Nursing Admission Assessment

Comprehensive nursing assessment on IPD admission

Patient Identification

Vital Signs on Admission

Allergy Assessment

Morse Fall Risk Scale

Risk ItemScore 0Score 25+Score
History of fallingNo (0)Yes (25)
Secondary diagnosis (≥ 2 medical diagnoses)No (0)Yes (15)
Ambulatory aidNone / Bed rest (0)Crutch / Cane / Walker (15) / Furniture (30)
IV / Heparin lockNo (0)Yes (20)
GaitNormal / Bed rest / Immobile (0)Weak (10) / Impaired (20)
Mental statusOriented to own ability (0)Forgets limitations (15)
Total Morse Score:40Moderate Fall Risk

Braden Pressure Ulcer Risk

Sensory perception
Moisture
Activity
Mobility
Nutrition
Friction & Shear

Score ≤ 18 = at risk for pressure injury

Psychosocial & Functional