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Post-Fall Decision Tree Development and Implementation

Gordon, Bonita M. MSN, RN, ANP-BC, ACNS-BC, CNRN; Wnek, Theresa Frissora MSN, RN; Glorius, Nancy MEd, RN; Hasdorff, Carmen MSN, RN; Shiverski, Joyce BSMNS, RN, NE-BC; Ginn, Janet BSMNS, RN, NE-BC

doi: 10.1097/NCQ.0b013e3181e35da2

Care and evaluation after a patient's fall require a number of steps to ensure that appropriate care is given and injury is minimized. Astute and appropriate assessment skills with strategic interventions and communication can minimize the harm from a fall. Post-Fall Decision Guidelines were developed to guide care and treatment and to identify potential complications after a patient has fallen. This systematic approach mobilizes the steps of communication, using the Situation-Background-Assessment-Recommendation (SBAR) format, and guides assessment interventions.

Bethesda North Hospital— TriHealth, Cincinnati, Ohio.

Corresponding Author: Bonita M. Gordon, MSN, RN, ANP-BC, ACNS-BC, CNRN, Bethesda North Hospital—TriHealth, 10500 Montgomery Rd, Cincinnati, OH 45245 (

Accepted for publication: April 10, 2010

© 2010 Lippincott Williams & Wilkins, Inc.