SIDE -RAIL USE ASSESSMENT FORM - Nursing Homes, …

SIDE -RAIL USE ASSESSMENT FORM. Resident:_____ Room#:_____ 1. Is the resident Non-Ambulatory? YES NO. 2. Does the resident’s level of consciousness fluctuate? YES NO. 3. Does the resident have alteration in safety awareness due to cognitive (? YES NO . 4. Does the resident have a history of falls? ... ................
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