Jack, Hi, my name is Laura Jones. I am a RN pursuing my BSN through University of South Alabama. I am working on one of my final projects for my degree and would appreciate your help. I am to have a discussion with a nurse that is working in the area I completed my practicum (which was rehab). It has to be in another region of the country. (I see you live in Pennsylvania) Would you please share with me who you are, where you work and what the current protocols for fall precautions are at your facility. Does your hospital use bed alarms, wheelchair alarms, vail beds, something else? Do you use hip protectors at your facility, if so, on which patients? Please provide any other information concerning fall precautions that you think I might like to know. Thank you so very much for your help! It is greatly appreciated! Laura Also, when doing my practicum at two different rehab hospitals, both were already attempting to comply with the 75% rule. They discussed the diagnoses of the possible new admits and elected not to take some, because they felt Medicare would not deem them appropriate. One of the conditions -routine total knee and routine hip- must fail outpatient therapy before being eligible under the 75% rule. I think orthopedic surgeons in our area will be ordering more outpatient therapy, then when the patient fails and has to have surgery they will meet the guidelines. Unfortunately, this will probably cost Medicare more in the long run. I know this rule is a very big concern for the Rehab docs in Baton Rouge.