Description

Determination of whether or not a physical device contributed to the fall.

On-Screen Instructions

Includes, but is not limited to, assistive devices, restraints, bedrails, and tripping over device electrical power cords, IV tubes, etc.

Field Type

Responses

• Yes

• No

• Unknown

Guide for Use

Choose “yes” if assistive devices (e.g. wheelchair, commode, cane, crutches, scooter, walker), restraints, bedrails or another physical device actively contributed to the fall. Do not choose “yes” if the absence of a physical device contributed to the fall.

History