse assist 0 Crutches walker cane 15 Relies on furniture 30 4

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Procedure Obtain a Morse Fall Scale Score by using the variables and numeric values listed in the Morse Fall Scale table below Note Each variable is given a score and the sum of the scores is the Morse Fall Scale Score Do not omit or change any of the variables Use only the numeric values listed for each variable Purpose assess individuals risk of fall The Morse Fall Scale MFS is a rapid and simple method of assessing a patient s likelihood of falling 1 A large majority of nurses 82 9 rate the scale as quick and easy to use and 54 estimated that it took less than 3 minutes to rate a patient The scale consists of six items

Morse Fall Scale MFS is a quick and easy way to assess the likelihood of a patient falling It was developed in acute patient rehabilitation and nursing home departments The scale was computer tested in a simulated population and was subsequently applied to the populations of the previously mentioned departments Determine Fall Risk Factors and Target Interventions to Reduce Risks Complete on admission at change of condition transfer to a new unit and after a fall To obtain the Morse Fall Score add the score from each category Note Complete checklist for resident assessed based on level of risk

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Printable Morse Fall Scale - The MFS consists of six items with two or three possible answers for each with different scores for each possibility According to the performed evaluation the total of the scores in each of the six items results in a global score that indicates the fall risk This score ranges from 0 to 125 points 3