Hendrich II Fall Risk Level Assessment Tool
"Currently, SDNAMC utilizes a risk scoring system called the Hendrich II Fall Risk Model. This is an evidence based tool that includes a mental and physical assessment completed every 12 hours. Nurses completing the assessments must address patient confusion/disorientation/impulsivity, symptomatic depression, altered elimination, dizziness/vertigo, patient gender, altering medications and a “Get-up-and-go Test”. This is ultimately just a tool and does not make the final determination to whether or not the patient is a fall risk. Additionally, the nurses address any prior falls and complete an environment assessment for trip hazards, lighting and orientation to the physical environment. I have attached a one page flier with screen shots of our assessment." 2017 National Fall Prevention Conference speaker Chase Pedersen, Director of Nursing, St. David’s North Austin Medical Center If you would like a copy email to you, email email@example.com!
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