Fall scene investigation report 2026

1. Click ‘Get Form’ to open the fall scene investigation report in the editor.
2. Begin by entering the Facility Name and Resident Name at the top of the form. Ensure that you also fill in the Medical Record Number, Room Number, Date of Fall, and Time of Fall accurately.
3. In Section 1, check all observed factors at the time of the fall. Provide details for any specific observations such as if the resident slipped or lost strength.
4. For Section 2, draw a picture of where the resident was found. This visual representation is crucial for understanding the context of the fall.
5. Continue through Sections 3 to 6 by selecting appropriate options regarding how and where the fall occurred, what activities were happening prior to the fall, and what assistance was being provided.
6. Complete Sections 7 to 19 by providing detailed descriptions about contributing factors like mental status, medications taken prior to falling, and vital signs.
7. Finally, summarize your findings in the Root Cause section and describe initial interventions needed to prevent future falls. Don’t forget to sign off with your printed name and signature.

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