Fall-risk plan in place and verified: alarm functioning, non-skid footwear, call light in reach and answered promptly, scheduled toileting, bed low/locked — no fall. RN reassessed risk given the anticoagulant and recent gait decline; individualized interventions remain in place (F689); ties to the falls goal.
Post-fall day-2 surveillance
Day 2 after a witnessed no-injury fall: neuro checks per protocol WNL, no new pain or functional change, PT gait recommendations carried out. Skilled surveillance required to detect delayed injury and confirm the revised plan; supports the Section J fall entry.
Recurrent-faller plan review
Third fall this stay reviewed at IDT: pattern is evening toileting; added a scheduled evening toileting round and a low bed. RN evaluation and root-cause required to break the pattern; care plan revised (F657).
