Fall prevention and safe mobilization protocol

Prevention & Management of Complications

KEIT DAY HOSPITAL

Fall prevention and safe mobilization protocol

Official Manual of Clinical, Care and Organizational Protocols

1. Document Control Information

2. Scope of Application

Applicable to all hospitalized patients, with particular attention to the immediate postoperative period and the first 24 hours.

3. Responsibilities

• Ward nurse: fall-risk assessment, assisted mobilization and patient instructions.
• Ward physician: clinical reassessment of unstable or symptomatic patients.

4. Operating Procedure

• Assess the risk of falling on admission and after anesthesia or any significant clinical change.
• Explain to the patient that they must not get out of bed without assistance until authorized by staff.
• The patient’s first mobilization out of bed must be performed with direct assistance from healthcare personnel.
• Ensure that the environment is free of obstacles, adequately illuminated and that the call button is easily accessible.
• Activate the alarm systems and sensors provided by the ward.
• Record every fall or near-fall event and initiate an immediate audit.

5. KEIT Operational Standards

• The smart presence and motion monitoring system installed in patient rooms provides an additional fall-prevention measure.
• The patient receives verbal and written instructions regarding the first mobilization out of bed and the use of the call button.

6. Records and Documentation

• Fall-risk assessment form.
• Fall and near-fall event register.
• Mobilization plan.

7. Review and Updates

Periodic analysis of events and targeted staff training.

8. Related Attachments and Forms

• Operational checklists, recording forms, audit sheets and maintenance registers applicable to this protocol.
• Any department-specific or equipment-specific technical attachments are referenced in the relevant local operating instructions.

9. Final Approval