Safety & Infection ControlQuestion 48 of 200

An evidence-based fall-prevention intervention for a high-risk resident is:

a.Tie the call light to the bed frame out of the resident's reach so that repeated night-time calls do not pull staff away from other residents
b.Low bed, non-slip floor mat on the rising side, call light within reach, scheduled toileting, properly fitted footwear, adequate lighting
c.Keep the resident in bed at all times and use a wheelchair only for meals
d.Apply a bedside vest restraint every night shift as a routine fall precaution

Explanation

Falls prevention bundles include low beds, floor mats, accessible call lights, scheduled toileting (anticipating elimination needs), proper footwear (non-skid soles), bedside lighting, and rounding. Restraints (d) increase injury and death risk and are prohibited as routine prevention (CMS F-689, 42 CFR §483.12). Withholding the call light (a) is abuse; bed-confinement (c) causes deconditioning, pressure injury, and depression.

Law Reference: CMS F-tag 689; CDC fall prevention

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