{"ref":"MO-HH-CS-05","title":"Death in the Home and Care at the Time of Death","category":"Clinical tasks","summary":"Sets out what staff do when a patient is found dead or dies during a visit: honoring a valid Missouri outside-the-hospital do-not-resuscitate order or identification, otherwise calling 911 and starting CPR if trained; immediately contacting the county coroner or medical examiner as RSMo §58.451.2 or §58.720.2 requires for a death outside a licensed facility; notifying the practitioner, family and clinical manager; protecting the scene of an unexpected or suspicious death; handling medications and equipment; and completing the discharge record.","inShort":["If a patient is unresponsive and there is no valid Missouri out-of-hospital DNR order or ID, call 911 and start CPR if you are trained.","If a valid out-of-hospital DNR order or ID is present, do not start CPR; comfort the family.","Nurses and therapists who learn of a death at home must contact the county coroner or medical examiner right away. Aides call the clinical manager or on-call nurse.","If a death is sudden, violent or suspicious, do not move the body or anything around it.","Never take or throw away the patient's medications. Give the family disposal information."],"primaryCitation":"42 CFR §484.50(d)(6) (adopted by 19 CSR 30-26.010(1)(A))","citations":["19 CSR 30-26.010(1)(A)","RSMo §§190.600 to 190.621","RSMo §58.451","RSMo §58.720","RSMo §193.145","RSMo §194.005","RSMo §192.2405","20 CSR 2220-2.010(5)(D)"],"federalCitations":["42 CFR §484.50(d)(6)","42 CFR §484.110(a)(6)","42 CFR §484.60(a)(2)(xv)","21 CFR §1317.30"],"surveyorAsks":["What does your nurse do on finding a patient who has died at home?","Who contacts the coroner or medical examiner, and how quickly?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.50(d)(6) (adopted by 19 CSR 30-26.010(1)(A)))","5. Planning Ahead With Patients Who Are Seriously Ill","6. Finding a Patient Who Is Unresponsive","7. After a Death: Who to Contact","8. Unexpected, Sudden, or Suspicious Deaths","9. Care of the Body and Personal Belongings","10. Medications and Equipment After a Death","11. Closing the Clinical Record","12. Support for Families and Staff","13. Responsibilities","14. Records and Compliance Monitoring","15. Staff Training","16. References","17. Related Policies and Forms","18. Approval","19. Revision History"],"version":"1.0","sample":false,"pack":"mo-hha","state":"Missouri","service":"Home health","guides":[{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}