5. Skilled interventions and teaching

Skilled interventions

• Implement and verify the individualized fall-prevention interventions (alarms, rounding, toileting schedule, footwear, environment, devices) each shift.
• Perform the post-fall assessment: injury survey, neuro checks per protocol, orthostatic vitals, pain, and functional screen.
• Add a new, specific intervention after every fall and document the root cause — a fall with no plan change is a deficiency.

Teaching / training (to mastery)

• Teach the resident/representative the fall-prevention plan and the call-don’t-fall message, with teach-back.
• Train CNAs on the specific interventions (transfer technique, toileting schedule, alarm use) with return-demonstration.