Is Hendrich II poor choice for Psych?

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We use Hendrich II Fall risk assessment on our floor.

Many pts I can justify the 4 points for impulsivity and 1 point for just being male.

Now we're at 5 points which is technically high risk.

My opinion Hendrich II is not appropriate to use on Psych floor.

Your thoughts?

Can you have someone score more than 5 and not make them Fall Precautions or are you putting yourself at legal risk if you don't.

Specializes in psych, addictions, hospice, education.

I haven't heard of Hendrich II, so I searched online for it. All I read said it's for elderly people, and should be done at least yearly.

I'm confused. Is your psych floor geri-psych? Since I can't find an actual copy of the tool, I can't form an opinion about whether it's appropriate or not. What sorts of things does it ask/assess?

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