Appendix B28: Nursing Inspection List

The Falls Management Program Manual

Write the unit name, date, and room numbers across the top line. Put the bed number or letter across the second line and sign it. Put a √ under the room number and bed beside all the tasks that need to be done. Write notes about special problems or add details in the Notes column.

UnitDate:Room Number:       Notes:
Signature:Bed:               
1. PathsRemove unused equipment (canes/walkers).               
Instruct SW to ask family to remove unused items.               
If bedside commode is unused, ask staff to remove it.               
With resident's permission, rearrange room to clear paths.               
Instruct staff to keep paths clear.               
Instruct staff to keep overbed table across bed.               
Remove unused items from bathroom and store elsewhere.               
2. FurnitureInstruct nursing staff and housekeepers to keep bed in locked position except during care or cleaning.               
Replace unstable bed with a stable one.               
Push bed to wall (check local and state fire codes).               
Remove all cardboard, lightweight, or unstable furniture.               
Instruct SW to ask family to remove or replace unstable items.               
3. Easy AccessArrange room so that items are within resident's reach.               
Instruct staff to keep items within arm's length of patient.               
Instruct staff to place cane, walker, or w/c within safe reach.               
5. FloorInstruct staff to wipe up all spills quickly.               
7. Foot Care and FootwearAsk nurse for podiatry consult.               
Instruct staff and resident to use specific shoes/slippers.               
Instruct staff and resident to use nonskid socks.               
Instruct SW to ask family to provide safe footwear.               
Current as of February 2010
Internet Citation: Appendix B28: Nursing Inspection List: The Falls Management Program Manual. February 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/injuries/fallspx/fallspxmanapb9.html