Falls risk assessment
The form on the RCSI reading list is the HSE Falls Prevention Screen with the Multi-factorial Falls Risk Assessment under it. It has a gate and a grid. The gate is six Yes/No boxes in three age bands: 65 or older; 50 to 64 with a fall, help needed to mobilise, fear of falling or a condition such as stroke (one box per sub-line); under 50 and admitted with a fall. One Yes opens the grid. The grid is nine risk factors, each with active problems answered No or Yes from the notes, and the interventions you carry into the care plan when a row is Yes.
Two rows need a rule, not an impression. Orthostatic hypotension: the RCP lying and standing procedure (2025) calls it positive when the systolic falls 20 mmHg or more, or the standing systolic is under 90, with or without symptoms; a diastolic fall of 10 counts only with symptoms. Delirium: the form itself says a 4AT of 4 or more. The medication row asks about three named classes, not every medicine that can make someone fall.
Sources: HSE Falls Prevention Screen (Acute Hospital) and Multi-factorial Falls Risk Assessment, the version on the RCSI reading list; Royal College of Physicians, FFFAP, Measurement of lying and standing blood pressure (July 2025); 4AT rapid clinical test for delirium, scoring; HSE Mid West, Falls Reduction Workbook for Clinicians; NICE NG249 Falls: assessment and prevention (2025). Pairs with the fundamentals station, Waterlow and MUST.