Client Fall Prevention and Response Guide

Importance of Fall Prevention

Falls can be dangerous, particularly for frail clients, and may lead to severe injuries, including:

• Broken hips, legs, wrists, or arms.
• Head injuries.
• Indication of underlying medical problems.

Fall Prevention Tips

To reduce the risk of slips, trips, and falls inside and outside a client’s living space: 

Walking Surfaces

• Ensure walkways and flooring are in good condition.
• Be vigilant of uneven or slippery surfaces, cracks, or holes.

Footwear and Mobility

• Wear sturdy, closed-toed, slip-resistant shoes.
• Use handrails when available.

Clutter and Lighting

• Keep rooms, stairs, and pathways clear of clutter, especially to the bathroom.
• Use nightlights in the client’s room, hallways, and bathrooms.

Hazard Identification

• Check for wobbly handrails, rotting wood, or unstable stairs.
• Watch for potential leash hazards when walking dogs.

Home Modifications

• Remove throw rugs or secure them with non-slip backing.
• Install handrails in tubs and near toilets.
• Use safety toilet seats to make standing or sitting easier.
• Place frequently used items on lower kitchen shelves.
• Use non-slip mats in showers and tubs.
• Enhance step visibility by varying floor-level colors.

Steps to Take if a Client Falls

During the Fall: Do not attempt to stop the fall. Instead, focus on supporting the client’s head and easing them to the floor. Maintain a stable posture by keeping your feet apart and back straight. Pull the client close to you and allow them to slide down your body safely.

After the Fall:

If the Client CAN Get Up:

• Ask, “How do you feel?” and observe for signs of injury.
• If the client feels unhurt and is comfortable, watch carefully as they get up.
• Follow workplace policies regarding assistance back to their original position.
• Offer steadying support but avoid lifting the client.

If the Client CANNOT Get Up:

• Do NOT lift or move the client.
• Cover the client with a blanket for warmth.
• Avoid offering food or drink.
• Seek help immediately, following workplace protocols for whom to contact.

Documenting Hazards and Reporting

• Identify and remove fall hazards whenever possible.
• Document and report any hazards to the appropriate person or department.

By staying vigilant and prepared, you can help ensure client safety and respond effectively to potential falls.