NurseTools — Free Clinical Documentation

Fall Risk Assessment — Morse Fall Scale

Score each factor below. Your print-ready assessment generates live as you work.

📋 This is what you get — in under 60 seconds

A complete, print-ready Morse Fall Scale assessment. Free. No login. No data stored.

EXAMPLE OUTPUT
MORSE FALL SCALE — RISK ASSESSMENT
Patient:Margaret Sullivan
DOB / Age:12/04/1948 (77 yrs)
MRN:MRN-004821
Ward / Unit:4B — General Medical
Assessed:13/03/2026 07:45
MORSE FALL SCALE — SCORING
History of Falling:Yes ............ 25 pts
Secondary Diagnosis:Yes ............ 15 pts
Ambulatory Aid:Walker ......... 15 pts
IV / Heparin Lock:Yes ............ 20 pts
Gait / Transfer:Weak ........... 10 pts
Mental Status:Oriented ....... 0 pts
85
⚠ HIGH RISK — Implement all fall prevention interventions immediately
INTERVENTIONS IMPLEMENTED
✔ Fall risk wristband applied and patient/family educated
✔ Bed in lowest position, brakes locked
✔ Call bell within reach
✔ Non-slip footwear in use
✔ Medications reviewed for fall risk
Assessed by:J. Chen RN — AHPRA: NMW0001234567

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HOW IT WORKS

1Enter patient details & score each Morse factor
2Risk level calculates automatically — colour-coded
3Tick interventions, then print or save as PDF
⚠️ Clinical tool only. This assessment supports — it does not replace — clinical judgement. Always follow your facility's fall prevention policy.
Clinical Reference:
Morse JM, Morse RM, Tylko SJ. Development of a scale to identify the fall-prone patient. Canadian Journal on Aging. 1989;8(4):366–377.
The Morse Fall Scale is widely used in hospitals internationally for rapid fall risk screening.

PATIENT INFORMATION

MORSE FALL SCALE — SCORE EACH FACTOR

Select the best option for each factor. Score updates automatically.

FactorAssessmentPts
1. History of Falling
Recent fall or within 3 months
0
2. Secondary Diagnosis
More than one medical diagnosis on file
0
3. Ambulatory Aid
What does the patient use to walk?
0
4. IV / Heparin Lock
IV cannula or heparin lock in situ
0
5. Gait / Transferring
Observe patient walking and sitting/standing
0
6. Mental Status
Patient's awareness of own limitations
0
0
Low Risk
No specific fall prevention interventions required. Maintain good general safety practices.
0–24 Low 25–44 Medium 45+ High

INTERVENTIONS IMPLEMENTED

Tick all interventions in place. These appear on the printed assessment.

NURSE SIGN-OFF

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