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MORSE FALL SCALE
2
Morse Fall Scale
The Morse Fall Scale (MFS) is a rapid and simple method of assessing a
patient’s likelihood of falling. A
large majority of nurses (82.9%) rate the scale as “quick and easy to use,”
and 54% estimated that it took
less than 3 minutes to rate a patient. It consists of six variables that are
quick and easy to score, and it
has been shown to have predictive validity and interrater reliability. The
MFS is used widely in acute care
settings, both in the hospital and long term care inpatient settings.
Risk Level Morse Fall
Scale Score
Action
Low Risk 0 – 24 Implement Low
Risk Fall
Prevention
Interventions
Medium Risk 25 – 44 Implement
Medium Risk
Fall Prevention
Interventions
High Risk 45 and higher Implement High
Risk Fall
Prevention
Interventions
3
Normal Morse Fall Risk Score
The highest score possible
is 125 and a person is
considered to be at high fall
risk if they score 50 or
higher on the scale.
MORSE
FALL
SCORE
5
HOW TO EVALUATE FALL RISK
MORSE
FALL
SCORE
6
You'll start in a chair, stand up, and then walk for
about 10 feet at your regular pace. Then you'll sit
down again. Your health care provider will check
how long it takes you to do this. If it takes you 12
seconds or more, it may mean you are at higher risk
for a fall.
MORSE
FALL
SCORE
7
5 KEY STEPS IN FALL RISK
ASESSMENT
- Identify hazards.
- Assess the risks.
- Control the risks.
- Record your findings.
- Review the controls.
THANK YOU

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morse fall score.pptx

  • 2. 2 Morse Fall Scale The Morse Fall Scale (MFS) is a rapid and simple method of assessing a patient’s likelihood of falling. A large majority of nurses (82.9%) rate the scale as “quick and easy to use,” and 54% estimated that it took less than 3 minutes to rate a patient. It consists of six variables that are quick and easy to score, and it has been shown to have predictive validity and interrater reliability. The MFS is used widely in acute care settings, both in the hospital and long term care inpatient settings.
  • 3. Risk Level Morse Fall Scale Score Action Low Risk 0 – 24 Implement Low Risk Fall Prevention Interventions Medium Risk 25 – 44 Implement Medium Risk Fall Prevention Interventions High Risk 45 and higher Implement High Risk Fall Prevention Interventions 3 Normal Morse Fall Risk Score
  • 4. The highest score possible is 125 and a person is considered to be at high fall risk if they score 50 or higher on the scale.
  • 6. HOW TO EVALUATE FALL RISK MORSE FALL SCORE 6 You'll start in a chair, stand up, and then walk for about 10 feet at your regular pace. Then you'll sit down again. Your health care provider will check how long it takes you to do this. If it takes you 12 seconds or more, it may mean you are at higher risk for a fall.
  • 7. MORSE FALL SCORE 7 5 KEY STEPS IN FALL RISK ASESSMENT - Identify hazards. - Assess the risks. - Control the risks. - Record your findings. - Review the controls.