Here's what happens at my facility:
Take vitals, check for obvious injuries, do neuro checks, and if possible assess ROM before helping them up off the floor. If anything more serious than a skin tear or bruise, call 911 and ship to the hospital. If no serious injury, vitals q 15 minutes x4, q 30 minutes x4, q 60 minutes x4, then q shift until 72 hours post-fall. If they hit their head, or the fall was unwitnessed, neuro checks on the same schedule as vitals. Notify the MD, DON, and resident's family. Write an order for therapy screen and initiate Red Star (fall precautions) program. Fill out incident report with a brief description of what happened, where and when, was there any injury, who was contacted, was first aid provided, etc. Fill out post-fall assessment (facility document only seen by the fall review committee), including when resident was last observed 'safe', when resident was last toileted, what footwear they had on, if an appliance was used (walker, w/c, gait belt), whether necessary items were in reach (water, tissues, call bell, tv remote), if the floor was wet or dry, if there were any objects on the floor, lighting in the room at the time, resident's description of the fall if they can provide one, where the aid caring for the resident was at the time, where the nurse caring for the resident was at the time, was the resident on Red Star, were bed and/or chair alarms sounding, did the resident disable alarms...oh, and make sure the other 35 residents on the hall are getting the care they need at the same time.