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Western Australian Multidisciplinary
Post Fall Management Guidelines
2023


Information about this PowerPoint
• It provides a summary of the updated Post Fall Multidisciplinary
Management Guidelines for Western Australian Health Care
Settings 2023.
• It is designed to assist in the education of all health professionals
involved in the care of a patient post fall.
• All health professionals involved in the care of a patient post fall
should receive this information.
• It is a basic outline and contains only essential information.
• It can be adapted to suit your local area and staff.
• Refer to the complete guidelines.
• Supplementary notes are given below the slides.
• The application of local policy may indicate alternative actions or
other policies to meet requirements.
Please contact
if you have any questions/comments or feedback
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Presentation includes:
• Information about the updated post-fall
guidelines.
• The 48 hour post fall process.
• The role of the multidisciplinary team.
• Post fall multidisciplinary huddles.
• Clinical investigation

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Western Australian Multidisciplinary
Post Fall Guidelines 2023
A review of the Post Fall Management Guidelines in Western
Australian Healthcare Settings 2018 was undertaken in 2022 by a
large working party formed of health professionals from across
public, rural, and private inpatient facilities in WA.
Current best practice and evidence was rigorously examined to
deliver a guideline that offers the optimal care of a patient following
a fall.
State-wide consultation of consumers, health professionals
including aboriginal and untrained health care staff has occurred
during the guideline development.
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The Guidelines
These guidelines may need modifying to ensure their suitability for falls in children.

• Are for adult inpatient and multipurpose healthcare
facilities only.
• Ensure the continued delivery of optimal patient care
and patient safety following a fall.
• Aim to reduce the risk of further falls and harm from falls.
• Aims to ensure early detection of physical or cognitive
deterioration.

Post Fall Community Guideline can be obtained from

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The Guidelines
• Support the health professional’s decisionmaking about appropriate treatment and care for
specific clinical circumstances.

It does not replace clinical judgment

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Overview of the changes
• The process of post fall management care
remains over 48 hours.
• Patient on Palliative Care Pathway: Consultant
to document advice for observations and post
fall care
• Goal of Care Check: this assists in identifying
care to be provided post fall
• Physiotherapy Gait Assessment addition, (see
Physiotherapy section)
Local Policy May Apply to Some of These Actions
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The 48 hour post fall process:
immediate actions

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The 48 hour post fall process:
Immediate actions
Stop and Consider: Patients on anticoagulant, antiplatelet therapy and/or patients with a known
coagulopathy (e.g. alcohol dependent persons) are at an increased risk of intracranial,
intrathoracic, intra-abdominal haemorrhage

Complete initial
assessment of patient

D = Danger
R = Response
S = Send for help
A = Airway
B = Breathing
C = Circulation
D = Disability
E = Exposure
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The 48 hour post fall process:
Immediate actions
Assess for physical injury:
•Neck pain/ injury indicate the neck should be
immobilised.
•Head injury, hip or other fracture and/ or soft

tissue injury following a fall dictates specific
action.
•Medical review within 30 minutes if patient is
injured
•If no injury medical review as soon as possible
(within 4 hours) for assessment and
investigations.
Local Policy May Apply to Some of These Actions
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The 48 hour post fall process:
Immediate actions
Bedside investigations should include:
•Vital signs observations.
•Neurological observations and assessments,
including Glasgow Coma Scale.
•Cognitive assessment using AMT4/4AT/CAM.
Identify:
•
•
•
•

Delirium
New/increasing confusion
Headache
Clinical deterioration

•

•
•

Amnesia
Vomiting
Change in conscious
level.

Local Policy May Apply to Some of These Actions
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Medical
Post Fall Assessment

Refer to Guidelines and Website (link below) for
full information
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Local Policy May Apply to Some of These Actions
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The 48 hour post fall process:
Type of fall and ongoing observation
Continue observations as per the type of fall

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The 48 hour post fall process:

Type of fall and ongoing observation
Patients on the Palliative Care Pathway and Goals of Care Check

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The 48 hour post fall process:
Actions within 4 hours of the fall

Local Policy May Apply to Some of These Actions
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The 48 hour post fall process:
Within 6 hours of the fall

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The 48 hour post fall process:
Within 24 hours

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The 48 hour post fall process:
6-24 hours
• Continue physiological, behavioural and cognitive
monitoring.
• Review falls risk and implement required

interventions to reduce risk of falls
• Notify Pharmacy, Physiotherapy, Occupational
Therapy and other relevant disciplines.
• Ensure patient and family/carers receive information
and education on falls prevention.
• Review and action patient results including bloods,
imaging and other tests.
Local Policy May Apply to Some of These Actions
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The 48 hour post fall process:
Within & at 48 hours

• At 48 hours, review patient observations. If
no deterioration has occurred then return to
appropriate observations.
• Ensure completion of actions within the post
fall guideline.
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Communication
Utilise this advice through the 48 hour process
Communication is a vital component of falls prevention both within the care
team and with the patients and carers/families

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