{"ref":"NC-HH-CS-06","title":"Death in the Home and Pronouncement of Death","category":"Clinical tasks","summary":"Sets what staff do when a patient dies or is found without signs of life at home: follow a valid portable do-not-resuscitate order or MOST form; otherwise call 911 and begin CPR if trained; never disturb the body where the death may fall under the medical examiner statute; notify the physician who will certify the cause of death, the supervising nurse and the family’s funeral home; share infection precautions; and record everything. Plans expected deaths of patients not in hospice in advance.","inShort":["If a patient has no signs of life and there is no valid DNR order or MOST form, call 911 and start CPR if you are trained.","If there is a valid original DNR order or MOST form for this patient, do not start CPR. Call the on-call nurse.","After a fall, injury, possible overdose, sudden or suspicious death, do not move the body or anything else. Call 911.","The nurse tells the physician right away so the death certificate can be completed.","Use standard precautions when touching the body, and write down everything that happened and everyone you called."],"primaryCitation":"10A NCAC 13J .1001(a)(5)","citations":["10A NCAC 13J .1001(a)(5)","G.S. 90-21.17","G.S. 130A-115","G.S. 130A-383","10A NCAC 41A .0212"],"federalCitations":["42 CFR §484.60","42 CFR §484.110(a)","29 CFR §1910.1030"],"surveyorAsks":["A patient is found without signs of life and has no DNR order. What does your aide do?","What does your nurse check before honoring a portable DNR order or MOST form?"],"forms":[],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (10A NCAC 13J .1001(a)(5); G.S. 90-21.17; G.S. 130A-383)","5. Who Decides That Death Has Occurred","6. Expected Death With a Valid DNR Order or MOST Form","7. Unexpected Death or No Valid Order","8. Deaths the Medical Examiner Must Be Told About","9. Infection Precautions","10. After the Death","11. Planning Ahead for Expected Deaths","12. Documentation","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":"nc-hha","state":"North Carolina","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}}