Thanks for your response RN/writer. This is in response to your friend and mine, JCAHO, patient safety standards. You're right, people don't think about our post-partum mom's being at risk for falls until we have to pull them out from between the toilet and the wall when they pass out. Not the right time to be thinking about it. I got to spend some time in our ER at the end of my shift several months ago after tripping over EFM cables in a dark room and landing on all fours on the floor - whiplash of all things.
You bring up very good points, and we have addressed most, if not all of them. I know that PP hemmorhage is a huge risk factor, and 500ml or a drop in HGB of 3.5 mg/dl for a vaginal delivery and an EBL of 1000ml for c-sections is considered a reportable incident to the state.
I have included an expectation that all patients will be oriented to the room, call light within reach, instructed to call for assistance first time OOB after delivery and PRN after that, low level light in the room at night unless specifically requested otherwise by the patient and walkways remaining clear. We have also decided that everyone will assessed for fall risk as things like: hx of falls, epidural/spinal, uncontrolled pain, use of narcotic or sedating medication, medical equipment that can impeded ambulation (IVs, foleys, EFM, etc...), excessive blood loss, etc...
I would be happy to e-mail you a copy of our policy/procedure when we get it done. Any other ideas would be appreciated.