Morse Fall Risk Assessment Tool

The Morse Fall Risk Assessment Tool is a widely used instrument for identifying patients at risk of falling.

It consists of six variables that are quick and easy to score, providing a numeric value that helps to determine the risk level.

Here is a SAMPLE  of the Morse Fall Risk Assessment Tool:

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Patient Information

• Nom:
• Date:
• Unit:
• Room Number:
• Assessed By:

Scoring Criteria

1. History of Falling (within the last 3 months)
   • No = 0
   • Yes = 25
2. Secondary Diagnosis
   • No = 0
   • Yes = 15
3. Ambulatory Aid
   • None/bedrest/nurse assist = 0
   • Crutches/cane/walker = 15
   • Furniture = 30
4. IV/Heparin Lock
   • No = 0
   • Yes = 20
5. Gait/Transferring
   • Normal/bedrest/immobile = 0
   • Weak = 10
   • Impaired = 20
6. Mental Status
   • Oriented to own ability = 0
   • Forgets limitations = 15

Total Score Calculation

Criterion	Score
History of Falling
Secondary Diagnosis
Ambulatory Aid
IV/Heparin Lock
Gait/Transferring
Mental Status
Total Score

Risk Level Interpretation

• 0 – 24: Low Risk
• 25 – 44: Moderate Risk
• 45 and above: High Risk

Comments

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Note: This form is for educational purposes only and should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always consult with qualified healthcare providers for accurate risk assessments and management plans.

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This tool helps healthcare providers quickly assess and categorize the fall risk of patients, allowing for timely interventions to prevent falls.