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The report captures detailed information about the fall incident, including time, location, and circumstances surrounding the event.
It includes a section to identify various factors that may have contributed to the fall, such as environmental conditions and resident's physical state.
The form prompts for an assessment of the resident's mental and psychological status prior to the fall, aiding in understanding potential risks.
There is a checklist for medications administered within eight hours prior to the fall, which helps in evaluating possible side effects or interactions.
The report requires documentation of vital signs to determine if any abnormalities could have contributed to the fall.
A section is dedicated to identifying the root cause of the fall, which is essential for implementing preventive measures.
The form concludes with recommendations for updating care plans and nurse aide assignments based on findings from the investigation.
