. 2022 Nov 1;10(3):1715–1725. doi: 10.1002/nop2.1427

TABLE 5.

Care bundle review draft for preventing falls in hospitalized children

Dimensions	Items
A Human	1. Children at high risk are identified (label on ID bands, hang sign and so on). ^a
	2 Caregiver or sitter is at bedside.
	3 Non‐slip footwear is worn when up.
B Environment	Keep the door to the room open for children at high risk of falls when necessary. ^a
	2 Beds, cribs, commode and stretchers are kept in the lowest, locked position.
	3 Call lights, telephones and personal articles are placed within reach.
	4 Protective devices, such as side rails, hand rails, bath mats, non‐slip logos and wheel locks, are used appropriately.
	5 No fluid on the floors and surfaces.
	6 The environment is kept uncluttered and free of obstacles.
	7 Adequate lighting is provided.
C Health	Set up fall prevention posters.
	2 Education is provided to the parent or primary caregivers regarding fall risk factors and fall preventive measures.
	3 Choose appropriate exercise methods.
D Care	Validated risk assessment tools are used to assess a child′s risk of falls.
	2 The risk assessment should be performed again if the patient′s status changes.
	3 Wards have nursing protocols for preventing hospitalized children from falling in place.
	4 Medication (i.e. sedation, analgesia, anaesthesia, antihypertensive drugs) administration times are evaluated.
	5. The children at high risk are monitored every hour. ^a
	6 Children are offered assistance to the bathroom or get out of bed when needed.
	7 Wheelchairs, flat cars and other ambulation assistance are provided where needed.

^{^a}

Specific preventive measures for children at high risk of falling.