Guidance on Avoidable Falls and Position Change Alarms

This course was created to provide long-term care nursing facilities (administrators and nursing staff) with practical guidance on meeting the Centers for Medicare and Medicaid’s F-tag 689 requirements related to Accidents. Emphasis will be given to meeting the regulatory requirements concerning Avoidable Accidents (falls) and Position Change Alarms (PCAs). The clinical approach to meeting CMS guidance related to preventing falls and use of PCAs will be discussed. 

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Upon completion of this course, participants will be able to:

  1. List the regulatory requirements related to F-tag 689 (Accidents).
  2. Explain how accidents (falls) and PCAs are defined and reviewed for survey compliance.
  3. Describe the step-by-step clinical process of fall prevention.
  4. Discuss the clinical role of PCAs in the fall prevention process.
  5. Define the survey procedures, such as the Accidents Critical Element Pathway and Physical Restraints Critical Element Pathway.
  6. Recall the surveyor probes used to guide the investigative process of falls and PCAs.


Chapter 1: Introduction F-tag 689 (*)
  • Intent
  • Definitions
Chapter 2: Falls
  • Types of Falls
  • Consequences
  • Risk Factors
Chapter 3: Position Change Alarms (PCAs)
  • PCAs
  • Clinical uses of PCAs
  • Which residents' benefit from PCAs
  • Are PCAs Restraints
  • Common Concerns Associated with PCAs
  • Effective Use of PCAs
  • Selecting a PCA
Chapter 4: Clinical Process Aimed at Preventing Avoidable Accidents
  • Step 1: Assess Fall Risk
  • Step 2: Multidisciplinary Evaluation
  • Step 3: Care Planning
  • Step 4: Identify Supervision Needs
  • Step 5: Monitoring
  • Step 6: Post-Fall Assessment
  • Summary
  • California Bill 241
  • Implicit Bias in Healthcare
  • What is Implicit Bias?
  • Implications of Implicit Bias in Healthcare
  • How to Reduce Implicit Bias

Price: $10.00

Contact Hour: 1

Course Author

Rein Tideiksaar

Rein Tideiksaar, PhD, PA-C, or Dr. Rein as he is commonly referred to, is the president of Fall Prevent, LLC, Blackwood, New Jersey, a consulting company that provides educational, legal, and marketing services related to fall prevention in the elderly.

Dr. Tideiksaar is a gerontologist, which is a health care professional who specializes in working with elderly patients, and a geriatric physician's assistant. He has been active in the area of fall prevention for over thirty years. 

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