Critical Care Trauma Centre



Preventing Patient Falls – For Patient in CCTC

The London Health Sciences Centre is committed to improving your health, and providing

compassionate  and high quality care. This includes promoting patient safety through fall prevention.


People fall for a variety of reasons. These may include:

  • physical health
  • weakness
  • dizziness
  • certain medications
  • health changes that alter a person’s thinking and decision-making.


Slips and trips can also occur as a result of poor lighting, medical equipment such as IV poles, oxygen tubing or footware.


Patients who are critically ill are usually at increased risk for falls, therefore, routine safety precautions are in place for all patients in CCTC. These precautions include regular assessment and treatment for pain, agitation and delirium, and the continued use of bedrails for patients who are unable to ambulate without assistance or on medications that cause drowsiness.


Patients in CCTC are assessed each shift to determine if their fall risk is even higher.  Patients awakening from sedation can become confused about their surroundings and they may be much weaker than they were prior to illness.  Fall risk may increase during their recovery.


If a patient is assessed to be at high risk for falls, additional safety precautions are added.  A sign will be placed outside their room to alert family and staff members of the increased risk.  If a patient does not wish to have a sign, please inform your nurse.


Fall Prevention Tips:

  • Patients in CCTC should not attempt to get out of bed without the assistance of a healthcare provider.  Family members should also speak to the nurse before assisting a patient to get out of bed. The nurse will advise a patient when assistance is no longer needed.
  • Any patient who is feeling dizzy, weak or unsteady should not attempt to get out of bed without assistance.
  • All patients must wear secure, non-slip footwear.  Shoe laces should be done up to prevent tripping.  If a patient does not have suitable footwear, the nurse will provide non-slip socks.
  • Reorientate patients frequently to help reduce surroundings and remind them of safety precautions.
  • Patients who are able to use a commode or urinal should have these devices in close proximity.
  • Sensory changes can increase fall risk.  Patient’s eye glasses and/or hearing aids should be used when the patient is awake.
  • Please speak to the bedside nurse if you have any questions or concerns.





Created June 22, 2016 (BM)