MORSE FALL RISK ASSESSMENT
Evaluator's Name_____________________________________ Date of Assessment
LOW RISK OF FALL: Total Score 0-24
MODERATE RISK OF FALL: Total Score 25-45; HIGH RISK OF FALL: Total Score > 45
Total Score = Add up each section and choose the total score:
ELEMENT
History of Falling
(Immediate or Past 3 Months)
Secondary Diagnosis
(> 2 Medical Diagnoses in Chart)
Ambulatory Aid
IV/Heparin Lock
Gait/Transferring
Mental Status
RESPONSES
LOW RISK OF FALL: Total Score 0-24
MODERATE RISK OF FALL: Total Score 25-45; HIGH RISK OF FALL: Total Score > 45
From: Morse, J. M. (1997). Preventing Patient Falls. Thousand Oaks: Sage.
