Post-Fall Huddle Documentation

Immediate post-fall team huddle form for capturing contributing factors, witness statements, environment, immediate interventions, and care plan updates within 24 hours of a fall.

Huddle Overview

• Resident Name
  Enter the resident's name for the audit trail.
• Date of Fall
• Time of Fall
• Date of Huddle
• Was the huddle completed within 24 hours of the fall?
• Huddle Participants
  Select all disciplines present.
• Other Participants
  List any participants not captured above.

Fall Circumstances

• Location of Fall
• Other Location
• Was the fall witnessed?
• Witness Statement
  Summarize what the witness observed, using objective language.
• Resident Activity Before Fall
• Other Activity

Resident Assessment

• Was an injury suspected?
• Suspected Injury Location
• Other Injury Location
• Did the resident report pain?
• Any change in mobility or weight-bearing status?
• Immediate Assessment Summary
  Document objective findings from the post-fall assessment.

Contributing Factors and Environment

• Contributing Factors
• Other Contributing Factors
• Environmental Hazards Observed
• Other Environmental Hazard

Immediate Interventions and Notifications

• Immediate Interventions Completed
• Other Immediate Interventions
• Was the provider notified?
• Time Provider Notified
• Was the family or representative notified?
• Notification Notes
  Document notification details, response, or follow-up instructions.

Care Plan Update and Follow-Up

• Was the care plan updated?
• Care Plan Updates
• Other Care Plan Updates
• Follow-Up Actions
  List assigned tasks, responsible staff, and due dates.
• Attestation