NCLEX RN GUIDE                                                                                   the best of NCLEX

Guidelines to Prevent Client Falls

  1. Assess client for risk of falling.

  2. If risk is high:

    1. Inform staff.

    2. Observe client frequently.

    3. Keep client's call light and personal items within the client's reach.

    4. Instruct client to call for help when getting up.

    5. Answer client's call lights quickly.

    6. Keep client's bed in low position.

    7. Toilet client on a regular schedule.

    8. Lock the bed wheels and wheelchair brakes to keep them from rolling.

    9. Provide a night light.

    10. Encourage use of grab bars for the shower and bathtub.

    11. Place high-risk clients close to the nurse's station.

    12. Stay with confused or unsteady client at all times when client is out of bed.