F1: Providing safe environment: |
Q4. Wandering |
Q5. Taking things from others |
Q6. Getting into dangerous places or supplies |
Q7. Bothering others if confused |
Q13. Quiet time or rest if overactive |
Q14. Safety when judgement impaired |
Q15. Substituting staff observation |
Q16. Physical abusiveness/combativeness |
Q17. Managing agitation |
F2: Prevention of therapy disruption: |
Q8. Pulling out a catheter |
Q9. Pulling out a feeding tube |
Q10. Pulling out an intravenous line |
Q11. Breaking open sutures |
Q12. Removing a dressing |
F3: Prevention of falls: |
Q1. Falling out of bed |
Q2. Falling out of chair |
Q3. Unsafe ambulation |