Education and care-planning support only — does not replace clinical judgment or local protocols.

🩺 CP-SAFE — Safety & Falls Score

Falls, wandering, medicines and injury risk. · Group S Safety and protection · Links to: S1–S26

Original tool, not yet validated. Pilot and review with clinicians before clinical decisions. Supports, but does not replace, clinical judgment, validated scales and local policy.

Patient

Date/Time

Nurse

Item	0	1	2
Fall in last 3 months	0 · No	1 · Near miss	2 · Yes
Walking	0 · Steady	1 · Uses aid	2 · Unsteady or needs a person
Mental state	0 · Alert, knows limits	1 · Sometimes forgets	2 · Confused or impulsive
Risky medicines	0 · None	1 · 1 (sedative, BP, diuretic)	2 · 2 or more
Toilet needs	0 · Independent	1 · Frequent or urgent	2 · Incontinent, gets up alone
Sight / hearing	0 · Good	1 · Mild problem	2 · Severe problem

⚠ Red flags — escalate at once regardless of score

Head injury after fall

Total: 0 — select a score for each item

Score	Level	Action
0–3	Low	Standard safety: bed low, bell in reach
4–7	Medium	Falls bundle: non-slip socks, toilet rounds every 2 h
≥8	High	Bed near station, bed alarm, 1-hourly checks

Nursing notes / action taken

⬇ Blank form (PDF)