Post-Fall Huddle Documentation

Immediate post-fall team huddle form for capturing contributing factors, immediate actions, and follow-up steps after a resident fall.

Huddle Overview

• Date of Huddle
• Time of Huddle
• Resident Identifier
  Use the resident's internal identifier or room number if permitted by policy. Avoid unnecessary PII.
• Date of Fall
• Approximate Time of Fall
• Location of Fall

Immediate Resident Assessment

• Was an injury observed?
• Injury Description
  Show only if an injury was observed. Include observable findings only.
• Was the resident sent for medical evaluation?
• Evaluation Details
  Show only if the resident was sent for evaluation. Include destination and reason.
• Were vital signs taken?
• Resident Status at Time of Huddle

Contributing Factors

• What was the resident doing at the time of the fall?
• Possible Contributing Factors
• Other Contributing Factor
• Assistive Device in Use
• Was a device issue noted?

Environment and Immediate Actions

• Environmental Hazards Observed
• Hazard Details
• Immediate Actions Taken
• Action Details

Notifications and Follow-Up

• Who Was Notified?
• Follow-Up Actions
• Follow-Up Details
  Use this field for specific assignments, timelines, or escalation notes.
• Include in Anonymous Quality Review?
  Optional de-identified use for quality improvement and trend analysis.