Facility Name:FSI Fall Scene Investigation ReportResident Name: Med. Rec. # Room # Date of Fall Time of Fall: AM / PM Admit Date: Staff / Witness present at / or finding resident after fall: 1. Factors.
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How to fill out the Fall Scene Investigation Report Form online
Filling out the Fall Scene Investigation Report Form online is essential for documenting incidents accurately and effectively. This guide will provide clear instructions on completing each section of the form to ensure all necessary information is captured.
Follow the steps to complete the form accurately.
- Click the ‘Get Form’ button to access the form and open it in your chosen editor.
- Start by entering the facility name at the top of the form. This identifies where the incident occurred.
- Fill in the resident's name, medical record number, and room number. This information is critical for tracking incidents related to specific individuals.
- Record the date and time of the fall. Ensure that you note whether it occurred in the AM or PM.
- Document the admission date of the resident. This information provides context regarding the resident's time at the facility.
- In the section for staff or witness present, note the names of people who were present during the incident or who found the resident after the fall.
- Identify factors observed at the time of the fall by checking relevant boxes. Provide details in the space provided where necessary.
- Draw a picture in the designated area to depict the fall scene, noting the position of the resident and any furniture or equipment located nearby.
- Complete the fall summary section by selecting appropriate options regarding whether the fall was witnessed, intercepted, or self-reported.
- Specify the fall location by selecting from the predefined options, such as the resident's room or the bathroom.
- Indicate what the resident was doing just prior to the fall by checking the relevant options.
- Describe the type of assistance the resident was receiving at the time of the fall, referring to their care plan.
- Ask for feedback from the resident about their actions before the fall in the available section.
- Assess contributing factors by filling out sections regarding the resident's mental and psychological status before the fall.
- Record information about the resident's footwear and any aids they were using before the fall.
- Document any relevant medications given to the resident within the last eight hours prior to the fall.
- Finalize by filling out the vital signs section, making sure to include any significant findings related to the fall.
- If applicable, describe any interventions planned to prevent future falls and update care plans as necessary.
- Once completed, save your changes. You can then download, print, or share the form as needed.
Complete your Fall Scene Investigation Report Form online today to ensure a thorough and accurate documentation process.
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What does an investigative report include?
An Investigation Report is a formal document produced from an in-depth inquiry or examination into an incident or series of events. It represents a factual record of the investigator's activities, housing critical observations, evidence collected, and conclusions drawn throughout the investigation.
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The five basic steps in investigative report writing include specifying the allegations, providing subject information, summarizing interviews, outlining and analyzing evidence, and making recommendations based on findings.
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